Certified Provider Credentialing Specialist Showdown 2026 – Master the CPCS with Confidence!

Question: 1 / 400

What is the minimum duration for which verification of practitioner sanctions should be conducted according to NCQA?

90 days

180 days

The correct response is based on the National Committee for Quality Assurance (NCQA) standards, which specifically state that verification of practitioner sanctions must be conducted at least every 180 days. This requirement helps to ensure that organizations maintain up-to-date and accurate information regarding practitioners' licensure and any disciplinary actions that could impact patient safety and care quality.

Considering this guideline, conducting sanctions verification every 180 days allows healthcare organizations to mitigate risks associated with practitioners who may have had changes in their status. This timeframe strikes a balance between ensuring timely updates and the practicality of conducting thorough investigations into practitioners' backgrounds. It is vital for patient safety and maintaining high quality in care delivery, which are primary concerns in healthcare credentialing processes.

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300 days

365 days

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