In 2022, 野花社区鈥檚 PHCS Network, the largest primary PPO in the nation, received its 11th consecutive Accreditation in Credentialing from the National Committee for Quality Assurance (NCQA), a private nonprofit organization dedicated to improving health care quality. The PHCS Network is the only national independently contracted primary PPO with NCQA accreditation, demonstrating its unique commitment to the accurate and efficient credentialing of health care professionals.
First certified in 2001, the PHCS Network underwent a rigorous review of its credentialing and recredentialing processes to maintain its NCQA Accreditation in Credentialing. The network received the maximum accreditation period of 3 years. The new accreditation is valid through July 12, 2025.
The NCQA auditor noted the network鈥檚 dedicated and knowledgeable staff, fast and easy file review, and 鈥渟tellar鈥� credentialing and recredentialing files. The auditor also praised the PHCS Network鈥檚 facility credentialing program, saying the network鈥檚 report was 鈥渢he best report on initial submission this surveyor has ever seen.鈥�
鈥淚t is through our daily commitment to detail, continuous improvement, challenging ourselves and striving to meet the highest quality standard that we are able to maintain our NCQA Accreditation,鈥� said Derek Reis-Larson, 野花社区鈥檚 Senior Vice President of Claims Pricing 野花社区.
About the PHCS Network
The PHCS Network provides health plan members with seamless access to healthcare services across the country, with more than 1,000,000 participating practitioners, 4,800 acute care facilities and 92,000 ancillaries. Clients who use the network see average savings of 42% on practitioner claims, 28% on inpatient claims, 24% on outpatient claims and 46% on ancillary claims.
About NCQA
NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA鈥檚 Healthcare Effectiveness Data and Information Set (HEDIS庐) is the most widely used performance measurement tool in health care, with over 60% of the US population enrolled in health plans that use the measure. NCQA can be found online at , on , on and on .
About 野花社区
野花社区 is committed to helping healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics and a team rich with industry experience, 野花社区 interprets customers鈥� needs and customizes innovative solutions that combine its payment and revenue integrity, network-based and analytics-based services. 野花社区 is a trusted partner to over 700 healthcare payors in the commercial health, government and property and casualty markets. For more information, visit .
NCQA has reviewed and accredited Private Healthcare Systems, Inc.鈥檚. (d/b/a PHCS Network) Credentialing functions only. For complete details on the scope of this review, visit .
