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Achieving CVO certification from NCQA demonstrates the systems, process, and personnel in place to thoroughly and accurately verify providers’ credentials and help health plan clients meet their accreditation goals.
Margaret E. O’Kane, President, NCQA
NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioral health care organizations, preferred provider organizations, new health plans, physician organizations, credentials verification organizations, disease management programs, and other health-related programs.
Verisys first received its certification from NCQA in 2008 and is one of the only Credentials Verification Organizations that is fully certified by NCQA for 10 out 10 verification services. The 10 services include: License to Practice, Malpractice Claims History, DEA Registration, Medicaid/Medicare Sanctions, Medical Board Sanctions, Work History, Education and Training, Practitioner Application Processing, Ongoing Monitoring, and CVO Application, and Attestation Content.
Key elements to an NCQA CVO Certification
Quality assessment program that health care organizations can use to assess Credentials Verification Organizations and other organizations that verify the credentials of physicians.
Evaluates a CVO’s management of various aspects of its data collection and verification operation, and the process it uses to continuously improve the services it provides.
Reduces duplicative oversight and inefficient gathering of information by health plans and CVOs.
Includes rigorous on-site evaluations conducted by a team of health care professionals and certified credential specialists. A national oversight committee of physicians analyzes the team’s finding and determines certification based on the CVO’s compliance with NCQA standards.
Is governed by NCQA’s rigorous Standards for Certification, developed with the assistance of representatives from the credentials verification industry, and managed care organizations.
Since 1991, URAC has been an independent leader in creating standards for quality health care — working with its members through accreditation, education and measurement. This is to ensure that affiliated organizations in the health care industry are held to the high standards of validated commitment, high quality, and transparent accountability.
The prestigious symbol of excellence is only available for display to companies that undergo a rigorous process of accreditation, outlined by a broad range of stakeholders, and committed to protect consumers and providers of health care.
By applying for and receiving CVO accreditation, [Verisys] has demonstrated a commitment to quality health care. Quality health care is crucial to our nation’s welfare, and it is important to have organizations that are willing to measure themselves against national standards.
Alan P. Spielman, President and CEO, URAC
Verisys Credentials Verification Solutions have the exclusive endorsement of the American Hospital Association.
The American Hospital Association (AHA) is the national organization that represents and provides support to the gamut of health care institutions, health care networks, and the communities and individuals they serve. Membership includes some 5,000 entities and 43,000 individuals.
With E-Verify we are able to confirm the employment authorization of all newly hired employees and most existing employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. Verisys employs only individuals who may legally work in the United States – either U.S. citizens, or foreign citizens who have the necessary authorization. This diverse workforce contributes greatly to the vibrancy and strength of our economy. With respect to new hires, the E-Verify process is completed in conjunction with a new hire’s completion of the Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates.