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URAC Patient Centered Medical Home Auditor Certification Program Growing

Tuesday, July 19th, 2011

URAC Auditor Certification Program Growing

Certification Prepares Auditors Reviewing Practices for URAC PCMH Achievement

Washington, DC – July 19, 2011 – URAC’s (PCMH) Programs have brought a new approach to medical home recognition to the marketplace.  The recent release of the URAC PCMH Practice Achievement has intensified demand for URAC PCMH Auditor Certification.  Auditor Certification prepares those entities whose responsibility will lie in auditing health care home practices on their degree of successful achievement of the PCMH standards.

URAC PCMH Auditor Certification supports third party review of practices while assuring practices and providers that these audits are performed by qualified health professionals.  URAC’s PCMH Auditor Certification is targeted at health care management organizations such as medical home pilots, health plans and practice consulting organizations among others.

Like most URAC accreditation programs, practice success is validated by an onsite review, this is unique in medical home recognition programs.  In the URAC approach, a practice must undergo an onsite audit to demonstrate that the standards have been successfully implemented, verifying that practices are meeting the standards along with supporting the practice during the process.  The URAC PCMH Auditor Certification program encompasses compliance with URAC’s Core Module Standards, Business Associate requirements, a URAC observation onsite of the auditor, and annual auditor training and reporting requirements.

A recent report from the Medical Group Management Association (MGMA) showed URAC’s PCMH Achievement as meeting all of the “Guidelines for Patient-Centered Medical Home Recognition and Accreditation Programs,” which addresses requirements of medical home programs.  URAC was the only organization that required a URAC Reviewer or URAC PCMH Certified Auditors for on-site assessment.  The MGMA report is available at http://www.mgma.com/Store/ProductDetails.aspx?id=1366580.

Organizations Seeking URAC PCMH Auditor Certification
A number of organizations have already begun working toward URAC PCMH Auditor Certification to prepare for the reviews practices will begin seeking toward URAC PCMH Achievement.  These first-adopting organizations include:

  • BHM Healthcare Solutions
  • Coventry Health Care of Florida, Inc.
  • Medical Advantage Group
  • Practice Transformation Institute (PTI)

For additional information or if you have any questions about URAC PCMH Audit Certification, please contact URAC’s Business Development Department at BusinessDevelopment@urac.org or call (202) 216-9010.

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For 25 years, URAC has been the independent leader in promoting health care quality through accreditation, education, and measurement. URAC offers a wide range of quality benchmarking programs that reflect the latest changes in health care and provide a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. URAC’s evidence-based measures and standards are developed through inclusive engagement with a broad range of stakeholders committed to improving the quality of health care.

For more information about URAC, contact us.

Interested in accreditation?
Contact businessdevelopment@urac.org

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