Q&A: What are the managed care equivalents to hospital titles commonly encountered in credentialing?
A: Often, the titles of boards, committees, or staff with nearly identical roles at a managed care organization (MCO) vary slightly (or not so slightly) from their equivalent in a hospital setting. Here is a quick reference of hospital-to-MCO titles and offices:
Medical staff - panel
Medical staff office - credentialing office, or provider relations network development
Medical staff appointment - panel membership
Medical executive committee - peer review committee
Medical staff member - participating provider or practitioner
Department chair - medical director
Medical director - medical director
Board - governing body or board
Credentials committee - practice panel
Editor's note: Questions and topic suggestions can be e-mailed to Credentialing & Verification Update at mcoler@hcpro.com.
