excellence as a priority

Our Providers Quality
Payment Program

SBN USA LLC provides Quality Payment Program services that assist medical practices in meeting the quality care criteria required to succeed under the CMS healthcare guidelines.

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HEDIS / Care Gaps


Quality Payment Program for
Providers by CMS.

It is an undeniable fact that healthcare providers aim to receive fair reimbursement for their services while adhering to the CMS provider quality payment program. At SBN, we simplify the process of complying with HEDIS quality measures by offering services such as data abstraction, care gap analysis, and population health management.

Our QPP healthcare suite is specifically designed to assist medical providers with the Merit-based Incentive Payment System (MIPS). Our specialists work with medical practitioners to ensure they meet the quality payment program measures. With SBN, healthcare providers can maximize incentivized payments and minimize penalties. Our team of HCG experts ensures that providers receive the highest possible score on quality performance, resulting in positive payment adjustments and avoiding penalties.

The Quality Payment Program for Our Providers.

At SBN, our mission is to assist healthcare providers in achieving success with the CMS Provider Quality Payment Program. We provide a range of services to support HEDIS/care gaps, PCMH, MIPS, CCM, and RPM.

Initial practice assessment

SBN provides an initial practice assessment, during which our team evaluates and reviews your practice according to the NCQA standards. This assessment will help establish a roadmap for achieving your PCMH recognition and certification.

Site visit facilitation

We arrange for NCQA CCEs to conduct on-site visits and assist you in meeting PCMH certification requirements. This will guarantee that your practice is ready for the site visit and that you have a clear understanding of what to expect.

Quality improvement consulting

Our quality improvement consulting services aim to enhance your performance on quality measures. Our consultants can deliver personalized assistance tailored to your requirements, helping you strategize, plan, and execute quality improvement initiatives.

Gap analysis and report

We will furnish you with a comprehensive gap analysis report to assist you in comprehending the areas where your practice needs to improve to comply with the PCMH standards. This will enable you to concentrate on making progress towards certification.

Data Analysis and Reporting

Our data analysis and reporting services aim to assist you in comprehending your performance data. We can help you pinpoint areas that require improvement and monitor your progress over time, allowing you to make informed decisions about quality improvement initiatives.

Chart reviews

Our approach to chart reviews is collaborative and inclusive of providers in the process. Our objective is to identify opportunities for quality improvement while adhering to the highest standards to ensure the protection of patient privacy and confidentiality.


Let SBN assist you in converting your medical practice into a medical home. Our expertise and knowledge will guide you through the transition, providing you with the resources and assistance you require to ensure that your practice is capable of delivering coordinated patient-centered care. Contact us today to learn more about our services.

We will collaborate with you to create a personalized approach for your PCMH certification and recognition needs, taking into account factors such as practice size, care coordination, patient-centered medical home (PCMH) model functionality, and more. To assist providers in adhering to PCMH requirements, SBN offers a range of tools and resources, including training modules, process templates, and reporting tools. We also provide support and guidance to help providers implement the PCMH model in their practice.


The requirements for HEDIS and Care Gap can be challenging for healthcare providers to keep up with since they are constantly changing. Providers may lack the resources or personnel to comply with all requirements, which can be time-consuming and burdensome. Failure to comply with these requirements can result in financial penalties for providers.

To alleviate these challenges, we offer a comprehensive gap assessment to identify areas of noncompliance. Our customized remediation plans help bridge gaps in care, and we provide ongoing quality improvement support to ensure continuous compliance. Our aim is to simplify compliance for medical practices and healthcare providers, enabling them to focus on delivering quality patient care.

Extended - The Quality Payment Program for Our Providers.

At SBN, our mission is to assist healthcare providers in achieving success with the CMS Provider Quality Payment Program. We provide a range of services to support HEDIS/care gaps, PCMH, MIPS, CCM, and RPM.

Application Submission

Our team of experts at SBN will assist you in submitting your application to the NCQA. We have a thorough understanding of the National Committee for Quality Assurance (NCQA) standards and requirements and will work with you to ensure that your application meets all the necessary criteria.

Identifying care gaps

We’ll assist you in recognizing gaps in care, devising plans of action to close them, and delivering continuous support to guarantee your patients receive the quality care they require and deserve. By doing so, we can enhance your quality measures.

Recommendations for Improvement

After conducting an analysis of your practice, SBN will offer suggestions for enhancing your operations. Our team will collaborate with you to implement these recommendations, ensuring that you meet the PCMH standards and improve the level of care you provide to your patients.

Ongoing technical assistance

Throughout the process of achieving PCMH recognition and certification, we offer continuous technical assistance to address any issues that may arise due to changes in the standards or procedures.

Reporting & Software Solutions

Spark Billing Network offers regular reports to primary care providers that detail the data collected on their patients, as well as any changes in their condition. Through our software solutions, we are able to collect and store vital information, including daily readings taken by patients through their devices.

Providing Quality Improvement Education to Your Staff

We offer a range of care gap services, including educational materials and workshops aimed at improving your staff’s knowledge of quality improvement topics like HEDIS, the Provider Quality Payment Program, and PCMH. We collaborate with you to enhance your HEDIS scores.


We offer software solutions that are seamlessly integrated and of high quality to facilitate remote patient monitoring. Our goal is to enhance your reimbursement without any inconvenience by streamlining the device optimization and claims submission process.

Our experienced professionals will collaborate with you to design a customized program that caters to the unique requirements of your patients and practice. You can count on us to provide regular support and feedback to ensure that you maintain the highest standards of care.

With our team continuously monitoring your patients’ progress, you can have peace of mind that we will intervene whenever necessary. Additionally, our comprehensive reports will provide you with detailed insights into each patient’s progress, enabling you to make well-informed decisions about their treatment.


Although participating in the MIPS program is essential to receive full payment for your services, it can be perplexing and daunting.

Fortunately, SBN USA LLC provides valuable MIPS services to help your medical practice succeed under CMS guidelines. With our support, you can attain a high MIPS score and avoid negative payment adjustments. Transform your medical practice into a medical home today!

CCM services

Collaborating with our team of professionals, we’ll develop a customized care plan for every patient, which our software will automate and monitor their progress. Our care management team creates a comprehensive plan, and you implement it.

Our CCM services assist healthcare providers in meeting CMS guidelines’ quality care standards. We offer a variety of services that can be tailored to your organization’s specific requirements. We provide not only the necessary resources and tools to achieve success, but we also offer continuous support to ensure that you maintain the required quality standards.

What Clients Say About Us

Here are some testimonials from our valued clients, who have graciously shared

their positive experiences with our services. We take pride in assisting them in

achieving their business objectives and appreciate their kind words.

Services for Monitoring Patients Remotely.

SBN USA LLC’s remote patient monitoring services enable you to deliver exceptional care to your patients, regardless of their location. Our team of professionals collaborates with you to design an individualized care plan for each patient, which our software automates and monitors their progress.

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