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Verisys Corporation Renews URAC Accreditation as a CVO

October 1, 2020

Company Holds a Sustained Record of more than 10 years of URAC Accreditation

Verisys Corporation, a healthcare data and verifications company is dedicated to protecting patients and mitigating legal, financial, and regulatory risk for its clients and their end-users by delivering verified primary-source data from thousands of sources including its flagship product FACIS®, as well as license verification, and ongoing continuous monitoring on individuals and entities in the healthcare sector.

Recognizing the importance of excellence and continuous process improvement, Verisys holds a run of more than 10 years of Utilization Review Accreditation Commission, URAC Accreditation as a Credentials Verification Organization (CVO). The company is also certified by the National Committee for Quality Assurance, NCQA, in accordance with NCQA credentialing standards, as well as ISO 9001:2015 for quality and process improvement, and 27001:2013 for security assurance.

URAC Accreditation Protects Patients

The URAC Accreditation as a CVO, according to its website, “ensures a meaningful, rigorous, and fair credentialing process that protects both patients and providers from poor credentialing practices.” The list of URAC standards that must be met by an accredited CVO are:

Organizational Structure

Policies and Procedures

Regulatory Compliance

Inter-Departmental Coordination

Oversight of Delegated Functions

Marketing and Sales Communications

Business Relationships

Information Management

Quality Management

Staff Qualifications

Staff Management

Clinical Staff Credentialing and Oversight Role

Health Care System Coordination

Consumer Protection and Empowerment

URAC accredits and certifies health systems in the healthcare sector to increase the occurrence of quality patient care and outcomes. Programs include URAC accredited pharmacies, telehealth organizations, health plans, health websites, remote patient monitoring, provider integration, mental health parity, and international markets. Standards and measures are specified for the various operations that comprise the services of health systems.

On September 20, 2020, URAC updated telehealth accreditation standards to URAC Telehealth 3.0. The new standards address the spike in the use of telehealth mostly due to COVID-19 with the core purpose remaining true to supporting and helping create the highest quality telehealth care with focus on privacy and security.

Seven Components of a Compliance Program Sustains Quality Standards

Compliance is a complex and detailed process that requires daily steps across an entire organization. Establishing a culture of compliance starts with the seven components of a compliance program followed by ongoing compliance plan measurement. It is through a sound compliance program that URAC accreditation and upholding NCQA standards through certification are attainable year over year.

The Mission of Protecting Patients

“We are excited to earn another three years of URAC Accreditation. This long-standing institution holds organizations to the highest of standards. URAC Accreditation confirms Verisys’ commitment to delivering exceptional credentialing services to our clients.” said Verisys Compliance Officer Jennifer Gillespie.

Verisys CEO John Benson stated, “The URAC Accreditation is an amazing testament to the tremendous team and talent at Verisys. Our team members across all functions worked in concert to make this a reality. Ultimately this is all about our core mission of protecting patients and the organizations that serve them.”

For more than 26 years, Verisys has delivered the gold standard in healthcare data with FACIS®—Fraud Abuse Control Information System—the comprehensive historical and current source of provider sanctions, debarments, disciplinary actions, and exclusions. This powerful database combined with additional primary sources such as DEA, Social Security Death Index, NPI lookup among thousands of others, powers accurate screening and continuous monitoring results for clients who want to meet and go beyond the minimum regulatory requirements and standards to safeguard patients and remain in compliance as well as in good standing within the community and industry.

Quality Data and License Verification Key to Patient Safety through assuring Provider Competency

As a key component of helping healthcare organizations deliver quality care is assuring provider competency through license verification. Verisys provides primary source provider license verification as well as specialty certificate verification for all taxonomies across every jurisdiction and territory in the U.S. This has particular relevance with the influx of administration of vaccines through retail pharmacies, workplace settings, and clinics.

Data and verifications are available through myriad Verisys delivery options: CheckMedic®, Verisys’ secure cloud-based comprehensive credentialing platform; Verisys Connect, the secure web search portal; SFTP; and API for ease of integration with legacy platforms or software.

As a URAC Accredited and NCQA Certified CVO, Verisys provides expertise to those health systems that delegate CVO services on behalf of achieving and sustaining compliance for URAC accreditation, NCQA certification, The Joint Commission (TJC), Det Norske Veritas (DNV), Healthcare Facilities Accreditation Program (HFAP), among other standard-setting organizations, as well as state and federal requirements.

Verisys’ mission is to protect healthcare consumers by enforcing competency and patient safety through transparency by providing identity, license, and credentials verification, analytics, accurate, and timely data on individuals, professionals and businesses.

As stewards of provider data and credentials verification, (for contracting, privileging, employment, reimbursement and referral validation), Verisys is dedicated to mitigating legal, financial, and regulatory risk for its clients and their end-users.

Since 1992, Verisys has delivered highly secure technology solutions for some of the largest healthcare delivery and support organizations in the country. Verisys’ partners and clients regularly express resounding confidence in its ability to provide leadership and innovation in the ever-evolving healthcare compliance environment in the United States.

Learn more about how Verisys provides transparency in healthcare to help those who serve patients, protect patients with compliance, provider credentialing, license verification, screening, and monitoring.