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Where can you find recognized practices and
associated physicians -
ANSWER-reportscards.ncqa.org; they are added to the
recognition directory
What happens if a practice does not submit after 90 days of it's
reporting date? 12 months of it's reporting date? - ANSWER-If
practice does not submit after 90 days of its reporting date,
they will have to submit under the accelerated transformation
process, and pay transformation fees. Practices that do not
submit for recognition. After 12 months, they must come
through the full transformation process, pay transformation
fees, and are not eligible for accelerated renewal.
When is the annual reporting date? - ANSWER-30 days before
the practice's
recognition end
date.
Types of evidence eligible to demonstrate performance -
ANSWER-Reports.
,Patient Records. Materials. Examples. Screenshots. Virtual
demonstrations.
Attestations. eCQMs. Transfer credits. Surveys. Data
directly entered in
QPASS.
N/A
What does the new recognition process let NCQA do? -
ANSWER-respond
more nimbly to changes in the delivery of
primary care
Reporting Hotline or Fraud and Misconduct - ANSWER-Toll-
Free Telephone
website: www.lighthouse-
services.com/ncqa
email: reports@lighthouse-
services.com
Fax: must include NCQA's name
with report
How can the audit be completed? - ANSWER-email,
teleconference, webinar,
onsite
Accepting Complaints - ANSWER-NCQA accepts written
complaints from members of public including patients,
members and practitioners regarding recognized clinicians and
practices
, Annual Reporting - ANSWER-1 year after recognition; submit to
demonstrate that practice is committed high quality
performance and continues to enhance
PCMH model
How can practice use a prevalidated vendor? - ANSWER-obtain
letter of product implementation from vendor and attest it is
using the pre-validated functionality
What does NCQA consider when they receive a MAC -
ANSWER-consider
practice data, existing recognition and distinction, expiration
dates and criteria scores of recognized practices involved in
transaction
Who bears the cost of the review for a MAC - ANSWER-practice
does; cost and
impact on recognition is based on NCQA policies in effect
at the time of
evaluation
NCQA Investigation Activities - ANSWER-1. request for a review
of improvements identified or implemented to improve
performance submitted to any state or federal agency
2. telephone contact for gathering info or clarifying info
3. request for submission of documentation or reports to
support compliance or monitoring activities