A Beginner’s Guide to Privileging | Page 62

A Beginners Guide to Privileging
QUESTION # 2
Should education be verified through the National Student clearinghouse ?
Yes , you can verify education through the National Student Clearing House . It can also be verified by pulling an AMA profile for your MD providers , and / or by pulling an AOA for your DO practitioners . You can also verify education by outsourcing it to the Provider ’ s educational institution .
QUESTION # 3
What is the difference between the Centers for Medicare & Medicaid Services ( CMS ) Conditions for Coverage ( CfCs ) and Conditions for Participation ( CoPs )?
Both CfCs and CoPs are the health and safety requirements put in place by the CMS . They are the foundation for protecting the health and safety of beneficiaries while improving the quality of care . Organizations must meet these requirements in order to participate in both Medicare and Medicaid programs .
Conditions for Coverage define the covered services within Health Care Organizations that are covered / eligible for payment by Medicare and Medicaid .
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