Omega Pediatrics is a leading pediatric primary care practice in Roswell-Alpharetta Georgia. We provide the most accessible care with hours of service up to 9 pm on weekdays as well as telemedicine access for the convenience of busy families. If you are on Blue Cross Blue Shield of Georgia HMO plan, below is a description of the group of providers taking care of the HMO patients.
Quality Care Providers, Inc.
Quality Care Providers, Inc. (QCPI) is an invitation-only primary care physician network with headquarter in Atlanta, Georgia. The company was founded in 1993 as a non-profit corporation with a mission to lead a group of selected primary care physicians in the delivery of top-quality and efficient medical care to Georgian residents. In order to promote total care, Quality Care Providers, Inc. helps to deliver coordinated and comprehensive long-term wellness and preventive care of the whole person, rather than a focus on acute episodic care, familiar with the medical home for all patients. To achieve this, the company provides readily accessible care that is compassionate and integrated with a personal patient-physician relationship which helps to promote improved quality and safety in the care of patients.
QCPI and BCBSGA
QCPI partners with Blue Cross and Blue Shield to provide a wide range of health care services to individuals and groups of employees and their dependents. Thus, beneficiaries can choose from a variety of group medical, dental and vision insurance plans to meet their health needs. The QCPI network is comprised of physicians in the following specialties:
Quality Care Products
Quality Care Providers, Inc. (QCPI) as a primary care physician network helps manage the following health care products offered by Blue Cross and Blue Shield Healthcare Plan of Georgia, Inc.:
The Gatekeeper Products, which currently are:
BlueChoice Healthcare Plan, the health maintenance organization (HMO) product; and
BlueChoice Option, the point of service (POS) product; and
The Open Access Products, which currently are:
Blue Direct HMO;
Blue Direct POS; and
Blue Open Access HMO and POS.
The Gatekeeper Products and the Open Access Products are collectively referred to as the “Blue Cross Products”. The Quality Care Providers, Inc. (QCPI) network of Primary Care Physicians (PCPs) participates in the “Blue Cross Products” through their contractual relationship with QCPI which does not involve in any other Blue Cross Products.
Quality Care Providers, Inc. (QCPI)’s HMO Plans
The Health Maintenance Organization (HMO) plans provided by QCPI are part of the Blue Cross Products offer by Blue Cross and Blue Shield. The HMO plan allows you to choose a Primary Care Physician (PCP) from a network of local physicians provided by QCPI. You will be referred to in-network specialists or hospitals that meet your health needs.
We remain the only clinic in Georgia that is open routinely for primary care up to 9 pm on all weekdays.
Quality Care Providers, Inc. POS Plans
The Point of Service (POS) plans provided by QCPI are part of the Blue Cross Products offer by Blue Cross and Blue Shield. The company ensures the design and implementation of QCPI’s clinical incentive programs including its Clinical Quality Integration and identifies strategies that increase clinical quality. The QCPI’s point of service plan (POS) is a managed health care plan that combined the features of the HMO plan and that of the PPO plan together. Like an HMO, participants are allowed to designate an in-network physician to be their primary care, provider. More also, like a PPO; if desired, patients are permitted to go outside of the provider network for health care services.
QCPI’s Recruitment of Physicians
The Quality Care Providers, Inc. (QCPI) often engages in a series of comprehensive credentialing process before accepting physicians into their network. Some of the conditions physicians must fulfill before they can be considered for engagement within the QCPI’s network include the verification of the following:
Education and training (must complete a 3-year post-graduate training program in primary specialty)
DEA License (unrestricted)
Board certification and maintenance of certification
Malpractice coverage and history
20 hours direct patient care, 4 days per week
After verification of these items, the company analyzes its network needs and the applying physician’s history, practice, and ability to fulfill the network’s needs. QCPI has several working Committees of the Board which works to ensure the organization meets its goals and objectives which include recruitment of qualify and worthy physicians. Once QCPI accepts you as a physician into its network, the company’s clinical staff may provide a personalized orientation for you.
WE ACCEPT ALL INSURANCES
Omega Pediatrics Difference: At Omega Pediatrics in Roswell we understand the challenges that parents face when their children develop symptoms late in the day or after hours. Many pediatric offices rarely see patients after 4 pm however we are open every weekday up to 9 pm for both appointments and walk-ins. We also have telemedicine via evisits for our known patients. Our clinic is one of the easily accessible pediatric primary care clinics in Roswell and Alpharetta. We provide pediatric primary care to families in the North Fulton area and beyond, serving families that live in Milton, Sandy Springs, Johns Creek, Duluth, Cumming, Woodstock-Canton and beyond.
Immunizations and checkups after-hours: One advantage of switching to Omega Pediatrics for your child’s primary care is that you can bring your child in for immunization or annual checkup after regular business hours. We provide this service because we have a passion for what we do and we want to be a comfortable and convenient service, not the ordinary pediatric doctor’s office.