The San Juan IPA was founded in 1986 by a group of 21 community physicians to partner with
insurance companies with the goal of improving the quality of care to patients while simultaneously
decreasing the cost of care to those payers. Originally formed with a “Quality Assurance Committee”,
the San Juan IPA has grown to over 450 members representing 39 specialties and sub-specialties
in 70+ offices across New Mexico, a HEDIS quality review function, a Credentialing Committee,
and a care management committee component.
As an NCQA-accredited organization, San Juan IPA’s core services of contracting and
credentialing are complemented by an array of expanding resources for the physician office,
helping keep practice costs low and quality of care high. We continually look for ways to
promote new quality initiatives both within and outside the practice walls for patients and employers.
To ensure that a heath care delivery system is in place, which provides available, accessible and adequate numbers of facilities, locations, and personnel for the provision of health care services.
To ensure that a health plan members are provided covered services without regard to race, color, creed, sex, religion, age, national origin, ancestry, marital status, sexual preference or physical or mental handicap.
To ensure that the SJIPA has in place the organizational and administrative systems capable of messaging medical services contracts between providers and third party vendors
To ensure that the quality of care to all patients continues at the highest level of care possible.
Provide support for community health education and wellness.
ALL San Juan IPA Members and Staff: MANDATORY Annual Training
Is your HIPAA and CMS training up-to-date? Are you aware that all staff within your organization is required to perform Annual HIPAA, CMS Fraud, Waste, and Abuse, and General Compliance Training? If you and/or your staff is not compliant with all of your annual training requirements, San Juan IPA has the tools to get you compliant! You may access the training sessions by logging onto the San Juan IPA website at: www.sanjuanipa.com
HIPAA Training - click on the Resources tab, scroll to the HIPAA section and Click on the San Juan IPA Member HIPAA Training document.
CMS - click on the Resources tab scroll to CMS section and click on the Medicare General Compliance Training and CMS Fraud, Waste, and Abuse Training 2016 (to access the online quiz for these two training sessions please click CMS General Compliance and FWA 2016 Quiz).
Once your training is complete you will need to submit your responses via email to: firstname.lastname@example.org. Please be sure to provide your name and the office you are with so that San Juan IPA can send your results. If you have additional questions, you may call 505-564-7980 option 1 or 2.