Certified Provider Credentialing Specialist (CPCS) Practice Exam

The National Committee for Quality Assurance (NCQA) requires five-year verification of malpractice history. This is a critical component of the credentialing process as it helps ensure that healthcare providers maintain a standard of care and safety for patients. The requirement for malpractice history helps organizations assess the risk associated with a provider's past practices and informs decisions regarding their qualifications and credibility.

NCQA focuses on measuring the quality of healthcare and assures that health plans and medical providers are accredited based on strict standards. Thus, the five-year malpractice verification period is integral to the ongoing assessment of provider qualifications, ensuring that only those with a history of safe practices are permitted to provide care.

Other organizations might have their own credentialing standards, but they do not specifically mandate a five-year verification of malpractice history like NCQA does. For example, URAC and TJC may emphasize different aspects of provider credentials or focus on various accreditation processes that do not strictly include a five-year review of malpractice history.