New Employee Checklist: Physicians and Providers

New Employee Checklist:  Administrative Staff | Clinical Staff | Physicians and Providers | Description of Employment Forms

The items are this list are suggestions and may not be all inclusive of items required at your practices.

  • Sample Employee Orientation Checklist - Open form
  • Colorado application/CAQH application with all documents or Colorado Healthcare Professionals Credentials Application
    Completion of the CAQH application will result in in a pre-populated printable application that can be used for other purposes such as malpractice insurance and hospital privileges. (must be updated/renewed every 90 days) - Visit CAQH website
  • Copy of Colorado Driver’s License
  • Colorado Medicaid Credentialing - Visit HCPF website
  • Credentialing with contracted payers
  • Colorado Prescription Drug Monitoring Program - Visit PDMP website
  • DEA - Visit DEA website
  • Direct Deposit Form
  • Emergency Contact Form
  • HIPAA Training and signed Confidentiality Agreement
  • Medicare Credentialing - Visit PECOS website
  • NPI - Visit NEPPS website
  • Professional Liability Insurance Application
  • State Medical Board License - Visit DORA website
  • I-9 - Open form
  • W-4 - Open form
 
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