BPCI Application Forms

Archway will help you submit your application to CMS based on the information you provide in the forms below.  These simple online forms are a convenient way to submit the application information we need and make sure we meet the March 12th, 2018 deadline.

If you start and cannot complete the forms online in a single session, you will be able to email to forms to yourself so you can complete them at a later time.    

As always, feel free to contact us if you need help with the application questions. 

Section 1.  BPCI Advanced General Application Questions

This form gathers information about your prior experience with BPCI and quality initiatives and EHR systems.

Time required: 15-20 minutes.

Prepare to Answer these Key Questions:

  • Describe the applicant's and its participating organization's prior or current experience with any NPRA Sharing or pay-for-performance initiatives
  • Describe the applicant's, its participating organizations', and its participating practitioners' experience reporting quality measures, including the system(s) through which these measures were reported
 
 

 

Section 2.  Participating Organizations Form

Overview: This form gathers basic information about your hospital.

Time required: 5-10 minutes.

Prepare to Answer these Key Questions:

  • TIN Number
  • Date Established
  • Street Address
  • NPI
 

Need Help? Have Questions? 

Our applications project manager is happy to help or answer any questions.

Email Ryan McCaffrey:

rmccaffrey@archwayha.com 

Or schedule a time to talk with us here:  

 https://calendly.com/rmccaffrey/apphelp