Credentialing & Privileging

Ask the expert: What is the NCQA requirement for checking medical staff membership?

Credentialing Resource Center Connection, October 9, 2008

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The NCQA requires applications to include a dated attestation statement from the applicant regarding his or her history of all past and present circumstances regarding limitations or loss of clinical privileges or other disciplinary activity at all facilities where the individual has held or holds privileges.

The NCQA does not require practitioners to have medical staff membership or clinical privileges at an acute care organization. However, the accrediting agency does impose various time limits on organizations for verifying this information.

This week’s answer is from Verify and Comply: A Quick Reference Guide to The Joint Commission and NCQA Standards for Credentialing, Fourth Edition, by Carol S. Cairns, CPMSM, CPCS



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