Provider Credentialing

Provider Credentialing

Provide an executive summary to your team on how to credential providers. You will need to consider the following:

  • Type of provider being credentialed
  • Steps they will go thru to be credentialed
  • Educational background needed
  • Does this provider have an NPI number?
  • State the provider will work in
  • Is there a standard application?
  • Is an onsite visit needed; why or why not
  • Who gets credentialed (list at least 5 specialties)
  • Are all facilities credentialed?

Gather your research from at least 2 sources, other than your textbook. Cite your sources using APA guidelines. All submitted work should be free of grammatical errors.

Solution Preview

As it is the norm in the medical profession, credentialing a physician should be carried out before the job begins to prevent potential risks which may arise due to late credentialing. It is an important process for individuals opening their own practice…

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