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Run: Provider License and Expirables Expiration Tracking Log

Track provider licenses, DEA registrations, certifications, and other expirables in one audit log so you can catch renewals early, document exceptions, and c...

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Inspection Scope and Tracking Setup

Review period and inspection date recorded critical (required)

Note (optional)

Provider roster included all active providers in scope critical (required)

Yes No N/A

All applicable sites and departments included in the audit scope critical (required)

Yes No N/A

Source of truth for credential records identified

Note (optional)

Provider License Verification

Primary professional license is current and unexpired critical (required)

Yes No N/A

License number and issuing state recorded

License expiration date recorded critical (required)

Note (optional)

Days until license expiration

Note (optional)

License renewal evidence attached

Note (optional)

DEA Registration and Controlled Substance Authority

DEA registration is current for providers who prescribe controlled substances critical (required)

Yes No N/A

DEA registration number recorded

DEA expiration date recorded critical (required)

Note (optional)

Controlled substance prescribing authority verified against role and site critical (required)

Yes No N/A

Certifications and Required Credentials

Required life support certification current, if applicable critical (required)

Yes No N/A

Board certification status recorded, if required by role

Note (optional)

All other required certifications are current critical (required)

Yes No N/A

Certification expiration dates documented for each required credential critical (required)

Yes No N/A

Expiration Alerts, Exceptions, and Follow-Up

Items expiring within 30 days identified critical (required)

Yes No N/A

Overdue expirables escalated to the appropriate manager or credentialing lead critical (required)

Yes No N/A

Exception or grace-period approvals documented, if applicable

Yes No N/A

Corrective action owner and due date assigned for each deficiency critical (required)

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