Ask the expert: What is the definition of an LIP in a managed care organization?
Credentialing Resource Center Connection, December 30, 2008
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Outside of hospitals (that is, in private offices and facilities other than hospitals), there is great variability among states and even among organizations within the same state as to which professions can practice without medical supervision or direction (i.e., which professions fall within the category of licensed independent practitioner (LIP)).
For example, PhD psychologists, councilors, therapists, nurse midwives, nurse practitioners, and clinical dietitians are able to open offices and practice with varying degrees of independence in many states. Many managed care organizations (MCO) provide reimbursement for such professionals’ services and include them on practitioner panels. For this reason, MCO credentialing and privileging often must deal with a far larger and more variable group than hospital credentialing and privileging in the same state.
This week’s answer is from the 2009 Credentials Verification Desk Reference, by Kathy Matzka, CPMSM, CPCS.
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