Complete PCMH Services to Help Your Practice Earn Recognition

Paymedics helps healthcare providers create a connected, organized, and patient-centered care experience through our Patient-Centered Medical Home (PCMH) services. We handle the entire process from documentation to accreditation and make sure all steps are done the right way to meet national quality standards. Our goal is to help healthcare providers improve care quality, reduce administrative work, and achieve better results for both patients and care teams.

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What Is PCMH and How Paymedics Helps You Get Recognized By NCQA

The Patient-Centered Medical Home (PCMH) is a care model that puts the patient at the center of the healthcare system. It is not just about where care is delivered; it is about creating a more connected, organized, and patient-focused experience. Rather than only attending to patients when they are feeling unwell, PCMH promotes long-term, trustworthy relationships between patients and care teams.

At the core of this model is the primary care doctor, who leads a team of healthcare professionals to make sure patients get the right care at the right time. But for a practice to become officially recognized as a PCMH, it requires careful planning, time, and detailed documentation, and that is where Paymedics plays its part.

We make it a breeze for healthcare providers to follow and apply the PCMH model in real life by managing the complete process for them. From application setup, documentation handling, and policy preparation to team training, mock reviews, and post-recognition support, Paymedics looks after all the complex work. While your care team stays focused on patients, we make sure everything runs smoothly and meets PCMH requirements.

Our experts align your practice with PCMH principles such as easy access, high-quality care, and clear communication, turning the model into a real, working system within your clinic. For us, it is more than just a service, basically it is a commitment to helping providers deliver better care, improve practice efficiency, and create a smoother, more satisfying experience for both patients and providers.

What Is NCQA PCMH Recognition?

NCQA (National Committee for Quality Assurance) is the most widely adopted PCMH program in the USA. It is basically an official organization that examines and certifies healthcare practices on the basis of quality, safety, and patient-centered care.

Earning NCQA PCMH Recognition is no small task. It requires time, documentation, and complete alignment with national quality standards. But with Paymedics by your side, that challenge turns into a smooth, guided process from start to success. When a practice earns NCQA PCMH recognition it means they have met strict national standards for delivering care that is:

Structured

Patient’s care is being well-managed across doctors, specialists, and facilities.

Available

Patients can reach their care team whenever they need to, not just during office hours.

Committed to Quality

Medical Practices use feedback in a positive manner to continuously improve care outcomes.

Comprehensive

All areas of a patient's health such as physical, emotional, and preventive, are addressed.

Patient-focused

Care decisions are made by taking patients’ preferences and needs into account.

Why NCQA PCMH Recognition Matters for Healthcare Providers?

Earning NCQA recognition isn’t just a badge it’s a proof of excellence that benefits both your patients and your medical practice:

Drives better outcomes

With better communication, follow-ups, and care planning, patient satisfaction and health outcomes naturally improve, creating a win-win for patients and providers.

Builds trust

NCQA PCMH recognition gives a sense of trust to patients that they are receiving care from someone who is officially recognized.

Increase Payments Flow

NCQA-recognized practices qualify for higher payments and incentive programs from payers.

Improves efficiency

PCMH practices saves care team time, simplify workflow and reduce repetitions.

Looking to transform your practice with PCMH recognition?

Paymedics makes it simple to get started. We are here to guide you, whether you have a question, want a quote, or need help figuring out where to start.

PCMH vs. Traditional Care Models: What’s the Difference?

Feature

Traditional Care

PCMH Model

Patient Relationship

Traditional Care:

Focused on individual visits

PCMH Model:

Long-term, relationship-based care

Care Team

Traditional Care:

Mainly provider-focused

PCMH Model:

Team-based, including nurses, assistants, and more

Care Coordination

Traditional Care:

Often limited

PCMH Model:

Care that follows the patient

Access to Care

Traditional Care:

During office hours only

PCMH Model:

Offers care even after office hours

Chronic Care Management

Traditional Care:

Reactive, based on patient visits

PCMH Model:

Proactive, provides ongoing regular support

Use of Technology

Traditional Care:

Usually basic record-keeping

PCMH Model:

Integrated EHR systems and patient portals

Payment Focus

Traditional Care:

Paid for each visit or service

PCMH Model:

Payment based on the quality of care and how well patients are doing

Our PCMH Services at Paymedics

We make it easy for healthcare providers to meet PCMH standards with ease. Our team of PCMH specialists takes care of the whole process, from preparing your practice to helping you stay on track after recognition, so you can prioritize care for patients. Here is how we help:

PCMH Project Management & Application

We handle all the planning, scheduling, and steps required to get PCMH recognition. We make sure that everything runs smoothly and complies with NCQA regulations from start to finish.

Staff Support and Coaching

We work closely with your care team, giving clear guidance, training, and ongoing support. Our experts help your staff understand how the PCMH model works and how to apply it in everyday care.

