Hospital-based Anesthesiologists / Use Hospital Privileges to Speed Credentialing with Your Private Payers

Article Overview

This article discusses credentialing for hospital-based anesthesia practices, with emphasis on how managed care organizations and private payers handle participation requirements for physicians and other providers. It focuses on the general policy distinction between hospital-based practitioners with facility privileges and specialists who may have direct patient referrals, and it references NCQA standards relevant to payer credentialing practices. The piece is aimed at anesthesia practices, hospital-based clinicians, and billing or credentialing staff who need to understand payer enrollment issues and related accreditation guidance.