Do you have questions about our network?
Here are answers to some frequently asked questions about PTPN. If you have any further questions, please contact us.
Questions & Answers
PTPN was founded in the belief that the professional expertise and personal commitment of the private practitioner deliver the best value and the highest level of service to both patients and payers. Our financial incentives are aligned for your benefit because we don’t have such conflicts of interest in our ownership as corporate or physician ownership that would drive up costs and utilization. And the PTPN Outcomes Program gives you unprecedented data about provider outcomes and treatment results. Take the PTPN Challenge to learn more.
For most PTPN programs and services, there is no cost to the payer. The vast majority of PTPN revenue is derived from annual provider dues.
No, PTPN charges its providers a flat annual fee. In some states this fee may be related to business volume. PTPN contractors pay our providers directly, so the money does not pass through our office.
Absolutely. You can contract with PTPN locally, regionally or nationally.
Yes! PTPN’s credentialing program, which exceeds NCQA standards, has passed every on-site audit. PTPN is delegated credentialing for 98% of our payers nationally.
Yes. We have a comprehensive Quality Assurance Program developed and refined since 1985.
The PTPN Outcomes Program lets you compare the performance of PTPN providers to national benchmarks, giving you the data you need to monitor network quality.
No. PTPN has strict membership standards, including independent ownership, continuing education, Medicare certification, ratio of aides and assistants to therapists, and geographic requirements. Only after meeting PTPN’s unique criteria, and passing both an on-site review and primary source verifications, are new providers enrolled.
Certainly! PTPN often acts as the intermediary between providers and payers on claims issues, being listed as a preferred provider, quality issues and more.
PTPN sends out regular notifications to contractors on new providers, terminated providers, address changes, etc.