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.
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.
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.
In partnership with the Maine Osteopathic Association (MOA), Patient360, LLC (P360) has been selected by the Centers for Medicare and Medicaid Services (CMS) as a Qualified Clinical Data Registry (QCDR). This marks the second year of QCDR status for P360.
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.
Most people hate change. It’s hard and often challenging. However, change can also be an opportunistic adventure. At the end of the day, it doesn’t matter whether you like change. In the world of CMS reimbursement, change requires expanded participation… or in 2017, any participation! In short, participate or be penalized. Medicare is giving out “gifts”, and there’s no fat man running around in a red suit this time of year. No, this is literally as easy as getting a participation trophy in t-ball these days.
Evidence based medicine (EBM) has become the mainstay for insurance denials; i.e., the evidence that standard deviations should not be normative and the foundation for why doctors should be automatons in how care is provided before ever thinking about the uniqueness of the patient. This philosophy is now upon us.
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.
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.