A health plan must designate a credentialing committee that uses a peer review process to make credentialing and recredentialing decisions. Members of the committee must include participating practitioners who can review and provide input on applicants for initial credentialing and...

Please note that the ability to claim CEUs for this program has expired. 

Do you have physicians who resign with red flags in their file whom you are tracking/trending? Do you have a policy that requires you address red flags before allowing the physician to resign? Do you have language...

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