Credentialing 201: Implementation - Certification Standards

About this Webinar Training

Credentialing 201: Implementation – Certification Standards

NCQA Credentialing Accreditation evaluates the operations of organizations providing full-scope credentialing services, which includes verifying practitioner credentials and credentialing/recredentialing committee review of practitioners. This online course dives into the standards for Credentialing Accreditation or “CRA” Standards. NCQA faculty and surveyors guide participants in addressing critical performance implications for credentialing practices. The course includes examples and lessons learned to help participants define, plan, and achieve excellence in credentialing.

Organizations may earn either Credentialing Accreditation or Credentialing Certification. For the learning activity specific to Credentialing Accreditation, please visit here.

What You Will Learn

Content Topics

• Core Standards for CRPN
• Credentialing Policies and Procedures
• Verifying and Reporting Practices
• Application and Attestation Content

Learning Objectives

By participating within this learning activity, learners will:

• Describe updates and changes to the standards and guidelines
• Interpret the intent of Credentialing requirements
• Describe relationships and themes across requirements
• Recognize requirement implications and considerations for stakeholders
• Define performance improvement opportunities

Learning Outcomes

After completing this course, learners will be able to:

• Develop and maintain evidence-based program policies and procedures
• Prioritize performance improvement initiatives
• Implement reliable and valid practices for managing NCQA Accreditation

Publication Alignment

Who Should Attend

• Clinicians, directors, managers, specialists, coordinators who contribute to credentialing activities.
• Consultants, contractors, delegates, vendors of health plans.
• Professionals in compliance or risk management.
• Professionals in quality assurance/improvement or performance measurement.

Continuing Education

This course grants 2 Other Continuing Education Unit (CEU) points for PCMH Certified Content Experts.

This is a non AMA PRA Category 1 Credit TM, ANA CNE, ACPE activity.

* Please note – You must attend the entire program to be eligible for total number of contact hours.

Disclosure of Relevant Financial Relationships

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution. For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

Faculty:

Albert “Irv” Koehler: None

Additional Planning Committee Members:
Vince Pereira: None
Julie Pung: None
Tandeece Tubolino: None

This program was developed in part by NCQA staff.

Event Type

1. Self Paced