University of California San Francisco     UCSF Medical Center     UCSF Benioff Children's Hospital     Langley Porter Psychiatric Institute    
         
        Medical Staff Affairs
Credentialing & Privileging | Health Plan Enrollment | Governance
 
       
HOME PRIVILEGE / COMPETENCY APPLICATION BYLAWS R&R P&P PHYSICIAN WELL BEING AFFILIATION VERIFICATION
 
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MISSION & SCOPE
The Department of Medical Staff Affairs at UCSF Medical Center & Benioff Children’s Hospital (SF Campus) develops, manages, performs, and directly supports governance, credentialing/privileging, and payer enrollment activities related to nearly 3,000 Medical Staff and Advanced Health Practitioner (AHP) members, and hundreds of other providers who rely on the program’s electronic and paperless credentialing system - UC Me.
 
The service scope of the MSSO includes:
Supports the UCSF organized Medical Staff leadership and committees by providing expert consultation and ensuring its leaders and members adhere to the UCSF Medical Staff Bylaws, Rules and Regulations, and all pertinent policies.
Responsible for remaining current and complying with all state, federal, health plan, and non-federal national regulations and requirements.
Ensures that all Medical Staff and AHP members are properly vetted according to the requirements of the Medical Staff Bylaws, The Joint Commission, State of California, Centers for Medicare and Medicaid Services (CMS), and other regulatory requirements by providing primary-source and accurate verification services.
Providing credentialing verification services (CVO) to UCSF provider groups and other affiliated medical groups.
Facilitate and support the electronic Ongoing Professional Practice Evaluation (eOPPE), and Focused Professional Practice Evaluation (FPPE) programs of the Medical Staff and AHP Staff.
Responsible for timely enrollments of all clinical faculty into Medicare, Medi-Cal, and commercial health plans.
 
Office Hours and Location

UCSF at Laurel Heights
3333 California St, Suite S-10, Box 1639
San Francisco, CA 94118
Phone (415) 885-7268 | Fax (415) 885-7445.
Monday-Friday | 8:00AM to 5:00PM