Evidence-Based Healthcare Solutions
 
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Practice Assessment and Standards


Professional Physician/Practice Assessment (PPPA) Registration and Login

CareCore National works with clients to provide a detailed assessment of each professional imaging practice, ensuring that the Health Plan‘s contracted centers meet professional and technical performance quality standards. For your convenience, attached you will find the required forms for the submission of this information as well as for requests for contracts and other required communications pertaining to contracted networks.

PPPA Tutorial Module
Site Visit Program for Imaging Services Providers Education Module
BlueCare Network of MI Network Quality Management Education Module

Accreditation
CareCore National strives to promote appropriate use of diagnostic imaging by the Health Plan‘s contracted primary care physicians, specialty physicians and other health care professionals in office settings.  For your convenience, attached you will find fax forms for the submission of certificates/accreditations pertaining to the Self-Referral Payment Policy.

HIP Fax Cover Sheet for Accreditation
Horizon Fax Cover Sheet for Accreditation
Oxford Fax Cover Sheet for Accreditation
WellCare Fax Cover Sheet for Accreditation

Quality and Equipment Standards Effective November 19, 2013

CareCore Quality and Equipment Standards

Emergency Equipment and Supplies

Image Review Assessment Criteria
Criteria