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Medicaid Acronym of the Day – CVO

NCQA’s Credentials Verification Organization (CVO) Certification Program evaluates credentials verification operations and the processes that the CVO uses to continuously improve the services it provides to its managed care clients. CVO certification is available to organizations that conduct credentials verification, report the credentialing information to clients and have systems in place to protect the confidentiality and integrity of the information.

The NCQA Certification Survey includes rigorous onsite and offsite evaluations conducted by a survey team that includes at least one CR surveyor and one administrative surveyor. A Review Oversight Committee (ROC) of physicians analyzes the team’s findings and assigns a certification status based on the CVO’s performance against core standards and the requirements within applicable certification options.

Further reading

http://www.ncqa.org/programs/certification/credentials-verification-organization-cvo

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