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Do AMA Physician Profiles meet regulatory and accreditation standards?

Yes. In 97% of all instances, AMA Physician Profiles meet and, in many cases, exceed standards. The data contained in AMA Profiles have been designated either as equivalent or acceptable source by the applicable accrediting organization or they meet the requirements by virtue of the American Medical Association functioning as a credentials verification organization. The AMA has verified with the primary sources each of the credentials elements listed in the following table. All table data is current as of July 28, 2016.

AMA Physician Profile Data Accrediting Bodies
Credentials Element Source CMS TJC HFAP DNV GL NCQA AAAHC
Licensure: Current state of practice State licensing board (1) (2)
Licensure sanction alert:
Current state of practice
State licensing board ✓+ (1) (2) ✓+
Licensure: Historical State licensing board ✓+ ✓+ (1) (2) ✓+ ✓+ ✓+
Licensure sanction alert: Historical State licensing board ✓+ ✓+ (1) (2) ✓+ ✓+
US education: Allopathic/Osteopathic AAMC ✓+
US post-graduate training: Allopathic/Osteopathic ACGME ✓+
ABMS board certifications ABMS ✓+ ✓+ ✓+
National provider identification (NPI) number NPI ✓+ ✓+ (1) ✓+ ✓+ ✓+ ✓+
DEA registration number DEA ✓+ ✓+ (1) ✓+ ✓+
Medicare/Medicaid sanctions alerts OIG ✓+ ✓+ (1) ✓+ ✓+
Ongoing monitoring of Medicare/ Medicaid sanctions* OIG ✓+ ✓+ (1) ✓+ ✓+
ECFMG provider identification number ECFMG      AMA provides the number only.
Contact ECFMG directly for verification.


Notes
✓ = meets standards
✓+ = exceeds standards
— = does not meet standards
*Available when you purchase AMA Continuous Monitoring Service or an AMA Profiles subscription.
(1) Per The Joint Commission’s 10 credentials verification organization guidelines
(2) HFAP requires primary source verification of licensure but additionally requires a query of the National Practitioner Data Bank and of the Federation of State Medical Boards or the Fraud and Abuse Control Information System.

Acronyms
AAAHC = Accreditation Association for Ambulatory Health Care, Inc.
AAMC = Association of American Medical Colleges
ABMS = American Board of Medical Specialties
AMA = American Medical Association
AOA = American Osteopathic Association
CMS = Centers for Medicare and Medicaid Services
DEA = Drug Enforcement Administration
DNV GL = DNV GL Healthcare
ECFMG = Educational Commission for Foreign Medical Graduates
HFAP = Healthcare Facilities Accreditation Program
NCQA = National Committee for Quality Assurance
OIG = Office of Inspector General

   
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