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Credentialing….A Process to Make Medical Care Facilities Better and Patient Friendly Feb 12, 2010 by Admin

Lately, health care services and medical organizations have evolved at an alarming rate. It was only a decade ago that health care used to focus itself on physicians who provided care in the hospitals, however today, the medical care is being provided in a wide variety of ambulatory settings in addition to the hospital, and also by a wide variety of specialized practitioners. But have you ever wondered which factors have lead to this changed perspective of health care?

The main factor behind this change is the growing demand for high quality medical care. Apart to this, Costs, federal laws and state laws are some of the main factors in evolving health sector. And as per the rising demand for high quality medical care facilities, there arises a need for keeping a tab on medical care providers. So, to keep a check on medical practitioners and health care organizations, US government has made medical credentialing mandatory for all medical care providers.

Credentialing is a process, by which a medical organization such as hospitals, managed care organizations or any physician group determines whether an applicant is qualified for the medical association, membership, and employment or for practicing special privileges by the applicant.

Credentialing primarily focuses on an applicant’s or medical practitioner’s medical qualifications, medical experience, training, licensures and competency to render qualitative health care services to the masses. The process of medical credentialing
 involves corroboration of a medical practitioner’s:

•    Medical Degrees
•    State license
•    Drug Enforcement Agency certificate
•    Training and education
•    Specialty status
•    Health care affiliations
•    Medical work history
•    Malpractice insurance coverage
•    Medical Felony, if any

Although many people presume that credentialing constitutes only collection of data pertaining to the complete medical history of an applicant but credentialing as a whole process is much more than the just the data collection. To know more about credentialing and medical credentialing visit www.med-advantage.com

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