NCQA Accreditation: A Quality Improvement Framework

NCQA Accreditation ensures that PMG Credentialing follows the industry’s best practices, providing clients with a reliable partner they can trust to handle their credentialing needs with precision and efficiency. NCQA requires credentialing files be reviewed as a part of receiving accreditation, so our clients can have confidence in knowing that their practitioners are being credentialed properly.

NCQA Accreditation ensures that PMG Credentialing follows the industry’s best practices, providing clients with a reliable partner they can trust to handle their credentialing needs with precision and efficiency. NCQA requires credentialing files be reviewed as a part of receiving accreditation, so our clients can have confidence in knowing that their practitioners are being credentialed properly.

NCQA requires that ongoing monitoring takes place on a continuous basis for all credentialed practitioners. Following this standard provides peace of mind to our clients that PMG is reviewing any potential red flags that may occur throughout a practitioners employment.

NCQA requires that ongoing monitoring takes place on a continuous basis for all credentialed practitioners. Following this standard provides peace of mind to our clients that PMG is reviewing any potential red flags that may occur throughout a practitioners employment.

NCQA has numerous standards that must be followed to ensure practitioner information is kept secure, that there are mechanisms for data back-up, security permissions to only allow appropriate staff to access and update practitioner information and required documentation of any modifications made to a practitioner’s information. These standards hold PMG accountable to by having integrity and confidentiality with the data we are responsible for.

NCQA has numerous standards that must be followed to ensure practitioner information is kept secure, that there are mechanisms for data back-up, security permissions to only allow appropriate staff to access and update practitioner information and required documentation of any modifications made to a practitioner’s information. These standards hold PMG accountable to by having integrity and confidentiality with the data we are responsible for.

This accreditation also allows PMG to leverage our status when engaging with health plans, providing the potential to secure delegation agreements on your behalf. This can significantly reduce provider enrollment processing times for your organization. 

This accreditation also allows PMG to leverage our status when engaging with health plans, providing the potential to secure delegation agreements on your behalf. This can significantly reduce provider enrollment processing times for your organization. 

As an accredited organization, PMG is required to have documented communication and feedback from clients. This standard applies to all aspects of partnering with us including: our contract agreement with your health center, the delivery of your practitioner credentialing files, regularly scheduled reporting, timely notifications to your practitioners and internal administration throughout the credentialing process, and ongoing monitoring alerts discovered by PMG.

As an accredited organization, PMG is required to have documented communication and feedback from clients. This standard applies to all aspects of partnering with us including: our contract agreement with your health center, the delivery of your practitioner credentialing files, regularly scheduled reporting, timely notifications to your practitioners and internal administration throughout the credentialing process, and ongoing monitoring alerts discovered by PMG.

NCQA requires credentialing be completed within 120 days from when a practitioner submits their application. While PMG policy is 90 days (and our average file completion being less than 30 days) this standard ensures that all credentialing is completed in an appropriate timeframe.

NCQA requires credentialing be completed within 120 days from when a practitioner submits their application. While PMG policy is 90 days (and our average file completion being less than 30 days) this standard ensures that all credentialing is completed in an appropriate timeframe.