Practice Quiz

Medical Coding

Category - Compliance and Regulatory

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What is the purpose of provider credentialing?
  1. To make sure that your provider is performing the correct procedures
  2. To make sure that your provider is correctly licensed to perform procedures
  3. To make sure your provider pays all the necessary fees to practice medicine
  4. To allow your doctor to check the credentials of private insurance companies
Explanation
Answer: B - The purpose of provider credentialing is to make sure that your provider is correctly licensed to perform procedures. In the credentialing process, insurance companies check a provider’s credentials, to make sure he is legal and valid. This process is required as part of the provider’s contract with the insurance company.
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