EHNAC Accreditation fees are based on an organization’s annual revenue.
Each year, Accredited Organizations must submit an Annual Revenue financial Verification to EHNAC. For new organizations, this is submitted as part of the application process.
How to Determine an Organization’s Size
Organization annual revenue is defined as any and all revenue collected annually for services performed whether electronically or manually, that supports the program being applied for. This includes all services related to electronic transactions, patient statements, customer service, infrastructure, technical performance, business practices, privacy and security and resources.
The revenue from banking/financial organizations is based upon the size of their treasury management operations which is responsible for the healthcare services business line. Healthcare trading partners include such entities as providers (such as physicians and hospitals), labs and ancillary professionals, health plans, medical supplies/distributors and pharmaceuticals.
Note: Proof of six month’s operating revenue must be provided to be considered for accreditation.
|Size||Revenue Amount||Annual Fee||Multiple Program Fee||Site Visit Fee/Site/Day [HISP P&S] As of 1/1/20||DTAAP-CA & RA PMSAP & EPCS SV Fee/Site/Day As of 1/1/20|
|Very Small||Under $3M||$3250||$1625||$4000 / $5000||$6000 / $7000|
|Small & Outsourced Orgs||Greater Than $3 Less Than $8M||$4250||$2125||$4000 / $5000||$6000 / $7000|
|Medium||Greater Than $8 Less Than $20M||$8500||$4250||$7000 / $8000||$9000 / $10000|
|Med/Large||Greater Than $20 Less Than $50M||$13000||$6500||$7000 / $8000||$9000 / $10000|
|Large||Greater Than $50M Less Than $75M||$20000||$10000||$7000/ $8000||$9000 / $10000|
|Very Large||Greater Than $75M||$26500||$13250||$7000/ $8000||$9000 / $10000|
Note: Federal, state, and non-profit organizations are included in the Small Size above.
Each site visit fee is considered one day.
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 for 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 on the organization’s accreditation year (the same time schedule as the site visit fee).
Outsourced Program (OSAP)
The Annual Fee is for this program is $4,250 per organization regardless of revenue. The Site Visit Fee is $4,000 per site regardless of the revenue.
When an organization uses a third-party Cloud Service Provider (CSP), the CSP must be FedRAMP certified, and additional criteria apply within the accreditation program(s). The additional fee for organizations using a CSP is $2,000 regardless of the number of programs applied for. This fee is paid on the organization’s accreditation year (the same schedule as the site visit fee).
The fee categories are the same for each accreditation program. The Annual Fee is paid each year and all other fees are due every other year on the accreditation date.
Site Visit Fees for Organizations that have HITRUST Certification
If an organization included privacy and security with HITRUST, and the scope followed the PI, there is a $1,000 discount on the SV, if the organization has successfully completed HITRUST Certification.
Site Visit Fees for Sites Outside the US
Site Visit Fees for sites that are Outside of the US are $4000 per day in addition to the standard Site Visit per day Fees (plus travel expenses). See International Travel Process for additional fee details. See International Accreditation page for definitions and details. Travel expenses are not included and will be invoiced after the site visit(s).
Accredited Organizations Adding New Programs between Accreditation Cycles
If an accredited organization indicates a desire to add an additional program [other than PMSAP and EPCS] between accreditation cycles, and has the same sites to review, the Multiple Program Fee will apply, and a $3,000 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 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.
If the new program was added prior to the 1-year accreditation anniversary, then it was included in present/current accreditation. If the new program is added post the 1-year accreditation anniversary, then the candidate is accredited and bypasses the next accreditation cycle, unless there are changes.
Example if the accreditation date is 6/1/20 and the new program is added before 6/1/21 it will be incorporated into the current  accreditation cycle and be included in the next  accreditation. If the new program is added after 6/1/21 only changes will need to be reported during the next  accreditation and it will be incorporated into the following  accreditation cycle.
CAQH CORE & DirectTrust.org members Discount
CORE certified entities 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 or a DirectTrust.org member when submitting its Application. View the CAQH CORE website for more information about CORE certification.
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 $225/hours for the site reviewer time per additional submission of documentation.
Lockbox Site Visits
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: The table below is provided as a guideline 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.