FAQ Directory: Physician and Hospital Quality Certification

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8.24.2018 What organizations are eligible for Physician and Hospital Quality Certification?

In general, any organization that operates a physician measurement program or hospital transparency program is eligible for certification. This includes, but is not limited to:

  • Health plans.
  • Provider networks.
  • Collaborative measurement organizations.
  • Information providers.

Organizations that meet these criteria are also eligible:

  • Operate a physician measurement program or hospital transparency program, as defined in the standards.
  • Are responsible for responding to complaints from consumers and to requests for change from physicians or hospitals based on the organization’s actions.
  • Comply with applicable federal, state and local laws and regulations, including requirements for licensure.
  • Operate without discrimination based on sex, race, creed or national origin.

Note: There are other eligibility criteria. Refer to the standards and guidelines document available in the NCQA eStore.