Provider Enrollment

To be a provider in our programs, a healthcare professional must have completed a required certification program.  A Network Agreement contract must be completed with the ND PSC to become an enrolled provider.  Upon execution of the above, providers must complete approximately one hour of additional training on the clinical software system within 30 days after assignment of their first patient.  There will be additional continuing education requirements to maintain certification that will be established by the Advisory Board.

Providers are expected to provide quality disease state and medication therapy management services to enrolled patients.  This includes maintaining an acceptable environment for service provision such as a private consultation room, high speed internet access, blood pressure equipment, and provided patient education materials.  Providers need to have dedicated time in their schedule to meet individually with patients.  Support staff, such as pharmacy technicians and interns, can be utilized for much of the documentation and data collection.

Program compliance is essential, both from the patient and provider standpoint.  The patient and provider are responsible for making and keeping scheduled appointments.  The patient appointments need to follow the visit outlines provided in this manual.  Educational materials used during visits and provided to patients should be supplied by the clinical coordinator or accessed from the program website.  Providers need to notify the clinical coordinator when patients do not keep scheduled appointments.

Documentation is essential to program success.  Providers must collect the pertinent data detailed in the provider manual and document it in the clinical software system within one business day of the visit.  Reimbursement will not be provided unless all documentation is provided.  In addition to entering visit data and results in the software system, providers also must provide written documentation generated by the software system to the patient, including a visit summary, goals established, and a personal medication record.  This information should also be shared with the patient’s primary care physician and any health professionals to whom referrals were made.

Resources will be available to providers.  The program website is a valuable source of information as well as a means to allow discussion between providers.  The website also contains all program forms and patient education materials available for download and printing.  The clinical coordinator encourages questions and feedback on the program as continuous evaluation and improvement is desired.  Educational opportunities will be presented during various professional association meetings.

CLICK HERE TO REQUEST MORE INFORMATION AND A COPY OF OUR NETWORK AGREEMENT