The Professional Information Exchange (PIX, LLC), a credentials verification organization (CVO), has received certification from the National Committee for Quality Assurance (NCQA) for 10 out of 10 verification services for both managed care organizations and managed behavioral health organization practitioners. PIX is jointly owned by GNYHA Ventures, Inc. and the Medical Society of the State of New York-Medical Liability Mutual Insurance Company Management Services, LLC.
The 10 verification services are license to practice, drug enforcement agency registration, hospital privileges, education and training, malpractice claims history, national practitioner data bank query, Medical Board sanctions, Medicare/Medicaid sanctions, malpractice insurance, and practitioner application processing. This certification is effective for a two-year period, until April 7, 2002.
NCQA Certification: The NCQA certification process evaluates a CVO's management of its data collection and verification operation, as well as its process for continuously improving service. NCQA certification also reduces duplicative oversight and inefficient gathering of information by health plans and CVOs. Certification is awarded to participating organizations on the basis of individual credentials elements.
PIX's Credentials Verification Experience: Since 1998, PIX has been serving the credentials verification needs of hospitals, managed care plans, long term care facilities, ambulatory surgery centers, and physician organizations. A noteworthy feature of PIX is its practitioner "PROFILE," an electronically generated composite of verification events and findings, which can serve as a presentation tool for credentials committee deliberations and as an audit tool for reviewing files. Other PIX services include applications processing, online or dictation-enabled application completion, credentials verification, practitioner database management, and periodic Federal/State sanctions checking to meet Federal compliance guidelines. Additionally, PIX helps hospital networks to implement a coordinated approach to credentialing for strategic market positioning.