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The Joint Commision defines credentialing as? - 🧠ANSWER ✔✔The
process of obtaining, verifying, and assessing the qualifications of a health
care practitioner who
seeks to provide patient care services in or for a hospital.
Hospitals Accreditors that have been granted
deemed status are: - 🧠ANSWER ✔✔-The Joint Commission (TJC)
-American Osteopathic Association's Health
Facility Accreditation Program (AOA-HFAP)
-Det Norske Veritas Healthcare, Inc's (DNV GL)
National Integrated Accreditation for Healthcare
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,Organizations (NIAHO)
-The Center for Improvement in Healthcare Quality (CIHQ) is the nation's
newest accreditation provider, approved by CMS to deem ACUTE CARE
HOSPITALS as meeting Medicare COPs. (Received deeming authority in
July 2013.)
CVO Credentialing is Driven by: - 🧠ANSWER ✔✔(C.A.P.)
Contract
Policies and Procedures
Accreditation Standards (NCQA, URAC, The Joint Commission, DNV GL,
HFAP, CIQH)
In Ambulatory Care, Medical Office/Surgical Center Credentialing is
influenced by: - 🧠ANSWER ✔✔Accreditation Standards (AAAHC, TJC,
NCQA, URAC, HFAP)
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, CMS regulations
State and Federal Law
Policies and Procedures
Contractual Agreements
Ambulatory Care Governance Documents (Policies and Procedures and
Bylaws)
How often do CMS, TJC and HFAP reappoint? - 🧠ANSWER ✔✔Every 2
years
Per CMS, TJC, HFAP, NCQA Education and Training verifications are
acceptable through? - 🧠ANSWER ✔✔AMA
AOA
ECFMG
TJC requires licensure to be verified with the
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