Ensuring Documentation Integrity in Delegated Credentialing for Dental Healthcare Professionals

The following Ensuring Documentation Integrity in Delegated Credentialing for Dental Healthcare Professionals is designed to educate healthcare compliance professionals, credentialing specialists, and dental plan administrators on the principles, processes, and oversight mechanisms that maintain documentation integrity in delegated credentialing. This training focuses on compliance expectations under CMS and NCQA standards, emphasizing the prevention of errors, the mitigation of compliance risks, and the promotion of continuous improvement within credentialing operations.

What you will learn: 

• Definition and scope of delegated credentialing in dental plans

• Regulatory and accreditation requirements under CMS and NCQA for delegated entities

• Core principles of information integrity in credentialing, including accuracy, completeness, and timeliness

• Common documentation errors and how to identify and prevent them

• Differentiation between clerical mistakes and compliance violations

• Best practices for conducting internal and external credentialing audits

• Procedures for documenting, reporting, and escalating audit findings

• Development and implementation of corrective action plans (CAPs)

• Importance of internal policy alignment with CMS and NCQA standards

• Role of staff in maintaining credentialing data integrity and compliance

• Strategies for building a culture of accountability, feedback, and continuous improvement within credentialing teams

Once completed, you will receive a certificate of completion to verify your participation in this activity. Course length: 1 hour; CEU: 1.

The information contained in these trainings was derived from publications of NCQA, CMS, HHS, and OIG (Government Sourced Material). None of the planners, authors or instructors for this activity have any relevant financial relationships to disclose. The Government Sourced Material used by AMC is available for no charge on their associated websites. The use of the Government Sourced Material by AMC does not imply endorsement or recommendation by NCQA, CMS, HHS, OIG, or by the United States Government, of AMC, its enterprise, its facility, its services or its products. © 2026 American Medical Compliance, no copyright claimed in Government Sourced Material. If you are not completely satisfied with this course within 30 days you will receive a full refund.