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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Every organization lives by business rules that are designed to reduce risk by remaining in compliance with the regulatory requirements that govern health care. When in compliance with Federal and each state’s regulations as well as standards of an organization in which you hold certification or accreditation, there is the feeling of wellbeing from checking all the boxes of compliance. However, to stay ahead of the curve of fraud schemes, patient abuse, as well as a security risk, it behooves an organization to leverage an additional layer of data that may not be required by regulations and standards, but that will lend a deeper view and create a culture of complete transparency throughout an organization and its affiliates.
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.
See where duplication is within your organization. Consolidate data sources and streamline provider data management, credentialing, and ongoing monitoring.
See the data sets that Verisys pulls from on a continuous basis that makes up the 320-million record database available through a comprehensive platform, or through single or batch searches. Data is historical and current.
FACIS is the number one trusted data platform and nationally used database for screening and monitoring against healthcare exclusions, debarments, disciplinary actions, and sanctions.
