All PSN consultants working with companies requesting accreditation preparation are NCQA-trained registered nurses and other healthcare experts who are accreditation reviewers. Simply put, PSN knows what it takes to pass a rigid NCQA accreditation process.

Whether you're a provider or business wanting to meet regulatory requirements that mandate accreditation, or a major health plan seeking NCQA re-accreditation, PSN can help by maximizing your chance for accreditation success - and improving your bottom line.

PSN can provide an assessment of your accreditation needs and a blueprint for action that you can implement, with or without our help, day-to-day! Our knowledge of best practice services include:

  • Assessment of documentation compliance to URAC or NCQA Standards
  • Expert blueprint for compliance
  • Policy/Procedure development
  • On-site mock surveys
  • Program Development
  • Application Assembly and Submission: Our consultants can assemble and submit your URAC (through the AccreditNet online system), or NCQA application.

MEET OUR CONSULTANTS


We provide expert NCQA preparation services in any of the following areas:

NCQA Accreditation Programs
• Accountable Care Organizations (ACO)
• Health Plan Accreditation (HP - First, Interim, or Renewal):
     • Exchange
     • Medicare
     • Medicaid
     • Commercial
• Wellness & Health Promotion (WHP)
• Case Management (CM)
• Accreditation of Case Management For LTSS
• Managed Behavioral Healthcare Organizations (MBHO)
• Disease Management (DM)

NCQA Certification Programs
• Credentials Verification Organizations (CVO)
• Disease Management (DM)
• Health Information Products (HIP)
• Multicultural Health Care (MHC - with or without Distinction)
• Utilization Management and Credentialing (UM/CR)
• Wellness and Health Promotion (WHP)
• Accreditation and Certification Users Group (ACUG)

NCQA Recognition Programs
• Patient-Centered Medical Home (PCMH)
• Diabetes Recognition Program (DRP)
• Heart/Stroke Recognition Program (HSRP)
• Government Recognized Initiative and Projects (GRIP)
• Patient-Centered Connected Care (PCCC)
• Patient-Centered Specialty Practice (PCSP)

PSN can assist with the following:
• Assessment of documentation compliance to NCQA standards
• Expert blueprint for compliance
• Gap analysis
• Assembling of your application
• Data analysis support
• Policy and procedure development
• ISS preparation assistance
• On-site mock surveys
• File audits
• Program design
 

For a an indepth description of NCQA Accreditation, Certification and Recognition Programs, please visit www.ncqa.org

PSN has a proven track record working with all types of managed care organizations. Please contact us to discuss how PSN can assist you with the NCQA accreditation process.

Meet our consultants at https://www.psninc.net/consulting/consultants/