Medwave
  • Facebook
  • Instagram
  • Linkedin
  • Twitter
  • YouTube
  • RSS
Call, Text: (412) 219-4789
  • Medical Credentialing
  • Payer Contracting
  • Rate Negotiations
  • Billing
  • Specialties
    • Behavioral Health
    • Primary Care
    • DME
    • Urgent Care
    • Home Health
    • Cardiology
    • Skilled Nursing Facilities (SNF)
    • Substance Abuse
    • Speech Therapy
    • Genetic Testing
    • Geriatric Medicine
    • 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
  • Blog
  • FAQ
  • Contact
  • Home
  • What is a Credentialing Committee?

What is a Credentialing Committee?

November 22, 2025 / admin /

A credentialing committee is a group of professionals, typically within a healthcare organization, responsible for evaluating and verifying the qualifications of practitioners seeking privileges to practice at that facility. The committee reviews credentials such as medical licenses, board certifications, training history, work experience, and professional references to ensure that healthcare providers meet established standards of competence and quality.

The committee’s primary responsibilities include:

  • Initial credentialing – Reviewing applications from new practitioners who wish to join the medical staff or obtain clinical privileges at the organization.
  • Reappointment – Periodically re-evaluating current practitioners (usually every two years) to ensure they maintain their qualifications and have no concerning performance issues.
  • Privileging decisions – Determining what specific procedures and services each practitioner is qualified to perform based on their training and experience.
  • Quality assurance – Monitoring ongoing professional practice and addressing any concerns about competence, conduct, or patient safety.

The credentialing process helps protect patients by ensuring that only qualified, competent healthcare professionals are granted the authority to provide care within the organization. The committee typically includes physicians, administrators, and other healthcare professionals who bring expertise in evaluating clinical qualifications and organizational needs.

Recent Posts

  • Group of Ethnically Diverse Credentialing Specialists

    Get Credentialed with Medicare

  • Medical Technologists Talking Credentialing, Contracting

    30 Medical Credentialing Use Cases

  • Getting credentialed after a move or relocation. Female provider packing.

    Credentialing After Relocating Your Medical Practice

  • Medical Billing Trends in 2026

    Emerging Medical Billing Trends in 2026

  • Group of Ethnically Diverse Medical Credentialers

    Get Credentialed with Medicaid

  • Healthcare Executive Discussing Credentialing Bottlenecks

    Credentialing Bottlenecks: How to Fix Slow Onboarding

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Genetic Testing
  • Geriatric Medicine
  • 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
  • Home Health
  • Urgent Care
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Genetic Testing
  • Geriatric Medicine
  • 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

  • Group of Ethnically Diverse Credentialing Specialists

    Get Credentialed with Medicare

  • Medical Technologists Talking Credentialing, Contracting

    30 Medical Credentialing Use Cases

  • Getting credentialed after a move or relocation. Female provider packing.

    Credentialing After Relocating Your Medical Practice

  • Medical Billing Trends in 2026

    Emerging Medical Billing Trends in 2026

  • Group of Ethnically Diverse Medical Credentialers

    Get Credentialed with Medicaid

  • Healthcare Executive Discussing Credentialing Bottlenecks

    Credentialing Bottlenecks: How to Fix Slow Onboarding

  • White Male Doctor Talking to a Female Hispanic Woman

    Group NPI or Individual NPI: Which Fits Your Practice?

  • White Male Doctor Challenged by RCM

    How to Manage the 5 Biggest Challenges in RCM

  • Medical Credentialing with PacificSource

    A Guide to Provider Credentialing with PacificSource

Quick Links

  • About Medwave
  • Who We Serve
  • Book a Consultation
  • Google Reviews
  • Testimonials
  • CAQH ProView Form
  • On-Boarding Documentation Checklist
  • Billing / Credentialing Specialties
  • Regions Served
  • New Practice
  • Medical Credentialing
  • Recredentialing
  • Payer Contracting
  • Rate Negotiations
  • Medical Billing
  • Denial Management
  • HL7 Integration
  • Robotic Process Automation (RPA)
  • A/R Recovery
  • Telehealth Billing
  • Revenue Cycle Consulting
  • CPT Code Category Index
  • FAQ
  • Pricing
  • Blog
  • Videos
  • HIPAA Compliance
  • Contact

Quick Connect

  • (412) 219-4789
  • Fax: (866) 422-9277
  • Contact Us
    • Linkedin
    • YouTube
    • Facebook
    • Twitter
    • Pinterest
    • Instagram

Medwave @ Goodfirms

Medwave | Alignable

Medwave @ Inc. 5000

Medwave is HIPAA CompliantMedwave SOC 2, Type 2

All Systems Operational

© 2026, Medwave Medical Billing, LLC. | Cranberry Township, PA, 16066 | Phone: (412) 219-4789 | Sitemap | Privacy Policy