FAQ Directory: Patient-Centered Medical Home (PCMH)

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5.29.2018 CC 06 & CC 07 May a practice use credentialing information to meet CC 06 and CC 07?

No. Credentialing—although important to a clinician’s ability to practice—is not a specific indicator of performance or quality information. Practices must use performance data to evaluate the quality of specialists or consultants to whom they send patients. Performance data can be qualitative or quantitative and may be gathered from external reporting sources (e.g., PCSP recognition, CMS public reporting) or may be internal based on criteria defined by the practice (e.g., evaluating a specialist’s timeliness in returning referral reports, evaluating whether patients had a positive experience). 
 

PCMH 2017