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The Big FiveHealthcareAccreditationOrganizations– Side by SideComparisonA side by side comparison of URAC, NCQA, TJC, CARF, and COABHM Healthcare Solutions has achieved a 100% success rate for client accreditation, find out how we can assist you:Email: results@bhmpc.comWeb: www.bhmpc.comPhone: 1-888-831-1171
The Big Five Healthcare Accreditation Organizations: A Side bySide ComparisonThe 5 major healthcare accreditation organizations are:URAC –UtilizationReviewAccreditationCommissionNCQA –NationalCommittee forQualityAssuranceTJC – The JointCommissionCARF tiesCOA – CouncilonAccreditationAccreditation is a process by which an impartial organization will review a company’s operations to ensure that the company is conductingbusiness in a manner that is consistent with national standards. Accreditation is a sign of quality and is an important consideration in theirdecision making.BHM Healthcare Solutions has achieved a 100% success rate for client accreditation, find out how we can assist you:Email: results@bhmpc.comWeb: www.bhmpc.comPhone: 1-888-831-1171
Benefits of accreditation, recognition, and certification include: National recognition including recognition by insurancecompanies as well as other third partiesMay be a condition of reimbursement for certain insurers orother payersCommitment to excellence in quality, accountability andpatient safetyCompetitive advantageImproves risk management and risk reductionMay fulfill state regulatory requirementsProvides a framework for creating organizational structureand managementProvides opportunities for ongoing education and trainingCan provide deeming status for MedicareProvides standardization and consistency for processesacross the organizationMay reduce liability insurance costsProvides assurance the organization is current withhealthcare regulationsImproves customer satisfaction ratingsFurther ensures privacy and confidentiality of protectedhealth informationSupports continuous quality improvement effortsEssential toManyContractsMark ofQuality ForPatientsEnsuresCommitmentto QualityBHM Healthcare Solutions has achieved a 100% success rate for client accreditation, find out how we can assist you:Email: results@bhmpc.comWeb: www.bhmpc.comPhone: 1-888-831-1171
ComparisonElementWebsiteURAC (Utilization /NCQA (NationalCommittee for TJC (The JointCommission)URAC, an independent,nonprofit organization, iswell-known as a leader inpromoting health carequality through itsaccreditation, educationand measurementprograms.1980’s600 The National Committeefor Quality Assurance is aprivate, 501(c)(3) not-forprofit organizationdedicated to improvinghealth care quality.An independent, not-forprofit organization whichaccredits and certifiesmore than 19,000organizations andprograms in the UnitedStatesAn Independent, nonprofit accreditor of healthand human services.199040,000 195120,000 19666000 Varies on the type ofaccreditation – includesaccreditation and on-sitevisitVaries on the type ofaccreditation/certificationas well as number ofpractice sites and/or permember per monthcharges, discounts offeredfor multiple accreditations/ certifications – includessurvey fee and processingfeeVaries based upon howprepared the organizationis in terms of policies andprocedures/processesVaries based uponnumber of sites andnumber of visitsApplication fee 995Site Visit Fee (based onthe number of reviewers,the number of days,number of programsbeing surveyed, howmany locations, wherethe programs areprovided, and the size ofthe programs9-12 months for a newsurvey and 6-9 monthsfor F (Commission onAccreditation ofRehabilitation Facilities)http://www.carf.org/Programs/COA (Council ceptionNumber ion Period4-6 months once theapplication is received4-6 monthsThe Council onAccreditation (COA) is aninternational,independent, not-forprofit, child- and familyservice and behavioralhealthcare accreditingorganization.19771800 Application fee 750Accreditation fee (basedon revenue)Site Visit Fee (based onnumber of reviewers)Maintenance ofAccreditation Fee 400annuallyGenerally 9-16 monthsfrom the point a decisionis made aboutaccreditationBHM Healthcare Solutions has achieved a 100% success rate for client accreditation, find out how we can assist you:Email: results@bhmpc.comWeb: www.bhmpc.comPhone: 1-888-831-1171
