Certified Provider Credentialing Specialist (CPCS) Practice Exam 2026 - Free CPCS Practice Questions and Study Guide

Question: 1 / 400

What is meant by "credentialing by proxy"?

When a healthcare organization performs its own credentialing

When a healthcare organization relies on another organization's credentialing process

Credentialing by proxy refers to the process in which a healthcare organization relies on the credentialing decisions made by another organization. This arrangement is typically in place to streamline operations and reduce redundancy, especially in scenarios where multiple organizations may be assessing the same healthcare providers. By using another organization's credentials, the relying organization can save time and resources that would otherwise be spent on conducting separate evaluations.

It is important for healthcare organizations to ensure that the organization they are relying on has a robust credentialing process that meets regulatory standards and maintains the integrity of the credentialing system. This method allows for a more efficient approach while still providing necessary oversight, ensuring that providers meet the qualifications and standards required for practice.

In contrast, the other options describe different concepts not aligned with the definition of credentialing by proxy. For instance, when a healthcare organization performs its own credentialing, it is independently verifying the qualifications of its providers. Credentialing without documentation implies a lack of due diligence and is not an acceptable practice. Similarly, automatic credentialing without review does not reflect the thorough evaluation process that is essential in credentialing practices.

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When a provider is credentialed without documentation

When credentialing is done automatically with no review

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