Appointment Timeframes, NPDB, Site Visit, Temporary Privileges NAMSS Standards Appointment Timeframes, NPDB, Site Visit, Temporary Privileges

Appointment Timeframes TJC – Not to exceed two years NCQA - Recredential at least every 3 years. NCQA counts the three-year cycle to the month, not to the day. HFAP - Standards are a direct quote from §482.22(a)(1) which states that “CMS recommends that an appraisal be conducted at least every 24 months for each practitioner. DNV - As defined by State law, not to exceed three years. URAC - Recredential at least every three years. URAC counts the three-year cycle to the month. AAAHC - As defined by State law and organizational policy and not to exceed three years. Medicare CoP’s - CMS recommends that an appraisal be conducted at least every 24 months for each practitioner.

NPDB Not required by NCQA, URAC or Medicare CoP’s, only recommended as a source for sanction verifications. All hospital accrediting bodies say “Query of NPDB is required when clinical privileges are initially granted, on renewal of privileges, and when new privileges are requested (including temporary privileges).”