Quality / Credentialing Program
 

PTPN’s Credentialing and Quality Assurance programs are among the most important benefits of selecting PTPN as your outpatient rehab network:


Credentialing Program

  • Our Credentialing Program ensures—at no cost to you—that every PTPN provider meets the highest quality standards in the industry. Our member providers must meet credentialing requirements that exceed other networks’ and state licensing requirements, and surpass those that accrediting bodies such as NCQA (National Commission for Quality Assurance) require for physicians in managed care plans.
  • Also, PTPN is the only outpatient rehab network in the region that performs on-site inspections as part of the credentialing process. We evaluate everything from office cleanliness to accessibility to documentation during this on-site visit, so you can rest assured that your members or employees are referred to the top rehab providers in their communities.
  • PTPN’s credentialing program has passed every payer audit with a score of 95 percent or higher.
  • Therapist performance is reviewed regularly through on-site re-credentialing, to ensure that each continues to conform to PTPN’s strict membership criteria.
  

Quality Assurance Program

  • Unlike other networks, PTPN has a comprehensive quality assurance program that includes utilization management, documentation review and patient satisfaction, to ensure appropriate treatment and monitor for over-utilization.
  • Our unparalleled utilization review program serves as your watchdog, reviewing cases to make sure that treatment matches the needs of the patient and that treatment is producing the desired clinical outcome. PTPN’s utilization management team continually monitors, evaluates and optimizes health care resource utilization within the network.
  • Patient satisfaction surveys are a key component of the QA Program. Recent patient satisfaction surveys conducted revealed that more than 95% were satisfied with the services they received by PTPN practitioners, felt the treatment they received was beneficial, and would recommend PTPN to friends or family.
  • Research demonstrates that our quality = results. PTPN providers who participated in a national outcomes measurement program delivered 62% more functional improvement for each dollar spent than the national average, while delivering 97.9% “very satisfied” ratings from patients.