NCQA certification or URAC accreditation can be instrumental in evaluating whether a CVO meets minimum industry standards and will be able to provide the services that a health plan or system needs. Certification or accreditation is essentially an accreditor’s stamp of approval on the CVO’s...
Credentialing Resource Center Journal - Volume 26, Issue 3
What’s in your compliance code? Though not technically mandatory, best practices and, in some cases, plans of correction, call for hospitals to create a compliance program with a plan or code applicable to its operation.
Nobody likes a bully, and as we all know, bullies can come in many shapes and sizes. In the healthcare setting, bullying is a disruptive behavior that threatens the safety and well-being of both patients and staff.
Credentialing Resource Center Journal - Volume 26, Issue 3
Navigating the reappointment process, with its patchwork of expiration dates and verification expectations, can be difficult for ambulatory facilities, which often lack the dedicated credentialing presence of their acute care counterparts.
Provisional credentialing is an optional process that a health plan may incorporate into its credentialing policy. This process provides a managed care organization with the ability to add practitioners to its network prior to completing the full credentialing process. The intention of...
Credentialing Resource Center Journal - Volume 26, Issue 1
