Part B: Health Care Provider Certification 2025

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Provider credentialing is a multi-step process healthcare systems and plans use to verify healthcare providers qualifications and competency before granting network inclusion or clinical privileges. This process ensures that clinicians are vetted and compliant with state and federal regulations.
There are two main types of medical schools: MD and DO programs. While MD programs are the most common type of healthcare practitioner, you can also pursue a DO degree which uses a more holistic approach to medical care.
Certification of health care provider is to certify employees on medical leave who otherwise do not qualify for, or have exhausted all time off under FMLA.
Under federal regulations, a health care provider is defined as: a doctor of medicine or osteopathy, podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State and performing within the scope of their
The FMLA regulations on the Department of Labor website state that certification can be provided by a licensed healthcare providerwhich may include a doctor of medicine or osteopathy, nurse practitioner, or physician assistant.

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The purpose of certification of health care provider is to certify those employees on medical leave who otherwise do not qualify for or have exhausted all time off under the Family and Medical Leave Act (FMLA).

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