Health Network Solutions, Inc. (HNS) stands alone as the oldest and largest chiropractic network in the Southeast.

To ensure fair and consistent decision-making in the CPR program, HNS has developed criteria for use in determining the appropriate course of action regarding health care professionals whose "average cost per patient" is outside the HNS range of acceptance.  Criteria are reviewed at least annually for opportunities for improvement and may be modified at any time by the QUM Committee.

The following information clarifies the courses of action that HNS may take when under-performance is identified. Any single action, or a combination of actions, may be taken.

1. Place the provider on Probationary Status.
   
   
2. Provide an additional period of time to improve performance of up to 90 days.
   
   
3. Provide an additional 12 month probationary period.
   
   
4. Change of status to Exempt/Other or Pending Review.
   
   
5. Terminate the provider's Practitioner's Participation Agreement.
   
   
6. Require the provider to review all HNS standards, policies and the policies of HNS contracted payors, and submit attestation including his/her agreement to comply.
   
   
7. Require the submission of a written corrective action plan.
   
   
8. Require the submission of copies of clinical and financial records for review for compliance to HNS standards and policies.
   
   
9. Require the provider to obtain specific, additional continuing education.
   
   
10. Other such actions as deemed appropriate by the HNS QUM Committee.

If HNS requests that the provider comply with any of the requirements listed above, HNS will provide specific dates by which the requirement(s) must be met.  Failure to comply with the requirements by the dates specified may result in termination of the provider's participation.