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Medical Credentialing Standards

New NCQA 2025 Rules and Their Impact

October 13, 2025 / admin / Articles, Credentialing, Credentialing Monitoring, Credentialing Standards, Medical Credentialing, Medical Credentialing Standards, NCQA, NCQA 2025, NCQA Credentialing Standards, NCQA Rules, NCQA Standards, Recredentialing
Blonde Female Healthcare Provider / Owner

The National Committee for Quality Assurance (NCQA) has introduced significant changes to its credentialing and recredentialing standards for 2025, fundamentally transforming how healthcare organizations monitor and maintain provider credentials. These new requirements represent a shift from periodic assessments to continuous monitoring, demanding robust systems and processes that ensure ongoing compliance and patient safety. New Monthly […]

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Credentialing, Credentialing Monitoring, Credentialing Standards, Medical Credentialing, Medical Credentialing Standards, NCQA, NCQA 2025, NCQA Credentialing Standards, NCQA Rules, NCQA Standards, Recredentialing

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Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

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    Payer Contracting: Unlock Your Revenue Potential

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    How AI-Powered Healthcare Solutions Improve Patient Care & Satisfaction

  • White Female Telehealth Concierge Medical Doctor

    Which CPT Codes are Used in Concierge Telehealth Billing?

  • Male Asian Indian-American Medical Doctor in Need of Credentialing

    Getting In-Network with Medicare

  • Behavioral Health Credentialing

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  • Variety of medical doctors discussing an issue

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