NSPPP
National Standards for Patient Payment Protection
Founding phase — standards publication, certification enrollment, and the public registry open with the program launch. Request updates.
The auditor program

NSPPP Certified Auditors

A standard means little without verification. NSPPP trains and credentials a national network of independent auditors — practice consultants, experienced administrators, compliance and accounting professionals — who verify each year that a practice can produce the evidence behind its payment conduct. It is a new professional path in healthcare and dentistry, with a public registry listing and a growing base of practices required to audit annually.

  1. Apply and screen

    Application with an enhanced background screening.

  2. Complete the auditor course

    The full body of knowledge plus the NS-4 audit methodology — evidence evaluation, sampling, interviewing, report writing, and independence obligations.

  3. Pass the examination and practical

    A comprehensive proctored exam and a graded practical audit on a sample evidence file.

  4. Join the registry

    Credential issuance, listing on the public registry, and access to the audit platform and engagement queue. Annual renewal with methodology updates and quality-assurance participation.

Independence, by rule. Auditors may not audit a practice they work for or consult with, and are bound by the NSPPP Auditor Independence & Ethics Code. Every audit is subject to quality-assurance sampling.

Two ways a practice is audited

Verified Digital Audit — $299 flat

For practices whose systems can produce a complete digital evidence file that conforms to the NSPPP evidence standard (NS-5). The auditor reviews, tests, and signs a standardized report — typically completed within days, at a flat fee. Annual cadence.

Field Audit — hourly

For practices that cannot produce a conforming digital evidence file, an auditor conducts the review on site — typically an engagement of two to three days at the auditor's hourly rate. Items that cannot be produced are recorded as findings, with a remediation path.

Auditor applications open at program launch. Request updates to be notified when the first cohort opens.