PCMH Policies & Procedures Guidebook, 3rd edition - e-book

PCMH Policies & Procedures Guidebook, 3rd edition - e-book

This step-by-step resource—provided in Adobe PDF, ePub and Microsoft Word files—is essential for understanding the NCQA’s Patient-Centered Medical Home (PCMH) recognition program. This resource is newly revised for the November 2017 Standards and Guidelines.

Item # E9061

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Nonmember price: $129.00

Member price: $79.00

Keep informed with the PCMH Policies & Procedures Guidebook: Based on the National Committee for Quality Assurance’s 2017 PCMH Standards and Guidelines – e-book.

The goal of the medical home is simple: to obtain the best possible outcomes for patients by coordinating the medical team’s care with available community resources. This care delivery concept is called a patient-centered medical home or PCMH.

This resource can help your organization no matter where it is in the progression of PCMH adoption. Information in this guidebook can assist in refining patient throughput, education and related processes into a highly functional model, or serve as an outline for the first steps on the journey to becoming a medical home. The PCMH recognition means accepting the imperative to be the most effective coordinator of patient care across all care settings, which may include primary, specialty, ancillary, inpatient and community-based services.

The PCMH circle of care also includes the patient’s family, caregivers and the broader community. This e-book can help your organization in applying for and obtaining recognition as a medical home through the National Committee for Quality Assurance (NCQA) PCMH program. This electronic book with customizable policies is based on the NCQA’s 2017 PCMH Standards and Guidelines.

A step-by-step guide, this e-book assists your coordination of that journey by providing practical infrastructure in the form of concrete policies and procedures aligned with the NCQA’s November 2017 PCMH Standards and Guidelines.

PCMH Policies & Procedures Guidebook: Based on the National Committee for Quality Assurance’s 2017 PCMH Standards and Guidelines – e-book:

  • Offers sample policies and procedures for you to reference as you complete the NCQA PCMH recognition process
  • Helps the developers of the organization’s policies and procedures to best organize their written documentation at any step in the creation or revision process of a policy and procedure
  • Contains samples of policies and procedures you can easily customize, reproduce and implement for your organization
  • Features a job description for a PCMH health coach and protocols for holding team huddles
  • Includes a separate customizable Microsoft Word file that allows you to align the content with your organization

This guidebook provides an effective platform for compliance with “Improvement Activities,” the new reporting category for the Merit-based Incentive Payment System (MIPS). Investing in the PCMH Policies & Procedures Guidebook: Based on the National Committee for Quality Assurance’s 2017 PCMH Standards and Guidelines – e-book facilitates your practice’s successful participation in the government’s new reporting program, which launched on January 1, 2017. By adopting just one of the policies in the guidebook in 2017, you can eliminate the penalty of 4%, which translates into more than $3,000 for most practices!*

*Per the Centers for Medicare & Medicaid Services (CMS), “Clinicians can choose to report one measure in the quality performance category; one activity in the improvement activities performance category; or report the required measures of the advancing care information performance category and avoid a negative MIPS payment adjustment. Alternatively, if MIPS eligible clinicians choose to not report even one measure or activity, they will receive the full negative 4 percent adjustment.” Source: CMS QPP Executive Summary, October 14, 2016. The $3,000 is based on an assumed revenue for the physician of $300,000 with 25% of his/her payer mix in Medicare. “Revenue” is assumed to be a proxy for total allowed charges, to which the MIPS penalty will be applied.

Elizabeth W. Woodcock, MBA, FACMPE, CPC

Elizabeth W. Woodcock is a professional speaker, author and trainer specializing in medical practice management. Woodcock has focused on medical practice operations and revenue cycle management for more than 15 years. Combining innovation and analysis to teach practice operations, she has delivered presentations at regional and national conferences to more than 150,000 physicians and managers. In addition to her popular e-mail newsletters, she has authored several best-selling practice management manuals and textbooks, and published dozens of articles in national healthcare management journals.

Woodcock is a Fellow in the American College of Medical Practice Executives and a Certified Professional Coder. In addition to a Bachelor of Arts degree from Duke University, she completed a Master of Business Administration in health care management from the Wharton School of Business of the University of Pennsylvania.

This is the electronic version of the book. You will receive an email following your order with directions on downloading the electronic files from your mgma.org profile.

With your order, you will receive three files compatible with most e-reader devices, including a PDF file if you wish to download and view it on your computer. Please download the file type that is most useful to you.


You must have an e-book-capable device or e-book software to access electronic books. Examples include iBook, Nook and Kindle.

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