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  • 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.

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • 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
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  • Home Infusion Therapy
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  • Physical Therapy (PT)
  • Occupational Therapy
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