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Jumat, 30 Maret 2018

02-10-Tips-on-Physician- ...
src: www.medconverge.com

Credentialing is the process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy. Many health care institutions and provider networks conduct their own credentialing, generally through a credentialing specialist or electronic service, with review by a credentialing committee. It may include granting and reviewing specific clinical privileges, and allied health staff membership.


Video Credentialing



Insurance Credentialing

Physicians and other healthcare practitioners who wish to bill an insurance company and receive reimbursement for services as an in-network provider must undergo a process of credentialing in which the insurance company verifies the provider's education, training, experience, and competency. Each provider must submit a credentialing application that details their training and qualifications to treat patients in their area of specialty. The insurance company then decides if the provider meets their internal qualifications to serve as a provider of services to their insured customers. After approval of a provider's credentials, the insurance company issues a participating provider contract that allows the provider of services to bill the insurance company and receive reimbursement as an in-network provider of services.


Maps Credentialing



Personnel Credentialing

Personnel credentialing is typically undertaken at commencement of employment (initial application) and at regular intervals thereafter (reappointment). Credentialing of vendors or other organizations may begin prior to the purchasing process and be repeated regularly.


Aynovas
src: www.aynovas.com


Political Credentialing

Political parties credential delegates at their conventions.


Credentialing Archives - Missouri Credentialing Board
src: missouricb.com


Paperless Credentialing

Paperless credentialing is the process of doing credentialing through a software package. With the internet, many web-based programs have been created to help automate the process of paperless credentialing.


Benefits of Outsourcing Provider Credentialing & Enrollment Services
src: www.medconverge.com


Medical Credentialing

Medical Credentialing is the process of review and verification of the information of a health care provider who is interested in participating with various insurances in their county.


Group vs. Individual Credentialing: What's The Difference? - InNet ...
src: innetcredentialing.com


See also

  • Economic credentialing
  • License
  • Certification
  • National Association Staff Services

UC ERM Toolbox Nov/Dec 2013: Medical Staff Credentialing ...
src: i.ytimg.com


References

Source of article : Wikipedia