In-House & Outsourced Credentialing from the Largest CVO in the US
For three decades, Verisys has served some of the largest and most complex healthcare organizations in the United States, credentialing more than two million events annually. Our provider credentialing services get – and keep – you compliant.
No Easy Job
Credentialing and recredentialing providers is a complex process for health plans, hospitals and health systems, and state Medicaid agencies. Here’s why:
- Physicians are licensed in multiple states and provide telehealth services across state lines. This requires license verification with each state board and compliance to that state’s unique regulations.
- Identity matching is complicated due to physicians having the same name, maiden names, alias names, nicknames, or abbreviated names.
- To get a complete view, each physician must be screened, and credentials verified against thousands of primary sources.
Using a credentials verification organization (CVO) like Verisys to assist with the provider credentialing process assures nothing and no one slips through the cracks.
A Guide to OPPE and FPPE
Healthcare organizations are under increasing pressure to demonstrate that provider performance is evaluated consistently, fairly, and in line with accreditation standards. For medical staff leaders and compliance teams, OPPE and FPPE programs are not just...
Credentialing Events Annually
Providers Monitored Annually
Background Screening Searches Annually
Credentialing Resources
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Easy Solutions
Credentials Verification Services
Credentials Monitoring Services
Committee Services
Delegation Services
Alliance Services
Self-Service Credentialing Software
Credentials Verification Services
From primary source verification to recredentialing roster services, Verisys is the largest outsourced Credentials Verification Organization (CVO) in the United States. Because we’ve partnered with some of the most complex healthcare institutions for 30 years, we can help you do anything from a simple provider credential search to implementing a full end-to-end credentialing solution.
Credentials Monitoring Services
Continuously monitor your population to maintain compliance and avoid fines, fees, and penalties. We’ll notify you of changes in license status and provide advance notice of license, registration, or certification expiration dates. Monitoring against our FACIS database also means you’ll know of any new exclusions, sanctions, or adverse actions.
Committee Services
We provide virtual committee services for our healthcare credentialing clients. These services include primary source verification, reviewing operations and policies, calendaring, meeting minutes, reviewing provider profiles and documentation, credentialing applications, and any file actions needed for both clean and excluded files.
Delegation Services
As part of our delegation agreement, Verisys accepts responsibility for the CVO credentialing process, but the healthcare organization remains responsible for meeting National Committee of Quality Assurance (NCQA) standards. Verisys will review the delegation agreement, do a pre-delegation evaluation, monitor, and manage the roster as part of our CVO services.
Alliance Services
Verisys leads the industry in managing state Medicaid credentialing programs in partnership with several state and state-wide consortiums. These alliances improve provider satisfaction while lowering credentialing costs by aligning credentialing to a single, common event, shared by participating managed care organizations.
Self-Service Credentialing Software
Simplify, streamline, and automate provider credential searches and credentialing processes with Verisys’ self-service software platform. Our proven solution provides everything you need for primary source verifications with faster turnaround times.
Verisys: Making Provider Credentialing a Snap for Three Decades
1992
10 Million+
3,500+
868
13 Million+
2.2 Million
75,000
1,500
Do more with Verisys
Enhance your compliance and operational processes with solutions tailored to your needs.
FACIS®
License Verification
Credentialing
Pre to Post Hire Screening
Workforce Management
True Monitoring
Profiles Dataset
Unified API
