Memorial Hospital

Medical Staff Services

Medical Staff Services

PROVIDING COMPREHENSIVE HEALTHCARE CREDENTIALING SERVICES FOR THE PRACTITIONERS WHO SERVE OUR PATIENTS AT MEMORIAL HOSPITAL.

Memorial Hospital Medical Staff Services is compliant with The Joint Commission Healthcare credentialing standards.

SCOPE OF SERVICES

  • Collect and process applications for initial appointment, reappointment and additional privileges for all credentialed practitioners
  • Obtain primary source verification (verifying all elements of application directly with source such as medical school, residency program, previous hospitals, licensing board and any other required source)
  • Identify and investigate red flags found during credentialing process
  • Process privilege forms and obtain required documentation
  • Maintain Cactus credentialing database
  • Maintain system-wide privilege forms
  • Conduct ongoing monitoring and verification of license, malpractice insurance, DEA certificate and board certification for all applicable practitioners
  • Conduct ongoing monitoring of sanctions or disciplinary actions such as licensure or sanctions
  • Maintain active and archived credentials files
  • Complete verification of Memorial Hospital membership and privileges for other organizations
  • Assist in preparation and participate in credentialing portion of accreditation and regulatory surveys
  • Collect and process applications for our providers to enroll them with insurance payors such as Medicare, Medicaid and Managed Health Care Companies.

AFFILIATION VERIFICATION REQUESTS

Memorial Hospital is pleased to provide you with an online verification service which allows outside organizations to quickly and easily generate and print an instant verification of affiliation for any practitioner (past or present) via the internet at  https://iresponse.mhtlc.org/iResponse/

The website represents current practitioner status information and is maintained by Memorial Hospital's Medical Staff Office. All information in the database is secure and cannot be altered by outside parties, therefore meeting Joint Commission standards. This internet service should be used for all affiliation verification requests. However, if you are prompted to contact the Medical Staff Services office, please fax your request to Medical Staff Services and a Medical Staff Coordinator at the number provided below and a staff member will complete your request as soon as possible. (Please allow at least one week for a response.)

Mailing Address

Memorial Hospital
Medical Staff Services
1454 N. County Rd. 2050
PO Box 160
Carthage, IL 62321

General Office

Phone: 217-357-6512
Fax: 217-357-6564
Email: panderson@mhtlc.org

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