We understand that as providers, both you and your staff are extremely busy with patient care. Finding the time to spend on processes that are necessary in order to successfully register, attest and comply with MU can often be a struggle. Our team can help you navigate through the specifics of the regulation and it’s requirements, so that you can do what you do best, patient care. The main focal point of the modified Meaningful Use rules is alignment with other quality programs such as the Hospital IQR Program and PQRS. The overall goal aims to simplify the program, drive interoperability between electronic health records and improve patient outcomes. Stage 3 is set to be the final stage of the meaningful use framework, which leverages the structure identified in the Stage 1 and Stage 2 final rules, while simultaneously establishing a single set of objectives and measures designed to promote best practices and continued improvement in health outcomes in a sustainable manner.
The Physician Quality Reporting System (PQRS) is a CMS value based reporting program through which providers collect and submit data on care quality metrics. It is one of the several initiatives that will soon be combined to create the framework for pay-for-performance payment models. Appropriate and actionable measure selection is critical to PQRS reporting success. Monitoring progress throughout the reporting period and following federal protocols for data submission all require a solid understanding of the program fundamentals, timing and processes. The eHealthcare Consulting team is knowledgeable and experienced with the PQRS program for both individual providers and groups. Whether you are reporting electronically or through claims, our team of experts can help you successfully participate in order to avoid PQRS penalties in the future.
The patient-centered medical home is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into “what patients want it to be.” Medical homes can lead to higher quality and lower costs, and can improve patients’ and providers’ experience of care. The primary method to demonstrate PCMH success is by NCQA recognition. The primary care provider (PCP) acts as a centralized hub for the patient, managing his or her need for specialty consults, synthesizing data that comes back from these specialists, and working with the patient’s hospital setting to maintain awareness of emergency events, admissions, and discharges. This relatively small step towards care coordination can prevent at-risk patients from falling through the cracks of the care continuum: a key metric of care quality for inpatient facilities. .
As a result of Medicare Access and CHIP Reauthorization Act (MACRA), physicians now have to begin participating in either the Merit-Based Incentive Payment System (MIPS) or an Alternative Payment Model (APM) to earn additional increases or incur penalties in their Medicare reimbursements. MIPS (Merit-Based Incentive Payment System) is the “roll up” of currently familiar value based programs, Meaningful Use (MU), Physician Quality Reporting System (PQRS) and Value Based Modifier (VBM). The program is set to begin in performance year 2017, with subsequent positive or negative payment adjustments in payment year 2019. Our team can help your practice successfully transition from MU and PQRS to MIPS by staying up-to-date with the latest CMS regulations while understanding your organization’s capabilities. Our team will collaborate and guide your staff in evaluating how to best comply with MIPS objectives.