How often do payers require a provider to be recredentialed?

The role of the psychiatric and mental health nurse practitioner has provided communities with quicker access to psychiatric and mental health services. PMHNP’s work in hospitals, clinics, private practice, and in the community. In addition to clinical knowledge, the professional PMHNP must understand the administrative side of the health care system such as credentialing and privileging.

[order_button_a]

Write a brief paper (2 pages max.), explaining the credentialing process in relation to the role of the psychiatric and mental health nurse practitioner, the payers, and a health care organization. Talk to your preceptor about the process at their organization.
What is the purpose of credentialing?
How often do payers require a provider to be recredentialed?
How long does the credentialing process take?
Can you work as a PMHNP before you are credentialed with health insurance companies?
What is privileging? What privileges do PMHNP’s have in New York State?
You may find the following resources beneficial to your understanding of the process:

[order_button_b]

 

Leave a Comment