Contact Information
Fairview System Credentialing Office
2450 Riverside Ave S
Minneapolis, MN 55454
Email: fsco@fairview.org
Fax: 612-672-4244
Initial Applications
Fax: 612-672-4123
Email: fscoinitials@fairview.org
System Manager, Credentialing Services
Jesse DeFrang
Phone: 612-672-1532
Reappointments
Fax: 612-672-7733
Email: fscoreaps@fairview.org
System Manager, Credentialing Services
Neidra Andersen
Phone: 612-672-7505
Expirables
Fax: 612-672-4244
Email: fsco@fairview.org
System Manager, Credentialing Services
Neidra Andersen
Phone: 612-672-7505
Delegated Payer Plan Enrollment
Email: dept-corp-delegated-@fairview.org
System Manager, Credentialing Compliance
Kristin Karsko
Phone: 612-672-4202
Privileging Management
Abby Dahl
Phone: 612-672-4157
Director
System Director, Medical Staff Services
Josy Volk
Phone: 612-672-4218
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The Fairview System Credentialing Office (FSCO) provides a wide range of benefits to its contracted facilities and networks:
- Streamlines the credentialing process so practitioners submit one credentialing application and privilege form(s) when applying to one or multiple M Health Fairview and/or contracted facilities/networks;
- Eliminates duplication of multiple verifications;
- Standardizes the privileging criteria and forms;
- Provides ongoing monitoring of license, malpractice insurance, DEA certificate and board certification for all applicable practitioners. Maintains compliance with Joint Commission (JC), Centers for Medicare/Medicaid Services (CMS), National Committee for Quality Assurance (NCQA) credentialing standards; and
Efficiently manages practitioner credentialing information in one centralized database.
Quick Links to Key Documents
Initial Applicants
To request an initial application, add a facility (update application) or request additional privileges, an application request form needs to be submitted.
Practitioner Change
To request name, demographic, office, address changes or to submit medical/professional staff resignation from a Fairview entity, please contact Fairview System Credentialing at fsco@fairview.org.
About Us
To conduct a thorough and accurate verification and review of credentialing and privilege information. This work supports the Medical Staff at Fairview Health Services and contracted facilities and networks to thoroughly assess practitioners' ability to provide quality patient care and minimizes risk to the organization.
- Fairview Physician Associates (FPA)
- M Health Fairview Clinics
- M Health Fairview Maple Grove Ambulatory Surgery Center (Maple Grove, MN)
- M Health Ambulatory Surgery Center (Minneapolis, MN)
Hospitals, including:
- M Health Fairview Bethesda (St. Paul, MN)
- M Health Fairview Lakes Medical Center (Wyoming, MN)
- M Health Fairview Northland Medical Center (Princeton, MN)
- M Health Fairview Ridges Hospital (Burnsville, MN)
- M Health Fairview Southdale Hospital (Edina, MN)
- M Health Fairview St. John’s Hospital (Maplewood, MN)
- M Health Fairview University of Minnesota Medical Center (Minneapolis, MN)
(includes East Bank, West Bank, University of Minnesota Masonic Children’s Hospital) - M Health Fairview Woodwinds Health Campus (Woodbury, MN)
- Fairview Range Regional Health Services (Hibbing, MN)
- Grand Itasca Clinic and Hospital (Grand Rapids, MN)
If an affiliation verification is needed for any of these facilities, please use our online verification tool: https://hub.veritystream.cloud/app/39380/Verification/VerifPortal
The initial credentialing and privileging process has many steps and detailed requirements. In summary, this process includes:
- An application request form is submitted. Login instructions are emailed to the applicant to access the ‘Practitioner Hub’ where electronic application forms are completed.
- When all required forms are completed, a Credentialing Coordinator will be assigned to work with the applicant to assure completion of all required documents, verifications, and privilege criteria.
- Requests for information will be sent to the applicant by email. Various other departments may also be in contact with the applicant, such as Recruitment, Human Resources, Provider Enrollment, Department Contacts, and Employee Occupational Health Services. Requests from other departments may be similar to the information requested by the FSCO as needed for their specific purposes.
- After all verifications and required documents have been received, the application is sent to each facility where credentialing and/or privileges is being requested. Applicants are notified when their application is being sent for the review and approval process.
