Which organization is associated with credentialing all licensed practitioners, including physicians and non-physicians?

Which organization is associated with credentialing all licensed practitioners, including physicians and non-physicians?

• A. URAC
• B. TJC
• C. NCQA
• D. DNV

Answer: (C)

The main idea is provider credentialing and privileging across all licensed clinicians. The National Committee for Quality Assurance (NCQA) is the organization that develops and enforces standards for credentialing providers and accredits credentialing processes used by health plans and integrated delivery systems. NCQA’s framework covers verification of licensure, board certification where applicable, sanctions, training, and work history for all licensed practitioners, including physicians and non-physician clinicians. Because of this broad scope and the emphasis on standardized, rigorous credentialing across the provider universe, NCQA is the go-to reference for credentialing all licensed practitioners. By contrast, the others tend to focus on different areas: Joint Commission and DNV primarily credential and accredit facilities and programs, while URAC does credentialing as well but is not as universally tied to the comprehensive credentialing of all licensed practitioners across organizations.

The main idea is provider credentialing and privileging across all licensed clinicians. The National Committee for Quality Assurance (NCQA) is the organization that develops and enforces standards for credentialing providers and accredits credentialing processes used by health plans and integrated delivery systems. NCQA’s framework covers verification of licensure, board certification where applicable, sanctions, training, and work history for all licensed practitioners, including physicians and non-physician clinicians. Because of this broad scope and the emphasis on standardized, rigorous credentialing across the provider universe, NCQA is the go-to reference for credentialing all licensed practitioners.

By contrast, the others tend to focus on different areas: Joint Commission and DNV primarily credential and accredit facilities and programs, while URAC does credentialing as well but is not as universally tied to the comprehensive credentialing of all licensed practitioners across organizations.