Appointment Timeframe

Question 1

TJC
Appointment Timeframe

Answer 1

Privileges are granted for a period not to exceed three (3) years or for the period required by law and regulation if shorter
Not to exceed three (3) years: measured to the day.
eg: If the appointment date is July 1, 2021 - June 30, 2024, reappointment start date would be July 1, 2024.

Question 2

NCQA
Appointment Timeframe

Answer 2

CR4 Re-credential at least every 36 months.
NCQA counts the three year 36 month cycle to the month, not to the day.
eg: If the credentialing is effective January 5, 2020 the practitioner must be re-credentialed by January 31, 2023 (if on 3 year cycle)

Question 3

ACHC
Appointment Timeframe

Answer 3

In the absence of State law that establishes a time frame for periodic reappraisal, an appraisal is conducted at a minimum every 36 months for each practitioner

Question 4

DNV
Appointment Timeframe

Answer 4

MS.6.SR.10 as defined by state law, or if permitted by state law not to exceed three years.
SR.10a When a practitioner seeks to perform procedures outside the scope of those originally granted and
SR.10b As defined in the medical staff bylaws

Question 5

URAC
Appointment Timeframe

Answer 5

Re-credential at least every three (3) years. URAC counts the three-year cycle to the month.
eg: If credentialing effective January 5, 2020, the practitioner ,must be recredentialed by January 31, 2023.

Question 6

AAAHC
Appointment Timeframe

Answer 6

Every three (3) or more frequently if required by State law or organizational policy

Question 7

Medicare Hospital COPS
Appointment Timeframe

Answer 7

Interpretive Guidelines 482.22(a)(1)
The medical staff must at regular intervals appraise the qualifications of all practitioners appointed to the medical staff/granted medical staff privileges. In the absence of State law that establishes a timeframe for periodic reappraisal, a hospital ‘s medical staff must conduct periodic appraisal of each practitioner. CMS recommends that an appraisal be conducted at least every 24 months for each practitioner.
Interpretive Guidelines 482.51(a)(4) Surgical privileges should be reviewed and updated at least every two (2) years