Credentials Verification Service


A lot of credentials verification organizations (CVOs) talk about experience and partnership. At RWHC, we deliver. Each member of our senior staff has 10 or more years of experience that includes ongoing training and continuing education to keep up with credentialing regulations and standards.

RWHC is certified by the National Committee for Quality Assurance (NCQA)* for 10 out of 10 verification services effective through December, 2010. And of course, your files will always meet the standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as well. So you can feel prepared and confident going into any NCQA or JCAHO survey.

*The National Committee for Quality Assurance is an independent, non-profit organization that certifies credentials verification organizations and accredits managed care organizations.

Why use a CVO?

Choosing to work with a CVO can be a complicated decision for organizations trying to strike a balance between cost and value.

It may seem like an "all or nothing" decision — to outsource the function, or do it entirely in-house. While many organizations find it most cost-effective to fully outsource credentials verification, some prefer to maintain a portion of the process in-house. Rest assured, we work with many healthcare organizations that need assistance from time to time.

Whether it’s to acquire a particularly elusive piece of documentation, provide expertise in a complex situation, fill in during a crisis such as the unexpected loss of an employee, or even make an on-site visit to prepare for a JCAHO or NCQA survey, we’re here to help. With one phone call, we’re on our way to providing the support you need — when you need it.

You’re a neighbor, not a number.

RWHC is not a giant conglomerate with hundreds of staff members in some big city a thousand miles away. We’re a regional CVO with experience in many states, including Wisconsin, Minnesota, Iowa, Illinois and Michigan. Located in south central Wisconsin, we’re close enough to meet with you at a moment’s notice. RWHC is equipped to handle all the credentialing needs of a larger healthcare organization, yet small enough to know our clients as individuals and partner with them one-on-one.

The RWHC difference

Credentials verification can be labor intensive and costly. You may currently do your own credentialing or, like many hospitals and health plans, have made the decision to outsource this function. Either way, it’s becoming critical to have a partner who’s ready and able to help meet your organization’s specific credentialing needs.

The RWHC Credentials Verification Service is very different from those offered by larger, national firms. For example, we don’t charge more when multiple requests are needed to track down information, or worse yet, deliver an incomplete file. There are no monthly volume requirements or penalties. And file updates are provided at no additional charge.

RWHC is able to accelerate the verification process by using the most current on-line capabilities — another benefit of outsourcing. We invite you to take a close look at our credentials verification service; we think you’ll appreciate the difference.

Continuous Monitoring

In addition, the RWHC Credentials Verification Service offers continuous monitoring of Medicare/Medicaid sanctions as well as state licenses. Since RWHC is NCQA certified to perform this function, this plays an important role in ongoing compliance plans or reappointment cycles.

Satisfaction Guaranteed

We guarantee that every file we process is 100% accurate and complete. You will receive primary source verifications within 30 to 45 working days from the date we receive an application from the practitioner. If some unforeseen delay does arise, you can count on being notified immediately of the application’s status. If for any reason you are not completely satisfied, just let us know. If we can’t remedy the situation, you don’t pay.

RWHC Credentials Verification Service

  • NCQA certified for 10 out of 10 verification services effective through December, 2010 for MCO and MBHO practitioners
  • Turnaround of primary source verifications within 30 to 45 working days from the date we receive an application from the practitioner
  • Secure web access to confirm file status
  • File updates (i.e., malpractice certificate, DEA, license, annual TB) provided at no additional cost
  • Guaranteed complete and accurate — with no extra charge when multiple requests are needed to track down information
  • Guaranteed to meet JCAHO, NCQA and Medicare standards
  • Over 18,000 practitioners in our database, covering all medical professions
  • Experience in multiple states, including: Wisconsin, Minnesota, Iowa, Illinois and Michigan
  • Expert senior staff, each with 10 or more years of credentialing experience
  • Competitive fees
  • Automatic notices of recredentialing cycles
  • Electronic transfer from our database to yours available in several formats
  • A la carte verifications and flexible working arrangements
  • No exclusivity requirements
  • No monthly volume contract


For more information

Contact Bonnie Laffey at blaffey@rwhc.com or 1-800-225-2531.