Policy Review and Revisions

Our PCMH consultants review your practice’s current policies and help update them to meet PCMH requirements. We make sure your practice aligns with the latest quality care standards.

Documentation Review and Preparation

We organize and prepare all the documentation required for your PCMH application. This saves you time, helps you avoid confusion, and prevents any delays.

Mock Review Before Submission

Before you officially submit your PCMH application to the NCQA, we perform a practice run, which is like a final check to make sure that everything is complete and correct. We thoroughly review your documents, processes, and policies to spot any gaps or issues.

Post-Submission Support

We stay with you, even after you submit your application. We help you answer any feedback, finalize recognition, and plan the next steps to keep things running smoothly.

Committed to Care Coordination

Your practice should not just treat patients during their visits but also help them with what comes next, like referring them to the right specialists, making sure they do follow-up tests, keeping track of hospital visits, and checking in after appointments

Use of an EHR System

Your practice keeps patient records digitally, which helps your team share information, coordinate care, and report clearly; all important for PCMH recognition

Team-based Approach

Your staff works together to support patients, not just during the visits but before or after the appointments too.

What Makes a Practice Eligible for PCMH Recognition?

Before starting the PCMH process, it is important to know whether your practice meets these key readiness criteria:

Established Primary Care Structure

Your practice already delivers primary care and is set up to manage long-term patient relationships.

Focus on Quality and Improvement

Your practice is open to tracking how things are going, improving workflows, and improving patient care.

Does this sound like your clinic? Then you’re already closer than you think. Paymedics is ready to guide your practice every step of the way. We will handle the complete process, so you can focus on providing great care while we help you achieve PCMH recognition.

Join healthcare providers across the U.S. who’ve simplified PCMH recognition with Paymedics.

Benefits of the PCMH Model

Choosing to become a PCMH-recognized practice is a smart step towards more organized, patient-centered healthcare. Here is what makes it worthwhile:

Benefits of the PCMH Model

Care works best when it is connected. PCMH helps your care team stay connected and share information, so patients receive comprehensive and well-coordinated care.

Align With Payers

The importance of PCMH is acknowledged by many insurance companies. Practices that meet PCMH standards are given bonuses up to $6 for Medicaid Managed Care Plans per member per month and $29 per claim for State Medicaid, as it shows your practice offers high-quality and well-organized care.

Improve Staff Satisfaction

When everyone on the care team knows what to do and works well together, job satisfaction improves. Clinics with PCMH recognition often see happier staff and reduced burnout.

Enhance Patient Experience

Patients feel the difference. They feel more informed, more confident, and more supported in their care. In fact, 83% say their health improved through care received under the PCMH model.

Better Manage Chronic Conditions

Whether it is heart disease, diabetes, or any other chronic illness, PCMH helps manage it better through structured care plans and regular follow-ups.

Support State & Federal Programs

Following PCMH standards aligns your practice naturally with the goals of many government healthcare programs, such as Medicaid and more. This helps your practice stay up-to-date and competitive.

MIPS Advantage for PCMH-Recognized Clinics

Care works best when it is connected. PCMH helps your care team stay connected and share information, so patients receive comprehensive and well-coordinated care.

Lower Healthcare Costs

PCMH helps cut down on emergency visits, repeated tests, and overlooked health issues by focusing on prevention and early care. This leads to lower overall healthcare costs.

Improve Access to Care

With extended hours, telehealth options, and advanced systems, PCMH makes sure patients can reach care more easily, when and where they need it.

Why Choose Paymedics for Your PCMH Journey?

Choosing the right partner makes all the difference. Here’s why providers trust Paymedics:

Complete Support

From training your team to preparing for mock reviews, we take care of everything under one roof.

Focus on Healthcare Providers

We know you are busy caring for your patients. That is why we take care of the time-consuming admin work, so you can stay focused on giving care.

Experienced in PCMH Standards

Our team includes NCQA-certified PCMH experts who bring deep experience in PCMH recognition. They guide practices through every step from assessment to submission, maintaining compliance and maximizing success under the latest NCQA standards. We make sure that nothing is being missed and everything is completed correctly, from documentation to policy details.

Committed to patient-centered care?

Let Paymedics help you earn PCMH recognition & improve your healthcare practice performance.
 Dr. Karen Lee
Pediatric Practice
With Paymedics handling our billing, our collections have consistently been above 85%. They also handle patient-billing communications which has improved satisfaction. Highly recommended.
 Dr. Samuel Nguyen
Orthopedics
Their team understood our specialty’s coding challenges and negotiated better payer contracts for us. Our reimbursement per procedure went up, and we finally feel they have our back.
Rebecca Gomez, COO
Urgent Care Network
Transitioning to Paymedics was the easiest business change we’ve made. They took care of the credentialing, migrating our legacy data, and we experienced minimal disruption. Now we see faster payments and fewer surprises.

Request a Free PCMH Consultation Today