Credentialing and NCQA

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8/3/2021 Healthtech Leader andros Launches Industry-First Credentialing API PR Newswire NEW YORK , Aug. 3, 2021 /PRNewswire/ -- Today, andros announces the release of the first and only API for NCQA-Certified credentialing‚Aifurthering its mission to transform healthcare administration by using data and technology to improve key business processes in provider network management. The API provides a toolkit for any healthcare business, including payers, providers, and telehealth platforms, to build a fully digital NCQA-certified credentialing experience into their applications and ...
8/3/2021 Healthtech Leader andros Launches Industry-First Credentialing API Healthtech Leader andros Launches Industry-First Credentialing API [August 03, 2021] Healthtech Leader andros Launches Industry-First Credentialing APINEW YORK , Aug. 3, 2021 /PRNewswire/ -- Today, andros announces the release of the first and only API for NCQA-Certified credentialing‚Aifurthering its mission to transform healthcare administration by using data and technology to improve key business processes in provider network management. The API provides a toolkit for any healthcare business ...
3/30/2021 Provider Enrollment Specialist – Gila River Health Care – Sacaton, AZ ... professionals meet all federal and state medical standards, The Joint Commission (TJC), Center for Medicare Services (CMS), as well as NCQA (National Committee for Quality Assurance) requirements. Responsible for the accuracy and integrity of the ... federal insurance regulations. Maintains and continually updates personal knowledge of credentialing standards, bylaws, regulations and regulations, policies, and requirements for department. Analyzes and reviews individual certification, license and credentials information to ensure current validity on ...
3/25/2021 5ACVO Names Jillian Davis Director of Operations for Credentials Verification Yahoo News ... credentialing expertise, Jillian brings a deep understanding of the credentialing process to 5ACVO. Most recently, Jillian was with Tenet Healthcare as the National Credentialing Manager. Before Tenet, Jillian was with HCSC and responsible for audits on behalf of BCBS of IL, MT, NM, OK and TX, auditing files, policies and procedures.Additionally, Jillian has a depth of experience preparing documents and processes for internal audits including NCQA , URAC , CMS , Joint ...
3/25/2021 5ACVO Names Jillian Davis Director of Operations for Credentials Verification Yahoo News ... credentialing expertise, Jillian brings a deep understanding of the credentialing process to 5ACVO. Most recently, Jillian was with Tenet Healthcare as the National Credentialing Manager. Before Tenet, Jillian was with HCSC and responsible for audits on behalf of BCBS of IL, MT, NM, OK and TX, auditing files, policies and procedures.Additionally, Jillian has a depth of experience preparing documents and processes for internal audits including NCQA , URAC , CMS , Joint ...
3/9/2021 Credentialing Assistant ‚Äì Signify Health ‚Äì Texas Credentialing Assistant ‚Ai Signify Health ‚Ai TexasHow will this role have an impact?Provides administrative support to Credentialing Coordinators and Credentialing Manager relating to credentialing of Signify Health clinicians. Assist with initial and re ... timely processing of credentialing/re-credentialing files in accordance with NCQA policies. Obtains all relevant documents and ensure that the applicant completes his/her application within the specified time period. Review applications for accuracy and ...
8/18/2020 Blue Cross Blue Shield of Massachusetts earns 'excellent' status PR Newswire BOSTON , Aug. 18, Blue Cross Blue Shield of Massachusetts (Blue Cross) has earned an "Excellent" accreditation rating from NCQA (1) for its clinical quality, member experience and performance against operational standards for Commercial HMO/POS ... following operational categories: Quality Management & Improvement Network Management Utilization Management Credentialing & Recredentialing Population Health Management Member Experience To see the current accreditation of all health plans, visit NCQA's Health Plan Report Cards. Due to the ...
7/21/2020 GoodRx, The Nation's Leading Source for Prescription and Healthcare Savings, Partners with Verisys To Manage Their Provider Credentialing PR Newswire ... pleased to announce its partnership with GoodRx, the leading source for prescription and healthcare savings in America, to deliver Provider Credentialing and Provider Management Services and Software for their HeyDoctor by GoodRx telehealth service. Over ... end healthcare provider credentialing for HeyDoctor by GoodRx with its NCQA compliant package which includes a FACIS ® search, professional license verification and DEA registration, plus a full range of primary source verifications that ensure the ...
7/16/2020 Matrix Medical Network Achieves Recertification for NCQA Credentialing Accreditation PR Newswire SCOTTSDALE, Ariz. Matrix Medical Network (Matrix), a clinical leader in supporting the needs of at-risk populations, has achieved the highest level for credentialing and recredentialing from the National Committee for Quality Assurance (NCQA). The much-coveted accreditation is valid until 2023. It allows Matrix health plan clients to continue to fully delegate all of their credentialing responsibilities to Matrix and eliminate any need to provide credentialing oversight for the ...
