Full verification from request to application to membership.
The LRCVO (Louisiana Regional Credentials Verification Organization) follows NCQA Standards to offer a consolidated approach to credentials verification for contracted facilities. The LRCVO conducts primary source verification of credentials and provides that information to each entity for which the provider has applied.
LRCVO CREDENTIALING FAQ’S
Credentialing is a term that usually refers to two separate processes: credentialing and privileging. Credentialing is the primary source verification of a health care practitioner’s education, training, work experience, license, etc. Privileging is granting approval for an individual to perform a specific procedure or specific set of privileges based on documented competence in the specialty in which privileges are requested.
Each licensed individual working in the hospital or clinic setting who are independently responsible for patient care must be credentialed. Licensed independent practitioners who must be credentialed are physicians,dentists, nurse practitioners, physician assistants, psychologists and any other allied health professional
Most healthcare organizations advise submitting an application ninety days before a practitioner’s start date. Ninety days is a benchmark because it allows extra time when verification sources do not respond in a timely manner or clarification of discrepancies is required.
Yes. Practitioners can greatly influence the length of processing time by contacting their verification sources and asking each source to mail or fax verification requests back as soon as possible. It is extremely important for practitioners to submit a complete, clean application.
You can fax, mail, or email your completed application to the LRCVO.
Reappointment is the process of re-evaluating a practitioner’s current information after they have been appointed.
If a practitioner does not complete reappointment paperwork on time, the practitioner’s reappointment will expire and they can no longer work or see patients. In addition, practitioners will be terminated from all active payers and reimbursement will default to out-of-network benefits.
LRCVO CONTRACTED FACILITIES
Medical Staff Office Contact Information
Suite 203
Lafayette LA 70508
Phone: (337) 988-7785
Fax: (337) 988-7743
rmeauxMD@apnlafayette.com
Alexandria LA 71301
Direct Line: (318) 427-7621
Fax: (318) 767-9736
Email: psmith@clshospital.com
Website: https://clshospital.com/
Alexandria LA 71303
Phone: (318) 767-2899
Fax: (318) 442-4505
Email: curt.goudeau@riversidehospital.net
Website: https://www.riversidehospital.net/
Mamou LA 70544
Phone: (337) 468-0355
Fax: (337) 468-3342
Email: kimberly.rougeau@savoymedical.net
Website: https://savoymedical.com/
Louisiana Regional PHO
The Louisiana Regional Physician Hospital Organization is a network of physicians, hospitals, and facilities that provide cost-effective, quality healthcare for employers, insurers and managed care organizations.
Louisiana Regional PHO
The Louisiana Regional Physician Hospital Organization is a network of physicians, hospitals, and facilities that provide cost-effective, quality healthcare for employers, insurers and managed care organizations.
