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Charleston, SC — February 18, 2020 — Verge Health, which offers the only governance, risk, and compliance platform purpose-built for healthcare (GRCH), today announced that it is certified as a Credentials Verification Organization (CVO) by the National Committee for Quality Assurance (NCQA). NCQA CVO certification evaluates the operations of organizations that verify health care provider credentials.
“We’re on a mission to help health care organizations better protect patients from errors and policy violations that can lead to poor outcomes and a higher total cost of care,” said Connie Moser, Chief Executive Officer of Verge Health. “The CVO certification is the ultimate vote of confidence in our ability to improve safety and compliance so payers and providers can deliver better outcomes and thrive in an industry rapidly shifting to value-based care.”
The CVO certification process consisted of rigorous evaluations conducted over a one-year period by a team of healthcare professionals and certified credentialing specialists. After an extensive review of Verge Health’s policies and procedures, as well as an audit of completed credentials files, a national oversight committee of physicians determined that the company was in compliance with NCQA’s Health Plan Accreditation standards.
The certification is evaluated among 10 elements in NCQA’s standards, including license to practice, DEA registration, education and training, work history, malpractice claims history, medical board sanctions, Medicare/Medicaid sanctions, CVO application and attestation content, practitioner application processing, and ongoing monitoring. Verge met the NCQA standards for all 10 verification services.
“Achieving CVO certification from NCQA demonstrates that Verge Health has the systems, process, and personnel in place to thoroughly and accurately verify providers’ credentials and help health plan clients meet their accreditation goals,” said Margaret E. O’Kane, President of NCQA.
Chris Malanuk, Verge Health co-founder and leader of its provider management solutions, noted that: “This recognition by NCQA reaffirms our commitment to excellence with provider data management and the partnerships we maintain with a growing client base across the industry.”
The certification follows a year of momentum for Verge Health. The company recently appointed two veteran health care executives to senior leadership positions, including Connie Moser as Chief Executive Officer and Inge Garrison as Chief Clinical Officer. In December, Verge also announced a partnership with the Orange County Health Care Agency to provide credentialing services for its provider network, including onboarding, re-credentialing, and maintenance.
About Verge Health
Founded in 2001, Verge Health is a Governance, Risk, and Compliance software and services company. Verge Health’s software solutions enable health care organizations to proactively protect and defend patients, caregivers, and frontline staff, against errors, adverse events, and policy violations. With over 900 facilities and 500,000 active users, the company’s Converge Platform provides hospitals and health care organizations with a cross-functional, proactive surveillance tool enabling optimal quality and safety results while also leveraging integrated services offerings to enhance performance and achieve success with high reliability initiatives. https://www.vergehealth.com