Organization fees are based on revenue.
How to Determine an Organization’s Size
Revenue from an organization is defined as any services performed either electronically or paper-based that supports the program applied for. This includes all electronic transactions, patient statements, customer service, infrastructure, technical performance, business practices, privacy and security and resources.
The revenue from banking organizations is based on the size of their treasury management operations handling the healthcare services business line. Healthcare trading partners include such entities as providers (such as physicians and hospitals), labs and ancillary professionals, payers, medical supplies/distributors and pharmaceuticals.
Note: Six months of operating revenue must be provided to be considered for accreditation.
|Size||Revenue Amount||Annual Fee [As of 1/1/18 New Pricing]||Multiple Program Fee [As of 1/1/18 New Pricing]||Site Visit Fee/Site/Day As of 1/1/18 New Pricing]||DTAAP PMSAP & EPCS SV Fee/Site/Day [As of 1/1/18 New Pricing]|
|Very Small||Under $3M||$2750 / $3250||$1375 / $1625||$3750 / $4000||$5500 / $6000|
|Small & Outsourced Orgs||Greater Than $3 Less Than $8M||$3500 / $4250||$1750 / $2125||$3750 / $4000||$5500 / $6000|
|Medium||Greater Than $8 Less Than $20M||$7000 / $8500||$3500 / $4250||$6500 / $7000||$8500 / $9000|
|Med/Large||Greater Than $20 Less Than $50M||$11000 / $13000||$5500 / $6500||$6500 / $7000||$8500 / $9000|
|Large||Greater Than $50M Less Than $75M||$16500 / $20000||$8250 / $10000||$6500 / $7000||$8500 / $9000|
|Very Large||Greater Than $75M||$22000 / $26500||$11000 / $13250||$6500 / $7000||$8500 / $9000|
Note: Federal, state non-profit organizations are included in the Small Size above.
For Accredited organizations the Annual Fee is due every year prior to the anniversary of the accreditation date. For new organizations this is paid as part of the applicant process.
Multiple Program Fee
The Multiple Program Fee occurs when an organization applies for accreditation in more than one program. The Multiple Program Fee applies to each additional program(s) applied for and is based on the organization’s combined program revenues. This fee (or fees) is paid like the site visit on the accreditation year.
The Annual Fee is $3,500 per organization regardless of revenue. The Site Visit Fee is the same as the Small Size per site regardless of the revenue.
Site Visit Fees for sites Outside the US
Site Visit Fees for sites that are Outside the US are $4000 per day in addition to the standard Site Visit per day Fees (plus travel expenses).
The fee categories are the same for each accreditation. The Annual Fee is paid each year and all other fees are due every other year on the accreditation date.
CAQH CORE, HBMA & DirectTrust.org members Discount
CORE certified entities, HBMA members and DirectTrust.org members can take advantage of a one-time discount. For CORE this applies to CORE Phase I and/or Phase II certified entities. The partnership program discount is $400 for organizations with annual revenue below $75 million, and $600 for organizations with annual revenue above $75 million. The entity will indicate that it is CORE certified, an HBMA member or a DirectTrust.org member when submitting its Application. View http://www.caqh.org for more information about CORE certification.
Accredited Organizations Adding New Programs between Accreditation Cycles
If an accredited organization indicates a desire to add an additional program [other than DTAAP,PMSAP and EPCS] between accreditation cycles, and has the same sites to review, the Multiple Program Fee will apply and a $1,500 desk review fee is also assessed. If there are additional sites to review, then the applicable Site Visit Fee and associated travel expense costs apply.
If the new program was added prior to the 1 year anniversary then it was included in present/current accreditation. If the new program is added post the 1 year anniversary then the candidate is accredited and bypasses the next accreditation cycle, unless there are changes.
Example if the accreditation date is 6/1/13 and the new program is added before 6/1/14 it will be incorporated into the current  accreditation cycle and be included in the next  accreditation. If the new program is added after 6/1/14 only changes will need to be reported during the next  accreditation and it will be incorporated into the following  accreditation cycle.
If an accredited organization adds either DTAAP and/or EPCS between their accreditation cycles, a Site Visit would be required to review the additional material that will be submitted in the Self-assessment.
Site Visit Fees
The Site Visit Fees for the DTAAP, PMSAP and EPCS programs are listed separately.
Site Visit Fees for sites that are Outside the US are $4000 per day in addition to the standard Site Visit per day Fees shown above (plus travel expenses).
Travel expenses are not included and will be invoiced after the site visit(s).
In addition to the Site Visit Fee, when a self-assessment process requires subsequent resubmissions of the documentation to meet the criteria after the site visit is completed, there will be a charge of $200/hours for the site reviewer time per additional submission of documentation.
For organizations with multiple lockbox facilities and for OSAP applicants that have sites that perform the same function and which demonstrate adherence to the same policies and procedures, a site visit rotation will be used to accredit the candidate as shown in the following table. NOTE: This table provides guidelines only, as the number of sites requiring a visit may be increased based on such factors as newly acquired sites, sites that do not currently comply with standard policies and procedures, or other factors where additional visits are determined to be required.
|No. of Sites||Site Visits Required||No. of Sites||Site Visits Required||No. of Sites||Site Visits Required||No. of Sites||Site Visits Required|
To compute your estimated fees, please click here for a cost calculation table.