Which organization is described as credentialing all licensed practitioners (physicians and non-physicians)?

Which organization is described as credentialing all licensed practitioners (physicians and non-physicians)?

• A. The Joint Commission
• B. NCQA
• C. URAC
• D. DNV

Answer: (B)

Provider credentialing is the process of verifying a clinician’s qualifications before they can practice within a network. The organization described is one that standardizes and accredits the credentialing of all licensed practitioners—physicians and non-physicians—across health plans and provider networks. NCQA specializes in accrediting the organizations that perform provider credentialing, ensuring consistent verification of licensure, board certification where applicable, sanctions, education, and scope of practice for every licensed practitioner. That broad, network-wide credentialing role for both physician and non-physician providers sets NCQA apart from other accrediting bodies whose primary focus lies elsewhere, such as hospital accreditation or consumer protection.

Provider credentialing is the process of verifying a clinician’s qualifications before they can practice within a network. The organization described is one that standardizes and accredits the credentialing of all licensed practitioners—physicians and non-physicians—across health plans and provider networks. NCQA specializes in accrediting the organizations that perform provider credentialing, ensuring consistent verification of licensure, board certification where applicable, sanctions, education, and scope of practice for every licensed practitioner. That broad, network-wide credentialing role for both physician and non-physician providers sets NCQA apart from other accrediting bodies whose primary focus lies elsewhere, such as hospital accreditation or consumer protection.