Credentialing In Health Care

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Credentialing is a system used by various organizations and agencies such as Medicare, Blue Cross in order to ensure that their healthcare practitioners meet the requirements and are appropriately qualified. The credentialing process involves the verification of education, licensure, certification, and reference checks. In order for a nurse practitioner to be eligible to bill government agencies and insurance companies, they must be credentialed. Credentialing is a term used to designate that an individual, program, institution or product has met established standards set by (governmental or non-governmental) that they are recognized as qualified to carry out the established standards. The standards may be minimal and mandatory. Credentials

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