Credentials Verification Organization (CVO) Certification
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.
What Certification Levels Can a CVO Achieve?
CVOs can earn the following NCQA Certification status levels based on their performance against NCQA's Standards and Guidelines:
Certification: NCQA awards certification to an organization that demonstrates, in NCQA’s judgment, substantial performance against the requirements within the core standards and the chosen certification options.
Denial of Certification: A denied status occurs when, in NCQA’s judgment, the organization fails significantly to comply with the requirements within the core standards and the chosen certification options of the CVO program.