Medversant Receives NCQA Certification

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Medversant's credentialing verification organization receives NCQA certification.

On July 28, 2005 Medversant Technologies received notification that it was certified for 10 out of 10 elements by the National Committee on Quality Assurance. Matthew Haddad, CEO of Medversant stated, "We are please to have again been certified by NCQA and I am proud of our credentialing services group for their achievement." NCQA's CVO Certification is a quality assessment program designed to assist managed care organizations (MCOs) in assessing Credentials Verification Organizations (CVOs) and other organizations that verify the credentials of physicians. NCQA's CVO Certification program evaluates a CVO's management of credentialing functions, and the process it uses to continuously improve the services it provides.

NCQA surveys are rigorous on-site evaluations conducted by a team of health care professionals and certified credentialing specialists. A national oversight committee of physicians analyzes the team's findings and determines certification based on the CVO's performance against NCQA standards.

These standards --- developed with the assistance of representatives from the credentials verification industry, as well as input from managed care organizations --- are demanding. Certified CVOs will meet these standards, as well as all applicable Credentialing Standards from NCQA's Standards for the Accreditation of Managed Care Organizations.

NCQA's CVO certification reduces duplicative oversight and inefficient gathering of information by health plans and CVOs. For managed care organizations seeking to be accredited by NCQA, CVO Certification takes the place of health plan reviews of a CVO's structure and performance in verifying provider credentials. Accordingly, MCOs who contract for credentials verification with an organization that has been certified by NCQA will be exempt from some due-diligence oversight requirements specified in NCQA Credentialing Standard CR 12 (2004/2005 STDS) for all verification services for which the organization has been certified.

Certification status is not a guarantee of satisfaction with an individual service or product offered by the CVO. However, CVOs that are certified have demonstrated that they provide the protections required by NCQA's Standards, that they have developed a sound management structure, and that they monitor, and are continually improving, the quality of the services they deliver.

NCQA is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality. The organization is frequently referred to as a watchdog for the managed care industry, but NCQA also recognizes individual doctors and medical groups. Employers and consumers use information provided by NCQA to make more informed health care choices. NCQA’s mission is to improve the quality of health care.

Headquartered in Woodland Hills, California, Medversant provides medical staff management solutions as well as other Web based business applications to the healthcare industry. Medversant’s solutions have been adopted by leading healthcare organizations throughout the US. The company can be found on the Web at http://www.medversant.com.

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Brett Kneitel