About This Webinar
The updated standards for credentialing processes among payers released by the National Committee for Quality Assurance (NCQA) are in effect as of July 1, 2025. The new standards raise the bar for credentialing processes, calling for decreased verification windows and increased monitoring in case of adverse actions, among other changes. The updates reflect NCQA’s commitment to patient safety, upholding high standards for oversight of credential eligibility throughout the entire provider lifecycle. Meeting these elevated standards poses a challenge for most payers, who have operated under much looser guidelines for years.
Though the 2025 NCQA credentialing guideline updates are much-needed, meeting the new requirements may present a challenge. NCQA doesn’t provide direct guidance on how to implement these changes, leaving payers unsure of how to restructure their CR processes to meet some of the new guidelines, namely, effective ongoing monitoring requirements and license expiration tracking.
In this webinar we'll unpack the key areas where credentialing processes will need to change. We will provide insight directly from an expert at NCQA, offering digestible explanations and concrete ways to meet the new guidelines. After diving deeper into the guidelines, we’ll wrap up with a high-level view of DynamicNPI, ProviderTrust’s data-forward solution designed to help payers easily meet and exceed the NCQA guidelines while improving the quality of their provider data.
Attendees Will Learn About
- The key 2025 credentialing updates to the NCQA guidelines
- How adopting these guidelines will ultimately improve patient safety
- Action items that payers can take to meet the updated guidelines
- DynamicNPI, our solution to shorten credentialing timelines and meet the NCQA guidelines with only a National Provider Identifier (NPI) number
