Evaluation also includes call center performance, dispensing and distribution accuracy, and time to fill for prescription referrals. URAC is specifically looking for pharmacies that have commitment to safe patient outcomes that can help mitigate the economic and patient cost of poor quality.

Once obtained, URAC accreditation is valid for 3 years. Following the 3-year period, pharmacies must apply for reaccreditation.

Accreditation Commission for Healthcare (ACHC)
ACHC has several focus areas that coincide with URAC accreditation; however, there are several key differences and benefits to having ACHC accreditation. Providers seeking to bill Medicare for the services they provide must obtain a Medicare provider number.

To do so, an initial Medicare certification survey must be conducted by either the state authority or through an accreditation organization that has deeming authority granted by the US Centers for Medicare and Medicaid Services (CMS). ACHC qualifies as a deeming authority. As such, pharmacies that obtain ACHC accreditation are able to bill Medicare for qualified products and services.

Pharmacies undergoing ACHC accreditation also must provide information on their organizational and administrative structure, in addition to fiscal and human resources management. Also reviewed are the patient provision of care records, quality of outcomes, and risk management and safety controls.

Continue Reading on Specialty Pharmacy Times