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NCQA

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

NCQA Standards: What You Need to Know for Provider Credentialing

March 3, 2025 / admin / Articles, Credentialing, Credentialing Standards, Credentialing Verification, CVO, National Committee for Quality Assurance, NCQA, NCQA Credentialing Standards, NCQA Standards
Female Medical Credentialing Company Owner

Provider credentialing isn’t exactly the most glamorous part of healthcare administration. If you’re responsible for ensuring your organization meets credentialing standards, you know just how critical this process is to your operations, reputation, and bottom line. When it comes to credentialing standards, one name stands above the rest: NCQA. The National Committee for Quality Assurance […]

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Credentialing, Credentialing Standards, Credentialing Verification, CVO, National Committee for Quality Assurance, NCQA, NCQA Credentialing Standards, NCQA Standards

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • 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
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • 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

Recent Posts

  • Female Medical Doctor PECOS User

    PECOS 2.0: Medicare Enrollment Gets a Major Upgrade

  • White Male Medical Doctor in need of Credentialing, at Hospital

    Credentialing: Provider Pain Points

  • White Female Medical Office Manager

    Acceleration of Revenue Cycle Metrics for Physician Groups

  • White Male Congressman slamming gavel

    The Recurring Telehealth Crisis: When Budget Debates Threaten Patient Care

  • Medical Credentialing Specialist, Hispanic Female

    Credentialing Case Studies: Challenging Provider Histories

  • Home Health Worker, White Female Treating a Male Patient

    Mastering Payer Contracts in Home Health

  • White Female Medical Credentialing Expertise

    Who Does Credentialing in a Healthcare Organization?

  • Primary Care Medical Billing, Credentialing

    Which CPT Codes are Used in Primary Care Billing

  • A Group of Contracted Doctors Standing in Times Square

    Provider Challenges in Payer Contracting

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