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Candace J. Chitty
RN, MBA, CPHQ, PCMH-CCE
Your Key to
Online
Compliance
Management
Your Key to
Online
Compliance
Management
 Obtaining your User ID and Password
 Accessing the Online Application
 Agreements Required
 Resources Page – Guidelines, Tools,
Trainings and Materials
 Account and Practice Site Information
(Important for multi-site applications)
Your Key to
Online
Compliance
Management
 Nomenclature for Identifying Multi-
site Locations
 Purchase the ISS Survey Tool – License
# is on the first page of the Survey
Tool above the “I agree” statement.
 Adding Clinicians – Required
Information
Your Key to
Online
Compliance
Management
Six Requirements for NCQA to review
application information:
1. Signed Legal Documents
2. Purchased survey tools for each site
3. Completed application form
4. Completed clinician information
5. Matching License numbers in ISS and on
practice site applications
6. Fixed any error messages
Submission of Online Application Confirmation
Your Key to
Online
Compliance
Management
 Recommended you review NCQA’s ISS tutorial
http://www.youtube.com/watch?v=fOGeuqIl0mQ
 Plan for documents to be completed and
ready to prepare for upload and linking at
least two weeks prior to submission.
 Preparing Documents
 Quality check … quality check … quality
check your ISS before submitting.
Your Key to
Online
Compliance
Management
The NCQA Review Process Timeframe
 Multi-site Corporate Tool – 30 days
 Site Location Reviews – 60 days
Final Decision and Results
Recognition Renewal Cycle-every 3 years
Reconsiderations, Add-ons/Upgrades
Discretionary Surveys
Your Key to
Online
Compliance
Management
 PCMH-grip@ncqa.org
 PCMH-grip customer service number:
888-275-7585, M-F, 8:30 am - 5:00 pm ET.
 http://www.ncqa.org/Portals/0/Programs/Rec
ognition/Multi-
site_Process_Overview_for_the_web_5.21.1
2-1.pdf
 To get an Online Application account go to
http://www.ncqa.org/tabid/629/Default.aspx.
Your Key to
Online
Compliance
Management
10
Your Key to
Online
Compliance
Management
11
Your Key to
Online
Compliance
Management
12
Your Key to
Online
Compliance
Management
13
Questions & Answers
Thank you for participating in the PolicyPLUS
PCMH Webinar series. If you have any
comments or additional questions please
do not hesitate to contact us at:
CJChitty@Qfhc.com RChitty@Qfhc.com
www.Qfhc.com www.Qfms.org
This ends the
PCMH focused
Webinar Series
We will now return to
our general Health
Center webinars .
If you have a relevant
subject you’d like to
learn more about
please contact us.
Look for the details
and dates in your
email soon
14

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PolicyPLUS PCMH Series, Webinar 4 - Finishing Strong

  • 1. Candace J. Chitty RN, MBA, CPHQ, PCMH-CCE
  • 3. Your Key to Online Compliance Management  Obtaining your User ID and Password  Accessing the Online Application  Agreements Required  Resources Page – Guidelines, Tools, Trainings and Materials  Account and Practice Site Information (Important for multi-site applications)
  • 4. Your Key to Online Compliance Management  Nomenclature for Identifying Multi- site Locations  Purchase the ISS Survey Tool – License # is on the first page of the Survey Tool above the “I agree” statement.  Adding Clinicians – Required Information
  • 5. Your Key to Online Compliance Management Six Requirements for NCQA to review application information: 1. Signed Legal Documents 2. Purchased survey tools for each site 3. Completed application form 4. Completed clinician information 5. Matching License numbers in ISS and on practice site applications 6. Fixed any error messages Submission of Online Application Confirmation
  • 6. Your Key to Online Compliance Management  Recommended you review NCQA’s ISS tutorial http://www.youtube.com/watch?v=fOGeuqIl0mQ  Plan for documents to be completed and ready to prepare for upload and linking at least two weeks prior to submission.  Preparing Documents  Quality check … quality check … quality check your ISS before submitting.
  • 7. Your Key to Online Compliance Management The NCQA Review Process Timeframe  Multi-site Corporate Tool – 30 days  Site Location Reviews – 60 days Final Decision and Results Recognition Renewal Cycle-every 3 years Reconsiderations, Add-ons/Upgrades Discretionary Surveys
  • 8. Your Key to Online Compliance Management  PCMH-grip@ncqa.org  PCMH-grip customer service number: 888-275-7585, M-F, 8:30 am - 5:00 pm ET.  http://www.ncqa.org/Portals/0/Programs/Rec ognition/Multi- site_Process_Overview_for_the_web_5.21.1 2-1.pdf  To get an Online Application account go to http://www.ncqa.org/tabid/629/Default.aspx.
  • 9.
  • 14. Questions & Answers Thank you for participating in the PolicyPLUS PCMH Webinar series. If you have any comments or additional questions please do not hesitate to contact us at: CJChitty@Qfhc.com RChitty@Qfhc.com www.Qfhc.com www.Qfms.org This ends the PCMH focused Webinar Series We will now return to our general Health Center webinars . If you have a relevant subject you’d like to learn more about please contact us. Look for the details and dates in your email soon 14