Medical staff credentialing and privileging

As part of the application process, you will attest to having read the following documents:

• Medical Staff Bylaws. Contact the local Allina Health hospital(s) you are applying to for bylaws.
• Medical Staff Professionalism Policy
• HIPAA Privacy and Security Documentation Standards Policy
• Minnesota Department of Human Services: Background Study Privacy Notice
• Practitioner Rights
• Allina Health Group Credentialing Manual

You also will be asked to read and complete the following:

• Application Request Form
• DHS Background Study Information

To change your personal information, to submit a resignation, or for any questions, contact the Credentials Verification Organization (CVO) at 612-262-2233612-262-2233 or credentialing@allina.com.

Provider enrollment

Provider enrollment is responsible for enrollment, re-credentialing, terminations of any practitioner who bills professional services at Allina Health with third-party commercial and government payers/health plans.

By completing this process, it ensures the practitioner is enrolled with Medicare, Medicaid and applicable third-party payers so that Allina Health can bill and be reimbursed for care, treatment or services provided at an Allina Health facility.

Please note that the rules and systems used to complete provider enrollment varies across health plans. If applicable, you would receive from the Allina Health Provider Enrollment Team information that would begin the process that sets you up as a billing provider with Medicare, Medicaid and third-party payers.

Provider Enrollment can be reached at providerenrollment@allina.com or 612-262-1166612-262-1166.

Regulations

Requirements for clinical credentialing, privileging and provider enrollment processes are driven by regulation and accrediting body standards, including, but not limited to:

• The Joint Commission (TJC)
• the National Committee for Quality Assurance (NCQA)
• Medical Staff Bylaws
• Allina Health policies and procedures 

In all cases, the length of time required to complete the credentialing processes are influenced by how timely Allina Health receives completed information and its verification.

In the event you would be an employee of Allina Health we make every effort to use the information collected during your hiring process. However, we may ask for updated or additional information.

Again, thank you for considering Allina Health. We look forward to having you join our efforts to transform health care and achieve best quality outcomes for our patients.

Compliance education

You will also need to satisfy all federal and state mandated compliance education requirements. The Centers for Medicare and Medicaid Services (CMS) have created compliance and fraud, waste, and abuse education that should be reviewed on an annual basis.

You will be required to attest that you have met all federal and state mandated compliance education requirements when enrolled, and then on an annual basis moving forward. 

You can access the mandatory compliance education at the Medicare Learning Network® (MLN) Learning Management System (LMS).