Credentialing is described as required for all licensed practitioners (physicians and non-physicians) by which organization?

Credentialing is described as required for all licensed practitioners (physicians and non-physicians) by which organization?

• A. URAC
• B. NCQA
• C. TJC
• D. HFAP

Answer: (B)

Credentialing is the process of systematically verifying a practitioner's qualifications before they’re allowed to provide care within a network. The National Committee for Quality Assurance (NCQA) sets standards that require credentialing for all licensed practitioners—physicians and non-physicians alike—so that every provider in an accredited plan meets consistent baseline qualifications. This cross-provider verification includes licensure, education, training, board certification where applicable, sanctions, and ongoing monitoring through recredentialing. Other organizations do credentialing in related contexts, but NCQA’s framework is the one most associated with requiring this level of universal credentialing across an entire provider network, which is why it’s the best answer here.

Credentialing is the process of systematically verifying a practitioner's qualifications before they’re allowed to provide care within a network. The National Committee for Quality Assurance (NCQA) sets standards that require credentialing for all licensed practitioners—physicians and non-physicians alike—so that every provider in an accredited plan meets consistent baseline qualifications. This cross-provider verification includes licensure, education, training, board certification where applicable, sanctions, and ongoing monitoring through recredentialing.

Other organizations do credentialing in related contexts, but NCQA’s framework is the one most associated with requiring this level of universal credentialing across an entire provider network, which is why it’s the best answer here.