7/14/2020 TractManager Announces New Solution Suite — Reduces the Friction in Provider Onboarding Business Wire DALLAS--(BUSINESS WIRE)--Jul 14, 2020-- TractManager today announced the launch of a new Provider Onboarding suite that streamlines credentialing, privileging, and enrolling of providers. The solution suite improves engagement, maximizes staff productivity, and minimizes ... accredited in credentialing by the National Committee for Quality Assurance (NCQA) and is the first Credentialing Verification Organization (CVO) with an integrated Contract Lifecycle Management solution to receive accreditation. “NCQA accreditation means we’re held to ...
6/4/2020 Amplifon Hearing Health Care Earns NCQA Accreditation for Provider Network Credentialing Achievement Demonstrates a Strong Commitment to the Highest Standards in Hearing Health Care MINNEAPOLIS–( BUSINESS WIRE)–Amplifon Hearing Health Care, a leading player in hearing benefit solutions, has earned accreditation from the National Committee for Quality Assurance (NCQA) for the credentialing and recredentialing of hearing health care providers in the Amplifon network. This accredited status is effective May 8, 2020, through May 8, 2023. Achieving NCQA Credentialing Accreditation demonstrates Amplifon ...
6/4/2020 Amplifon Hearing Health Care Earns NCQA Accreditation for Provider Network Credentialing | Benzinga Achievement Demonstrates a Strong Commitment to the Highest Standards in Hearing Health Care Amplifon Hearing Health Care, a leading player in hearing benefit solutions, has earned accreditation from the National Committee for Quality Assurance (NCQA) for the credentialing and recredentialing of hearing health care providers in the Amplifon network. This accredited status is effective May 8, 2020, through May 8, 2023. Achieving NCQA Credentialing Accreditation demonstrates Amplifon has the systems ...
6/4/2020 Amplifon Hearing Health Care Earns NCQA Accreditation for Provider Network Credentialing Business Wire MINNEAPOLIS--(BUSINESS WIRE)--Jun 4, 2020-- Amplifon Hearing Health Care, a leading player in hearing benefit solutions, has earned accreditation from the National Committee for Quality Assurance (NCQA) for the credentialing and recredentialing of hearing health care providers in the Amplifon network. This accredited status is effective May 8, 2020, through May 8, 2023. Achieving NCQA Credentialing Accreditation demonstrates Amplifon has the systems, process and personnel in place to conduct ...
6/4/2020 Amplifon Hearing Health Care Earns NCQA Accreditation for Provider Network Credentialing - GuruFocus.com Amplifon Hearing Health Care, a leading player in hearing benefit solutions, has earned accreditation from the National Committee for Quality Assurance (NCQA) for the credentialing and recredentialing of hearing health care providers in the Amplifon network. This accredited status is effective May 8, 2020, through May 8, 2023. Achieving NCQA Credentialing Accreditation demonstrates Amplifon has the systems, process and personnel in place to conduct credentialing in accordance with the strictest ...
6/4/2020 Amplifon Hearing Health Care Earns NCQA Accreditation for Provider Network Credentialing Amplifon Hearing Health Care Earns NCQA Accreditation for Provider Network Credentialing Published: Jun 04, 2020 June 4, 2020 12:57 UTC Achievement Demonstrates a Strong Commitment to the Highest Standards in Hearing Health Care MINNEAPOLIS--( BUSINESS WIRE )-- Amplifon Hearing Health Care , a leading player in hearing benefit solutions, has earned accreditation from the National Committee for Quality Assurance (NCQA) for the credentialing and recredentialing of hearing health care providers in the ...
6/4/2020 Amplifon Hearing Health Care Earns NCQA Accreditation Jun 4, 2020 Management Strategies , Medicare & Insurance Amplifon Hearing Health Care , a hearing benefit solutions company, announced that it has earned accreditation from the National Committee for Quality Assurance (NCQA) for the credentialing and re-credentialing of hearing health care providers in the Amplifon network. This accredited status is effective May 8, 2020 through May 8, 2023. Achieving NCQA credentialing accreditation demonstrates Amplifon “has the systems, process, and personnel in ...
5/23/2020 UCare: Provider Network Analyst Senior Star Tribune ... is responsible for creating and analyzing provider network reports for various regulators and quality monitoring organizations (DHS, CMS, MDH and NCQA). Responsible for provider directory production protocol, regulatory provider directory model compliance and provider data ... accuracy monitoring, reporting and data audits. • Conduct ongoing audits of credentialing data and delegated source data for provider directories and online display accuracy. Assure provider data quality by analyzing provider contracting, credentialing and claims configuration ...
