NBPAS Meets all National Accreditation Standards for Health Plans
This includes the standards put forth by the National Committee on Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC). While these acronyms may be unfamiliar to physicians, these additions are a critical component in being accepted by health insurance carriers nationwide.
● Significance of this milestone: NBPAS and its physician diplomates are often asked if NBPAS is an “acceptable” form of board certification. This idea of being “acceptable” is commonly misunderstood. Neither the NCQA nor URAC have ever required board certification for health insurers. NCQA and URAC only require Primary Source Verification (PSV) to verify the highest level of a physician’s education and training.
NBPAS performs Primary Source Verification and therefore meets the NCQA and URAC requirements for health plans.
● The Results: NCQA added NBPAS to their 2022 standard updates (see below), while URAC removed all references to requiring specific board certifications.
NCQA 2022 Standards Update:
If your hospital currently does not accept NBPAS, please share this update with them. This is an important requirement for reimbursement and could help advance your request to add NBPAS board certification at your hospital. Please reach out to us if you have any questions.
Spread the news, ask your colleagues to join NBPAS. Together we can provide physicians a choice in how they want to maintain their board certification.
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