Credentialing verification organization definition

Credentialing verification organization means an organization that gathers data and verifies the credentials of providers in a manner consistent with federal and state laws and the requirements of the National Committee for Quality Assurance. "Credentialing verification organization" is limited to the following:
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Credentialing verification organization means an entity that performs primary source verification of a health care practitioner's training, education, experience; "statewide credentialing verification organization" means the credentialing verification organization selected pursuant to the provisions of section five of this article.
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Credentialing verification organization or “CVO” means an entity that performs primary source verification of a health care practitioner’s training, education and experience.
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Examples of Credentialing verification organization in a sentence

  • Is on behalf of a provider who does not have accounts receivable 19 with the department; 20 (b) "Credentialing application date" means the date that a credentialing 21 verification organization receives a clean application from a provider; 22 (c) "Credentialing verification organization" means an organization that gathers 23 data and verifies the credentials of providers in a manner consistent with 24 federal and state laws and the requirements of the National Committee for 25 Quality Assurance[.

  • The elements are: • License to practice.• Drug Enforcement Agency registration.• Medical Board sanctions.• Education and training.• Malpractice claims history.• Medicaid/Medicare sanctions.• Work history.• Practitioner application processing.• Credentialing verification organization application and attestation content.• Ongoing monitoring.

  • Is on behalf of a provider who does not have accounts receivable with the department; (b) "Credentialing application date" means the date that a credentialing verification organization receives a clean application from a provider; (c) "Credentialing verification organization" means an organization that gathers data and verifies the credentials of providers in a manner consistent with federal and state laws and the requirements of the National Committee for Quality Assurance.

  • Is on behalf of a provider who does not have accounts receivable19 with the department;20 (b) "Credentialing application date" means the date that a credentialing21 verification organization receives a clean application from a provider;22 (c) "Credentialing verification organization" means an organization that gathers23 data and verifies the credentials of providers in a manner consistent with24 federal and state laws and the requirements of the National Committee for25 Quality Assurance.

  • Is on behalf of a provider who does not have accounts receivable 10 with the department; 11 (b) "Credentialing application date" means the date that a credentialing 12 verification organization receives a clean application from a provider; 13 (c) "Credentialing verification organization" means an organization that gathers 14 data and verifies the credentials of providers in a manner consistent with 15 federal and state laws and the requirements of the National Committee for 16 Quality Assurance.

Related to Credentialing verification organization

  • Credentialing means the process of collecting, assessing, and validating qualifications and other relevant information pertaining to a health care provider to determine eligibility and to deliver Covered Services.

  • Review organization means a disability insurer regulated

  • Preferred Provider Organization (PPO) means a health insurance issuer's or carrier's insurance policy that offers covered health care services provided by a network of providers who are contracted with the issuer or carrier (“in-network”) and providers who are not part of the provider network (“out-of-network”).

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or