90 Day Reporting – GET ON IT!

With so many outcome and reporting expectations from Medicare and other payers, choosing to report (never mind when, and how) can become just another exercise in provider based procrastination. The Medicare Quality Payment Program (QPP) is a different beast. This is why we are talking about 90 Day Reporting!While CMS (Medicare) is throwing a bone this year by allowing penalty…

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Top 10 Reasons You Should Be Using a QCDR

David Letterman may be gone from regular late-night television, but his Top 10 shtick is still a favorite well past a time when the younger crowd cannot recall who made it popular.  What’s not going away is the Quality Payment Program (QPP) and thankfully, it includes Qualified Clinical Data Registries (QCDR) to personalize and optimize the quality measure reporting experience.  QCDRs…

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Why MIPS EMR Quality Reporting is Risky…

Ok, so you probably guessed I don’t own an EMR (because I am the Principal/CEO of Patient360). However, I have worked on more than nine in the last twenty plus years in medicine both in and outside of hospital systems. The expectations are the same in-house or on your own in the private sector. EMRs should improve care, save money, and help all healthcare providers better communicate with improved data capture.
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Group Practice Reporting: Only 2 Providers per Practice!

2 Providers Reporting for Your ENTIRE Practice… Really?!?!?!

It happens in every practice. One or two docs don’t feel charting is important. It’s an ivory tower attitude. It’s as if Yoda himself proclaimed: “Most important, patient care is.” And to be honest, as a doc, it’s more than a little insulting as the implication is that patient care is somehow NOT the priority of the providers trying to comply with the federal documentation guidelines, the clinical algorithms, preferred drug lists, and now the CMS Quality Payment Program (QPP). While noncompliance may negatively impact revenue, disinterest in, or cumbersome compliance with the QPP reporting metrics no longer needs to be a stressor.

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Lean into Reporting…It’s not going away, but there are some things you can do now to make it 10 times easier!

Decide how you are going to report NOW for 2017. Start collecting data now! If you know the measures now, it doesn’t matter what system you are on, you can build easy ways to track measures if you know what they are.
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Optimal Measure Selection… To “Cherry Pick” or not

When reimbursement is tied to performance (as it currently is in the Physician Quality Reporting System (PQRS) 2016 reporting season), how do we navigate between what is “right” and what will get us paid?

Registries are in high gear now reviewing boatloads of data as providers finalize their 2016 PQRS submissions. What is the best way to honor the supposed Center for Medicare & Medicaid Services (CMS) “spirit” and intention of the program (to improve quality and patient care) and still receive the maximum reimbursements to which the provider believes s/he is entitled to receive for services rendered? As a qualified registry, that has been vetted by CMS, we walk the fine line everyday of providing a balanced response to this question.

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