Your One-Stop Credentialing Solution
A Full Range of Services Including Credentialing & Re-credentialing, Primary Source Verification, and Continuous Monitoring
Vālenz® VPointTM, formerly VerifPoint, is a comprehensive provider credentialing and continuous monitoring solution for health systems, hospitals, providers and health plans, offering effective and diligent credential verification to ensure quality of care for patients and members. As a critical component to the Valenz strategy of assuring Validation, Integrity and Accuracy (VIA) for providers, the VPoint credentialing and re-credentialing solution is NCQA-certified and URAC-accredited.
VPoint and Valenz Assurance combine to enhance VIA Provider Solutions, a comprehensive compliance management solution to improve medical coding efficiency, reimbursement assurance, auditing toolsets, claims accuracy, credentialing, medical staff licensing and exclusion monitoring. Our credentialing and monitoring services reduce the opportunity for fraud, waste and abuse while protecting clients from denials, appeals, unpaid claims and penalties associated with employing or paying providers who have improper licenses or disciplinary issues.
As a leading service provider for medical credentialing, VPoint delivers optimum and best system solutions that are fully adaptable to meet the unique needs of clients while keeping pace with constant changes in technology and the healthcare industry. As a result, we consistently provide highly accurate, timely and cost-efficient healthcare practitioner information.
Credentialing and Re-credentialing
Credentialing is the process through which an organization (a hospital, insurance network, clinical practice or physician group) decides whether a candidate is qualified to provide an acceptable quality of care to patients. Credentialing focuses on the collection and verification of provider information.
During the credentialing process, the VPoint team of experts follows the high industry standards of NCQA (The National Committee for Quality Assurance), URAC (Utilization Review Accreditation Commission), AAAHC (Accreditation Association for Ambulatory Health Care), CMS (The Centers for Medicare/Medicaid Services), ICE (The Institute for Credentialing Excellence) and JC (The Joint Commission).
Key Benefits of VPoint Credentialing:
- Online provider applications – we can populate physician data from our online form into any privileging or credentialing application form
- Virtually paperless, weekly reporting system using state-of-the-art technology
- Special urgent service for providers who need to be credentialed as soon as possible
- The security of knowing your data is stored confidentially and safely on our servers
- Freedom from the hassles of follow-up on expired medical licenses, DEA certificates and other time-sensitive documents
- Immediate reporting when providers have sanctions or adverse actions against their license
- Notification when new physicians join a practice without informing you, inherently building your network size
NCQA
- License to Practice
- DEA or CDS Certification
- Education and Training
- Board Certification Status
- Work History
- Malpractice Claims History
- State Licensing Board Sanctions
- Medicare/Medicaid Sanctions
- Practitioner Application Processing
- Application and Attestation Content
- Ongoing Monitoring of Sanctions
URAC
- License to Practice (All states where Provider is practicing)
- DEA or CDS Certification
- Education and Training
- Board Certification Status
- Work History
- Malpractice Claims History
- State Licensing Board Sanctions
- Medicare/Medicaid Sanctions
- Practitioner Application Processing
- Application and Attestation Content
- Ongoing Monitoring of Sanctions
CMS
- License to Practice
- DEA or CDS Certification
- Education and Training
- Board Certification Status
- Work History
- Malpractice Claims History
- State Licensing Board Sanctions
- Medicare/Medicaid Sanctions
- Practitioner Application Processing
- Application and Attestation Content
- Ongoing Monitoring of Sanctions
- CMS Opt-Out
- SAM (EPLS)
- State OIG
JC
- License to Practice (All states – current and past)
- ECFMG
- DEA or CDS Certification
- Education and Training
- Hospital Affiliations (current and past)
- Peer References
- Board Certification Status
- Malpractice Claims History
- State Licensing Board Sanctions
- Medicare/Medicaid Sanctions
- Practitioner Application Processing
- Application and Attestation Content
- Ongoing Monitoring of Sanctions
- CME
- Delineation of Privileges (DOP)
AAAHC
- License to Practice (current license)
- DEA
- Education and Training
- Board Certification Status
- Work History
- Primary Hospital
- Peer References
- Malpractice Claims History
- State Licensing Board Sanctions
- Medicare/Medicaid Sanctions
- Practitioner Application Processing
- Application and Attestation Content
- Ongoing Monitoring of Sanctions
- Delineation of Privileges (DOP)
Credentialing and Re-Credentialing
Do you offer credentialing and recredentialing applications for client use?
Yes! We have designed a health care application for client use at initial credentialing and a separate application for use at re-credentialing. Credentialing Solutions® can mail out the application to providers as part of our services, and the application to check health care qualifications is also available for download from our website.
What credentialing guidelines are used?
We will perform credentialing to meet your company’s specific needs whether that be full URAC or TJC standards, or a customized package all your own to check doctors credentials. Our services are tailored to you!
How many requests do you make to obtain verification from hospitals, training facilities, and other agencies?
VPoint makes three requests for information prior to contacting the client and discussing alternative methods to check health care provider qualifications, if possible.
Can you accommodate clients outside of California?
Absolutely! Currently, we have many clients located outside of California who check health care provider credentials. There is no delay in processing credentials, and when needed, expedited mailing/shipping services are used to check provider qualifications and check doctors credentials.
Do you follow up with providers if information is missing from the application?
Yes! VPoint makes up to three requests for missing information from a provider to ensure a complete application packet is returned to you. We pride ourselves on exhausting all resources to check doctors credentials and we are always in constant communication with the client to determine any special course of action that should be taken on a difficult file.
Do you offer online data access to check provider credentials?
Yes! Through our secure website, clients wishing to check provider credentials may log-in with their personal “username” and “password” and access any of our CS Reports, provider profiles, view “in-process” work, and download their provider data for use in designing custom reports or for inclusion into their own database to check physician qualifications.
Provider Relations
What is VPoint and what do you do?
VPoint is a Credentials Verification Organization (CVO) and is contracted by healthcare organizations to do the credentialing for their network. We also offer other services such as primary source verification, background checks, medical billing, and data management.
What is credentialing?
Credentialing is the process by which a health organization determines whether a healthcare practitioner is qualified to render acceptable quality of care to patients. It is focused on the collection and verification of information.
Why did I receive a form from VPoint?
If you receive a form from us, it is because a healthcare organization has requested to start the credentialing process on their behalf.
How do I know which plan is requesting the information?
The name of the plan requesting this information is on the top left-hand side of the cover letter you received from VPoint.
Am I signing up for any new coverage?
No, you are not. A healthcare organization that you have already signed up for is requesting that we complete the credentialing process on their behalf. To sign up for a new plan, you would start the enrollment process. Please contact us if you would like to enroll in a new plan.
Is there a charge for this?
No, the insurance company hired VPoint to process their credentialing needs. Please contact us if you need additional credentialing done for your office, hospital, or facility.
Can VPoint provide me with a new fee schedule?
We do not provide fee schedules. To get that information, please contact the plan directly. You may have also received this information during the enrollment process.