ComparisonElementURAC (Utilization ReviewAccreditationCommission)2-3 yearsNCQA (NationalCommittee for QualityAssurance)3 years for accreditation2 years for certification3 years for recognitionWho do theyaccredit?URAC accredits manytypes of health careorganizations. Someaccreditations are for theentire organization, andsome focus on functionalareas of the organization.NCQA accreditsorganizations andindividuals ranging fromhealth plans includingHealth MaintenanceOrganizations(HMOs) andPreferred ProviderOrganizations(PPOs) tophysician networks,medical groups, andindividual physiciansNationwideAcceptanceSome states also"recognize" URACaccreditation, meaningthat the accreditation canbe used to meet stateregulatory requirementsinstead of separatereporting to the state. Afew states require URACaccreditation in order forcompanies to do certaintypes of business.The NCQA seal is a widelyrecognized symbol ofquality.AccreditationGrantedTJC (The JointCommission)3 years except laboratoryaccreditation which is 2years, certifications are 2yearsTJC accreditationsorganizations: general,psychiatric, children’s andrehabilitation hospitals,critical access hospitals,home care organizations,nursing homes,rehabilitation centers,long term facilities,behavioral healthorganizations, addictiveservices, ambulatory careproviders, andindependent orfreestanding clinicallaboratoriesJoint Commissionaccreditation andcertification is recognizednationwide as a symbol ofquality that reflects anorganization’scommitment to meetingcertain performancestandards.CARF (Commission onAccreditation ofRehabilitation Facilities)1 or 3 years for mostaccreditation exceptCARF-CFCC which is 5yearsHealth and human serviceorganizationsCARF Internationalaccreditation provides avisible symbol thatassures the public of aprovider's commitmentto continually enhancethe quality of servicesand programs with afocus on the satisfactionof the persons served.COA (Council onAccreditation)4 years except OpioidTreatment Programswhich is 3 yearsHuman serviceorganizationsCOA accreditation isendorsed and recognizedin every state and by avariety of groupsincluding national andinternational humanservice organizations.BHM Healthcare Solutions has achieved a 100% success rate for client accreditation, find out how we can assist you:Email: results@bhmpc.comWeb: www.bhmpc.comPhone: 1-888-831-1171
ComparisonElementURAC (Utilization ReviewAccreditationCommission)NCQA (NationalCommittee for QualityAssurance)ProgramsAccreditationCase ManagementDisease ManagementHealth Call CenterHealth Utilization ManagementIndependent ReviewOrganization ComprehensionIndependent ReviewOrganization: InternalIndependent ReviewOrganization: ExternalWorkers’ CompensationUtilization ManagementWellnessClaims ProcessingConsumer Education andSupportCredentials VerificationOrganizationHealth NetworkHealth PlanMedicare Advantage HealthPlanProvider CredentialingHealth Content ProviderHealth Web SiteHIPAA PrivacyHIPAA SecurityDrug Therapy ManagementMail Service PharmacySpecialty PharmacyWorkers’ Compensation andProperty and Casualty PharmacyBenefit ManagementAbu Dhabi Pharmacy BenefitManagement InternationalPCHCH AchievementPCHCH Auditor CertificationPCHCH ToolkitCredentialing SupportCertificationVendor CertificationCore StandardsAccreditationAccountable Care OrganizationsHealth Plan AccreditationWellness & Health PromotionCase Management AccreditationManaged Behavioral HealthcareOrganizationsNew Health PlansDisease ManagementAccreditationAccreditation Users GroupCertificationCredentials VerificationOrganizationDisease ManagementCertificationHealth Information ProductsUtilization Management andCredentialingPhysician and Hospital QualityMulticultural Health CareAccreditation Users GroupPCMH Content ExpertCertificationPCMH CAHPS DistinctionRecognitionBack Pain Recognition ProgramDiabetes Recognition ProgramHeart/Stroke RecognitionProgramPhysician Practice ConnectionsPatient Centered Medical HomeGovernment RecognitionInitiativeSpecial Needs Plans Structure &Process MeasuresSpecial Needs Plans Mode of CareReview ProcessIn process – Patient CenteredSpecialty Practice RecognitionProgramTJC (The JointCommission)AccreditationAmbulatory Health CareBehavioral Health CareCritical Access HospitalsHome CareHospitalsInternational AccreditationLaboratory ServicesNursing and RehabilitationCenterOffice-Based SurgeryCertificationAdvanced CertificationDisease-Specific CareHealth Care Staffing ServicesInternational CertificationCARF (Commission onAccreditation ofRehabilitation Facilities)AccreditationAging ServicesBehavioral HealthBusiness and ServicesManagement NetworkCARF-CCACChild and Youth ServicesDMEPOSEmployment and CommunityServicesMedical RehabilitationOne-Stop Career CenterOpioid Treatment ProgramVision Rehabilitation ServicesCOA (Council onAccreditation)AccreditationPrivate OrganizationsPublic AgenciesCanadian OrganisationsAfter School ProgramsNetworksHague Accreditation andApprovalMilitary and Family ReadinessProgramsChild Care Expansion ProjectBHM Healthcare Solutions has achieved a 100% success rate for client accreditation, find out how we can assist you:Email: results@bhmpc.comWeb: www.bhmpc.comPhone: 1-888-831-1171
programs. The National Committee for Quality Assurance is a private, 501(c)(3) not-for- . nursing homes, rehabilitation centers, long term facilities, behavioral health organizations, addictive . CARF-CCAC Child and Youth Services DMEPOS Employment and Community Services
