Credentialing

CCNV credentialing services is certified by the NCQA as a Credentials Verification Organization. CCNV has been certified since 2003 in the following areas:

• Application Processing
• Application and Attestation Content
• DEA Certification
• Education and Training
• Malpractice Claims History
• Medical Board Sanctions
• Medicare / Medicaid Sanctions
• License to Practice
• Work History
• Ongoing Monitoring

CCNV performs their credentialing services following the standards required by NCQA and the Joint Commission.  CCNV will customize the process to meet organizational requirements

SERVICES

Application Processing
Application Population and Provider Enrollment
CCNV has the latest technology to auto populate 3rd party payer applications, CAQH applications, hospital applications and out-patient facility applications.

Initial and Reappointment Application Processing

CCNV will perform primary source verifications for all licensed health care providers:

• All current and past professional licenses
• DEA/CDS
• Education and Training
• Board Certification
• Malpractice Coverage
• Malpractice History
• References
• Current and past hospital affiliations
• Work History
• Medical Board Sanctions
• Medicare/Medicaid Sanctions
• NPDB

Consulting Services
CCNV provides the following consultant services:

• Implementation of a Policy and Procedure credentialing manual
• Policy and Procedure review and revisions
• Medical Staff Office Training
• Credentialing office organization
• Interim Credentialing Staffing

Ongoing Monitoring
CCNV provides ongoing monitoring for:

• Monthly Expirations
• Medical Board Sanctions
• Medicare/Medicaid Sanctions

Benefits

• Cost Savings
• Timely enrollment
• Timely completion of files
• Accuracy of files
• Quality of files
• Consistency of files Customized to organizational requirements Peace of mind, knowing that standards are met by experienced, certified and knowledgeable staff.

For further information, please contact Leona Roach, CPMSM, CPCS at 804-237-7686 extension 104 or email lroach@ccnva.com.

OUR CLIENTS
CCNV has clients in the 14 states and the District of Columbia:
Connecticut
Delaware
Illinois
Kentucky
Maine
Maryland                                                                                                                                                                   
New Hampshire
New Jersey
New York
North Carolina
Pennsylvania
Tennessee
Wisconsin
Virginia