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August, 2019
The Tennessee
Physicians’ Quality Verification Organization, LLC (TPQVO), a Chattanooga,
Tennessee based company, successfully
underwent its tenth Credentials Verification Organization (CVO) recertification
process through the National Committee for Quality Assurance (NCQA) and is fully
Certified by NCQA for 10 out of 10 verification services. This
two-year certification is effective until July 31, 2021.
The CVO
certification process involves two major survey components: (1) a review of the
CVO's operations, processes and programs and (2) an on-site audit of completed
credentials files to verify that the credentialing processes are conducted in a
manner that complies with NCQA's standards. “The credentials verification
process helps protect the public—making sure a patient’s doctor, nurse or
dentist has completed the education and training they purport to have and that
they are clear of any licensing or malpractice trouble" explained
Eugene Ryan, MD, TPQVO past Chairman and Chattanooga physician. "NCQA’s review of TPQVO shows that we are
performing this important verification process the right way and within the
right time frame.”
CVOs like TPQVO
contract with health care organizations, physician networks, and managed care
plans to provide information used to help determine whether physicians, dentists
and other healthcare providers are qualified for membership on that
organization’s staff or panel. Credentials verification is an important part of
safeguarding patients and plan enrollees by making sure healthcare providers
have the necessary training, licensure, experience and lack of negative
professional experience to provide safe and competent healthcare services.
CVOs also track disciplinary information released by state and federal agencies
and notify clients of any negative information that arises regarding their
healthcare professional medical staff and network members. NCQA evaluates a CVO’s
management of various aspects of its data collection, verification and
monitoring operations,
and the process it uses to continuously improve the services it provides to its
clients. “Achieving CVO certification from NCQA demonstrates that TPQVO has
the systems, process and personnel in place to thoroughly and accurately verify
providers’ credentials and help health plan clients meet their accreditation
goals,” summarized NCQA President Margaret E. O’Kane.
Started in 1998,
TPQVO is owned by the Chattanooga and Hamilton County Medical Society, the
Knoxville Academy of Medicine and the Tennessee Medical Association. Currently,
TPQVO maintains and monitors over 8,000 physician, nurse, dentist and other
healthcare practitioner files. Information in these files are verified and
processed for over 70 hospital, health care network, surgery center, public
health service, nursing home and home health clients through out the United
States.
The National
Committee for Quality Assurance is an independent, non-profit organization that
certifies credentials verification organizations, and accredits managed care
organizations. The NCQA certification process is voluntary and includes
rigorous on-site evaluations conducted by a team of health care professionals.
A national oversight committee of physicians analyzes the team’s finding and
determines certification based on the CVO’s compliance with NCQA standards.
CONTACT: John
Haley (423) 495-1191
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