The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. To perform thorough, efficient,...

The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. To perform thorough, efficient, and accurate credentialing, a credentials verification organization (CVO) must have proper procedures, processes, and provider and workforce data in place. Federal healthcare organizations such as The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMS) allow CVOs to verify credentials on behalf of healthcare organizations, but before CVOs can perform these services, they must follow a process that takes months and years of careful review, project planning, and process implementation to achieve the high standards expected by major payers and healthcare organizations. Why Does NCQA...
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To continue to better serve our customers with turn-key provider screening, verifications, credentialing, and continuous monitoring, Verisys entered into an agreement to be acquired by the large private equity firm Stone Point Capital and to be combined with Aperture Health.
The resulting technology and services organization is a leader in comprehensive Provider Data Management (PDM) and Governance, Risk, and Compliance (GRC).
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by John P. Benson
In addition to being able to enhance a patient’s treatment options by creating remote access to primary and allied health practitioners with a wide variety of specialties and sub-specialties, telehealth provides efficiencies around scale, throughput, and distribution—all of which can drive down cost and improve long-term outcomes.
by John P. Benson
This rapidly expanding platform of healthcare introduces complexities that could
implode the hospital administrative system because of the exponential growth of not only the practice of telehealth care, but also the use of locum tenens. As the use of telehealth care evolves, scalability and security will be the prevailing considerations .
by John P. BensonBecause state and federal rules are ambiguous and convoluted, navigating the ever-changing telemedicine landscape can be a recipe for risk and lost revenue. Between the federal government, individual states, and private payers, the sheer volume of reimbursement rules applied by payers is mindboggling.