5/19/2020 Axuall and University Hospitals Pilot Blockchain and Digital Credentials to Streamline and Improve Clinical Workforce Deployment PR Newswire Pilot Establishes Evidence for Strong Potential for Significant Advancements in Credentialing, Privileging and Payor Enrollment Efficiencies Press Release - updated: May 19, 2020 08:00 EDT CLEVELAND, May 19, 2020 (Newswire.com) - Axuall, Inc. announced today that it ... of 2020. Subsequent phases will support the full set of NCQA and Joint Commission standards and are expected to be completed by midsummer of 2020. As U.S. health systems struggle to meet patient demand, expanding ...
5/19/2020 Axuall and University Hospitals Pilot Blockchain and Digital Credentials to Streamline and Improve Clinical Workforce Deployment PR Newswire ... the first of three phases of their pilot in February of 2020. Subsequent phases will support the full set of NCQA and Joint Commission standards and are expected to be completed by midsummer of 2020 ... blockchain is being leveraged to improve healthcare administration, including workforce credentialing, revenue cycle optimization, and medical supply chain safety. "Any delays in getting clinicians permission to serve our patients put a strain on limited resources ...
1/17/2020 American Well clinical partner Online Care Group receives NCQA credentialing accreditation Becker's Hospital Review American Well clinical partner Online Care Group receives NCQA credentialing accreditation Jackie Drees - American Well's clinical partner Online Care Group received accreditation in credentialing from the National Committee for Quality Assurance, according to a Jan. 16 news release. Four notes: 1. The NCQA accreditation is valid through December 2022. It is the third time Online Care Group has received the accreditation. 2. Online Care Group received the accreditation for its ...
1/15/2020 American Well's Clinical Partner, Online Care Network II PC Earns NCQA Accreditation in Credentialing for the Third Time PR Newswire BOSTON American Well®, a national telehealth technology and services company, announced today that its clinical partner, the Online Care Network II PC (commonly known as the Online Care Group), has received Accreditation in Credentialing from the National Committee for Quality Assurance (NCQA), valid through December 2022 . This is the third time the Online Care Network II PC has received Accreditation in Credentialing from the NCQA. "Achieving NCQA Credentialing Accreditation demonstrates ...
1/15/2020 American Well's Clinical Partner, Online Care Network II PC Earns NCQA Accreditation in Credentialing for the Third Time American Well's Clinical Partner, Online Care Network II PC Earns NCQA Accreditation in Credentialing for the Third Time By American Well;Online Care Network II PC;National Committee for Quality Assurance; Jan 15, 2020 American Well brings healthcare to you. (PRNewsFoto/American Well) By American Well;Online Care Network II PC;National Committee for Quality Assurance; TownNews.com Content Exchange Save BOSTON , Jan. 15, 2020 /PRNewswire/ -- American Well®, a national telehealth ...
1/13/2020 CredSimple Acquires Glenridge Health to Build the Industry's Most Comprehensive End-to-End Provider Network Management Solution Yahoo News ... credentialing through automation. Through this acquisition, CredSimple will combine its National Committee for Quality Assurance (NCQA) certified Credentialing Verification Cloud (CVC) platform, which eliminates credentialing backlogs and significantly improves credentialing turnaround times, with Glenridge Health's proprietary network management technology to successfully build and manage provider networks that are compliant, efficient, and aligned to the health plans strategic goals. This integrated solution will assist with local, regional, and national health plans ...
1/13/2020 CredSimple Acquires Glenridge Health to Build the Industry's Most Comprehensive End-to-End Provider Network Management Solution PR Newswire ... credentialing through automation. Through this acquisition, CredSimple will combine its National Committee for Quality Assurance (NCQA) certified Credentialing Verification Cloud (CVC) platform, which eliminates credentialing backlogs and significantly improves credentialing turnaround times, with Glenridge Health's proprietary network management technology to successfully build and manage provider networks that are compliant, efficient, and aligned to the health plans strategic goals. This integrated solution will assist with local, regional, and national health plans ...
11/20/2019 Manager, Provider Data Management and Credentialing Manager, Provider Data Management and CredentialingDirect HireJacksonville, FLJob Description: The Manager, Provider Data Management and Credentialing is responsible for developing, managing and monitoring processes and procedures that support the credentialing and re-credentialing processes. The ... source verification and compliance with guidelines or requirements mandated by NCQA, provider contracts and state regulations. The individual maintains oversight of the integrity and quality of the provider data while tracking patterns. GENERAL DUTIES & RESPONSIBILITIES ...