Which accreditation does not require credentialing for physicians who are hospital employees and are not listed in the accreditation directory?

Which accreditation does not require credentialing for physicians who are hospital employees and are not listed in the accreditation directory?

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

Answer: (B)

Understanding how credentialing fits with accreditation helps here: different accrediting bodies set their rules for when and how physicians must be credentialed, and some distinguish between hospital employees versus independent clinicians. URAC concentrates on the organization’s own credentialing process and how it verifies, monitors, and privileges its providers. If a hospital employs physicians who aren’t listed in an external directory, URAC allows those physicians to be credentialed through the hospital’s internal processes as long as those processes meet URAC’s verification and ongoing monitoring requirements. This means no extra external credentialing step is necessary for those hospital-employed physicians who aren’t in the directory. In contrast, other accreditors typically require credentialing and privileging for physicians who deliver patient care, with a stronger emphasis on those providers being listed in the accreditor’s directory or medical staff records. Therefore, URAC is the one that aligns with credentialing via the hospital’s internal process for hospital employees not listed in the external directory.

Understanding how credentialing fits with accreditation helps here: different accrediting bodies set their rules for when and how physicians must be credentialed, and some distinguish between hospital employees versus independent clinicians. URAC concentrates on the organization’s own credentialing process and how it verifies, monitors, and privileges its providers. If a hospital employs physicians who aren’t listed in an external directory, URAC allows those physicians to be credentialed through the hospital’s internal processes as long as those processes meet URAC’s verification and ongoing monitoring requirements. This means no extra external credentialing step is necessary for those hospital-employed physicians who aren’t in the directory.

In contrast, other accreditors typically require credentialing and privileging for physicians who deliver patient care, with a stronger emphasis on those providers being listed in the accreditor’s directory or medical staff records. Therefore, URAC is the one that aligns with credentialing via the hospital’s internal process for hospital employees not listed in the external directory.