Loading, please wait...

Coverage for COVID-19 by Payer - Latest Information from Rush Health contracted Health Plans - Details

NCQA Certification

Once again Rush Health has received certification from the National Committee for Quality Assurance (NCQA) as a Credentials Verification Organization (CVO). NCQA is an independent, non-profit organization that certifies credentials verification organizations and accredits managed cared organizations.

Rush Health has achieved NCQA certification for 10 out of 10 verification services that include:

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

The NCQA CVO Certification process evaluates a CVO’s management for various aspects of its data collection and verification operation, and the process it uses to continuously improve the services it provides. The process includes rigorous on-site evaluations conducted by a team of health care professionals and certified credential specialists. A national oversight committee of physicians analyzes the team’s findings and determines certification based on the CVO’s compliance with NCQA standards.

“Achieving CVO Certification from NCQA demonstrates that Rush 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,” Margaret E. O’Kane, President, NCQA.

“Credentialing services are an important component of ensuring the services we provide to patients and the community are of the highest quality”, Brent J. Estes, President, Rush Health. “We are pleased to have again been recognized by NCQA for excellence in this area”. NCQA requires certification every two (2) years. Rush Health has successfully achieved four (4) consecutive CVO certifications. The first CVO certification was received in December 2004.