Question: I know some of the acronyms related to physician credentialing, like CV and NPI, but what are some others I need to look out for? Colorado Subscriber Answer: Credentialing requires increasingly specific knowledge, and credentialing specialists are responsible for maintaining the credentials and licenses clinicians need to work legally in their field or specialty, said Stephanie Thebarge, CPC, CPCO, CPMA, CPPM, CPB, CEMC, CHONC, owner of Seacoast Health Compliance Consultation LLC, at AAPC’s 2023 HEALTHCON. Credentialing specialists should know the following terms well, because credentialing a clinician involves collecting, organizing, and communicating extensive recordkeeping.
ABIM: American Board of Internal Medicine CAQH: Council for Affordable Quality Healthcare COI: Certificate of Insurance for malpractice insurance CV: Curriculum vitae EHR: Electronic health record EMR: Electronic medical record DEA: Drug Enforcement Administration DMEPOS: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Initial Appointment-Re-Appointment: Hospital privileging NPI: National Provider Identifier NPP: Nonphysician practitioner (Nurse practitioner, physician assistant, certified nurse midwife, etc.) NPPES: National Plan and Provider Enumeration System PECOS: Provider Enrollment, Chain, and Ownership System PTAN: Provider Transaction Access Number (Medicare) TIN: Tax Identification Number