Verifying medical credentials is an essential consumer safety component of the health care system. To safely administer health care for their patients, organizations must verify the qualifications of their licensed medical providers by assessing their background and legitimacy to provide care.

The National Committee for Quality Assurance (NCQA) is an independent non-profit organization dedicated to improving the quality of health care. One of the NCQA’s roles is managing voluntary accreditation programs for physicians, health plans, medical groups, and Credentials Verification Organizations (CVO’s) like Advantum Health’s credentialing subsidiary MedAdvantage.

Advantum Health’s subsidiary MedAdvantage has received NCQA’s Credential Verification Organization Certification

To receive the NCQA Credentials Verification Organization Certification, a CVO must meet a rigorous review process. This includes an onsite and offsite evaluation conducted by a team of CVO experts.  A review oversight committee then analyzes the team’s findings and assigns a certification level based on the organization’s performance against NCQA’s standards.

NCQA Credentials Verification Organization (CVO) Certification helps improve verification operations and protect consumers by ensuring a consistent, effective and diligent verification process. The certification demonstrates the quality of a CVO’s programs to help ensure that a CVO consistently verifies practitioner credentials through the primary source, a recognized source or a contracted agent of the primary source. It also provides a framework of industry best practices to ensure that a CVO’s operations consistently improve the credentials verification process and align with state requirements.

NCQA CVO Certification assesses an organization’s performance in:

  • Internal quality improvement process
  • Security of credentialing information
  • Efficient and accurate verification of credentials

MedAdvantage is proud to have earned the NCQA CVO Certification which you can see here.