Credentialing

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The CCNV Credentialing and Provider Enrollment Department, consists of 8 staff with a combined average of over 60 years of experience. In addition, 25% of the staff has been certified by NAMSS. Our Mission is to ensure quality verifications with the utmost attention to quality outcomes, while simultaneously adhering to NCQA and Joint Commission standards, as well as the Bureau of Primary Health Care, and Federal Torts Claims Act Standards.

CCNV’s Credentialing Verification Organization has been certified by NCQA in the following elements:

Application Processing
Education & Training
DEA certification
License to Practice
CVO Application and Attestation content
Malpractice Claims History
Medicare/Medicaid Sanctions
Ongoing Monitoring of Sanctions
Medical Board Sanctions
Work History

The highly experienced Provider Enrollment staff ensures timely and articulate follow up on every application submitted to 3rd party payers, including CAQH.

CCNV also offers top notch Credentialing consulting services to assist centers or organizations establish solutions for challenges that may arise- planned or unplanned.

We are here to help achieve the same goal- ensuring quality practitioners are in place in a timely manner to deliver quality services