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How can we help you?
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Application Process and Information
Thank you for choosing HQAA! We look forward to working with you throughout the
accreditation process. Applying takes just minutes, so don’t wait.
NOTE: The cost of the application is $200.00. HQAA accepts all major credit
cards for this fee.
Application Process
- Complete company information. You will need to provide detailed information
about your company, including name, address, additional locations, etc. Please be
prepared to write a brief description that includes year of incorporation, business
model, delivery of service methods, etc. A list of additional documents needed is
included below.
- Complete payment system application. Once your application is received, we will
send you a confirmation of the final financial obligation needed to complete the HQAA
application process. You may choose to submit a separate application for financing the
process. Further direction will follow, however, financing is not provided through
HQAA and all correspondence regarding financing is confidential and strictly between
you and the financial institution. NOTE: The HQAA application fee is $200.00. HQAA
accepts all major credit cards for this fee.
- Visit your Workroom. As your payment is being processed, you will receive limited
access to the Workroom. TIP: Now is the perfect time to watch the online Qtorial that
explains how to best take advantage of the HQAA process.
- Change your password. After your payment is accepted, you will receive a notice to
personalize your Workroom password. Once your password is changed, you have access to
the Workroom 24/7. TIP: Be sure to bookmark the Workroom page.
BEFORE YOU BEGIN
Gather the following information:
- Tax Identification Number
- Gross reported HME revenue for your entire company, rounded to the thousands
- Address, phone, and fax numbers for all sites to be accredited
- Name, title, phone and fax number of person responsible for accreditation
- 855 or 855-S application form (information from form must match HQAA application)
- Medicare Provider Number(s) for all sites
- National Provider Identifier(s) for all sites
- Medicaid Provider Number(s) for all sites
- Credit card (for application fee and all subsequent Workroom fees)
- Member number to VGM & Associates, if applicable
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114 East 4th St., Suite
200 (zip 50703) |
PO Box 1948 (zip 50704) | Waterloo,
IA | Phone:
866.909.4722 | Fax:
877.226.5564
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