according to Kongstvedt, P. R. (2016). Health Insurance and Managed Care.,please help me with explaining what...
according to Kongstvedt, P. R. (2016). Health Insurance and Managed Care.,please help me with explaining what is the purpose and function of a credentialing committee in a managed care organization? What do the literature say?
Homework Answers
Credentialing is the process by which insurance networks, healthcare organizations, and hospitals obtain and evaluate documentation regarding a medical provider's education, training, work history, licensure, regulatory compliance record, and malpractice history before allowing that provider to participate in a network.
The role of the credentialing committee is to review and evaluate the qualifications of all the applications for the initial appointment. The committee do recommend the clinical staff according to their qualifications and experience .
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according to Kongstvedt, P. R. (2016). Health Insurance and
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