Credentialing and recredentialing providers is a complex process for health plans, hospitals and health systems, and state Medicaid agencies. Here’s why:
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.
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.
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.
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.
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.
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.
