Physician Credentialing

From Medical Billing Wiki - Medical Billing and Coding Dictionary
Jump to: navigation, search

Physician credentialing is the process of gathering information regarding a physician's qualifications for appointment to the medical staff, whereas delineation of clinical privileges denotes approval to provide specific services or perform specific procedures by a physician.

The specific process for physician credentialing and delineation of clinical privileges must be defined by medical staff and department bylaws, policy, rules, or regulations. Each member of the medical staff must be subject to periodic review as part of the performance improvement activities of the organization.

 This entry needs additional information added by an expert in the field : Login to edit