Credentialing Providers

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Business Finance

Description

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.

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Explanation & Answer

Attached.

Running Head: PROVIDER CREDENTIALING SUMMARY

Provider Credentialing
Name:
Institution affiliation:

1

PROVIDER CREDENTIALING

2
Executive Summary

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 or those adding a new physician
(Reeder, 2017). Physician credentialing mainly involves conducting a background check on the
person’s academic and the nature of their state licensure, employment verification process and
malpractice issues associated with the physician. There are five simple steps that should be
followed during the credentialing process and they are as follows:
1) Starting early enough. Despite most of credentialing being done abou...


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