The Standards and Guidelines document can be found in the NCQA eStore.
FAQ Directory: Credentials Verification Organization
8.24.2018 Where can I find the CVO Standards and Guidelines?
8.24.2018 How does CVO Certification help my organization?
NCQA CVO Certification is designed to ensure organizations can maintain a high-quality network for members and contracted clients. The standards provide a framework for adopting industry best practices to promote accurate and efficient verification of practitioner credentials—ensuring that medical organizations employ qualified professionals and align with state requirements.
8.24.2018 What information will help me get started with CVO Certification?
• Certification Process and Timeline: identifies key steps, timing and resources to successfully seek Certification.
• Standards and Guidelines: provides the comprehensive descriptions of the standards, including the intent and the scope of review.
• Interactive Survey Tool: includes the complete standards and guidelines and allows your organization to determine its readiness for a survey by responding to each standard. The tool calculates your survey score.
8.24.2018 What is CVO Certification?
8.24.2018 What is the price for CVO Certification?
8.24.2018 What organizations have earned CVO Certification?
8.24.2018 What organizations are eligible for CVO Certification?
Any organization that provides credentials verification services can apply for Certification if it:
- Verifies practitioner credentials for health plans, MBHOs, physician organizations or health care organizations, and
- Provides verification services for at least six months before application, and
- Performs verification activities for at least 50% of contracted practitioners, and
- Maintains the necessary credentials documentation, policies and procedures for NCQA to conduct the survey, and
- Obtains errors and omissions insurance for $1M–$2M.
8.24.2018 How do I get started with CVO Certification?
8.24.2018 What are the CVO Certification requirements?
CVO Certification assesses an organization’s performance in the following requirement areas:
- Internal Quality Improvement Process
- Protecting Credentialing Information
- Verifying credentials.
NCQA’s CVO Certification program offers the following 11 certification options:
8.24.2018 What is the process for earning CVO Certification?
The first step in earning Certification begins with an overview discussion with an NCQA program expert. Next, you will purchase the program resources, review, conduct a gap analysis and then submit your online application. Next you will align your processes with the standards. Finally, NCQA conducts the survey, creates a report and your Certification status is determined within 30 days of the final review. See a step-by-step process.
8.24.2018 How long will it take to earn CVO Certification?
9.15.2015 What documentation must an NCQA-Certified CVO provide to an organization for an accreditation survey file review?
Documentation requirements for file review when delegating to a certified CVO
The organization and the CVO determine the documentation methods for reporting information. Acceptable methods include a checklist, the actual documents and access to electronic credentialing files. When an organization delegates to a certified CVO, NCQA reviews the organization’s credentialing files to assess timeliness and ascertain whether the credentialing decision was made within the specified time limits (i.e., 180 calendar days from verification).