Credentialing & Privileging

Q&A: What are the managed care equivalents to hospital titles commonly encountered in credentialing?

Credentialing & Verification Update, February 28, 2007

A: Often, the titles of boards, committees, or staff with nearly identical roles at a managed care organization (MCO) vary slightly (or not so slightly) from their equivalent in a hospital setting. Here is a quick reference of hospital-to-MCO titles and offices:

  • Medical staff - panel
  • Medical staff office - credentialing office, or provider relations network development
  • Medical staff appointment - panel membership
  • Medical executive committee - peer review committee
  • Medical staff member - participating provider or practitioner
  • Department chair - medical director
  • Medical director - medical director
  • Board - governing body or board
  • Credentials committee - practice panel

Editor's note: Questions and topic suggestions can be e-mailed to Credentialing & Verification Update at mcoler@hcpro.com.

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