- The application is reviewed by Medical Staff Services at the facility(ies) requested and sent to the designated Credentials Reviewer for review and recommendation, then to the Credentials Committee for review and recommendation, then to the Medical Executive Committee (if applicable), and the facility(ies) Board for approval (if applicable).
- When approval has been granted, Medical Staff Services at each facility sends a Board Letter to notify applicants of the details of their approval and effective date at that facility.
- After approval has been granted, practitioners may begin caring for patients within the scope of their approval.
- Practitioners are expected to read and be familiar with the Bylaws and/or governing documents from each facility. This information will be provided at the time of approval and is available on the Fairview Intranet.
Practitioners are reappointed at least every 36 months. This credentialing reappointment schedule is aligned to be approved the month of the practitioner's birth.
Reappointment Application Process Steps:
- The FSCO sends an email to practitioners approximately four and a half months before their current appointment expiration date with login instructions to access the Practitioner Hub and complete the electronic reappointment application forms.
- Practitioners review and confirm that the demographic information provided is correct and complete new disclosure questions, authorization and release, and attestations for Medicare/Medicaid, and continuing education.
- Practitioners review and make changes to privileges (if applicable) and submit any required documentation for the privileges.
- The application is reviewed by Medical Staff Services at the facility(ies) requested and sent to the designated Credentials Reviewer for review and recommendation, then to the Credentials Committee for review and recommendation, then to the Medical Executive Committee (if applicable), and the facility(ies) Board for approval (if applicable).
Contact Information for Reappointment Credentialing Team:
Email: fscoreaps@fairview.org
Fax: 612-672-7733
The FSCO monitors the following items as applicable to each practitioner to assure they are kept current and in good standing:
- State License
- Malpractice Insurance
- DEA certification
- Board certification
Governing documents require practitioners to maintain a current license, insurance and certification at all times. Failure to renew state license or malpractice insurance prior to its expiration will result in suspension of medical staff credentialing, privileges and/or membership at M Health Fairview until renewal is appropriately verified.
Practitioners will be made temporarily inactive and cannot see patients at any M Health Fairview facility. If these credentials or certificates cannot be verified within 90 days of expiration, the practitioner’s temporary inactive status will become a permanent inactive status. Future credentialing requests will require the practitioner to submit an initial application.
Contact Information for Expirables Staff:
Email: fsco@fairview.org
Fax: 612-672-4244
The FSCO has delegated credentialing agreements with the health plans listed below that allows the health plans to accept Fairview’s credentialing process without the need for their own separate credentialing. Fairview’s approval date will be used as the enrollment date for the noted health plans for the applicable practitioners.
The FSCO is accredited by the National Committee of Quality Assurance (NCQA) in Credentialing and Recredentialing. This certification is required to maintain the delegated credentialing agreements as this is the accreditation organization for health plans.
The delegated credentialing process streamlines process and reduces costs for practitioners and the health plans. This process also allows applicable practitioners to start providing services as soon as their credentialing is approved at Fairview without needing to wait for separate approvals from the delegated health plans.
Health Plans that Delegate Credentialing to the FSCO
- America's PPO
- Blue Cross Blue Shield of MN
- First Health/Aetna
- Group Health Cooperative of Eau Claire
- HealthPartners
- Hennepin Health
- Medica
- MultiPlan, Inc
- Sanford Health Plan
- South Country Health Alliance (SCHA)
- UCare
- UnitedHealthcare (UHC)
- Wisconsin Physician Services (WPS)
Please use our online verification tool for affiliation verifications needed for any of the contracted facilities listed on this website: https://hub.veritystream.cloud/app/39380/Verification/VerifPortal
Important Information for all Practitioners
All credentialed practitioners are expected to read and be aware of the information contained in the following documents:
Code of Professional Behavior (PDF)
Privileging Principles (PDF)
Proctoring Policy (PDF)
Proctoring
Proctoring of privileges may be requested if a practitioner does not meet the criteria indicated on the privilege form, such as number of cases performed or required training. All required training must be completed before a proctoring request is made. Proctoring is an evaluation of a practitioner’s clinical competency to perform the procedure after completion of required training and must be approved in advance of performing the procedure with proctoring. Information on the process and forms are in the Proctoring Policy.
Required Learning
All practitioners credentialed at a Fairview facility are required to complete the designated medical staff education. Following approval of your credentialing, you will receive an email containing a link to Fairview’s Learning Management System (LMS), where you will complete the required training.