New designation means improved quality reporting to optimize patient outcomes.
In partnership with the Maine Osteopathic Association (MOA) and the Maine Medical Association (MMA), Patient360, LLC (P360), a Manchester, Maine based firm has been selected by the Centers for Medicare and Medicaid Services (CMS) as a Quality Clinical Data Registry (QCDR). The firm is a leader in the national healthcare quality data outcomes sector and was one of the original 2007 Patient Quality Reporting System (PQRS) registries. As a QCDR, P360 affords Eligible Providers (EPs) opportunity to submit non-PQRS measures. EPs are any provider with a National Provider Identifier (NPI) who are paid via Medicare’s fee-for-service model. The ability to submit non-PQRS measures is important as it expands participation in national quality reporting while optimizing reimbursement from CMS and other payers. The PQRS program is a small part of the expanding CMS (and other payers’) compensation methodology focused on quality outcomes vs. only production units (e.g., numbers of tests, visits, surgeries, etc.).
P360 previously had 12 measures approved for their target clients in Orthopedic Neuromuscular and Osteopathic Manipulative Medicine (NMM/OMM), Chiropractic, Physiatry, Physical and Occupational Therapy, Podiatry, and Sport Medicine. Despite the more than 400 existing PQRS measures, these specialties struggled to find acceptance necessary to participate in the quality measure pool. Top-tier practices submitting traditional PQRS measures in 2015 saw as much as a 30% increase in Medicare payments. With these newly introduced QCDR measures, EP participation will climb, along with improved patient outcomes.
Unlike PQRS, commonly referred to as “pay for reporting” and avoids payment reduction by simply reporting data at least once annually, P360 and other QCDR entities will require quarterly reporting based on quality and performance. This more frequent reporting obligation affords participating providers/groups the ability to regularly and frequently modify regimens and/or modalities of care to elevate efficacy based on real-time outcomes. P360 Founder/CEO, Doug Jorgensen expresses: “We are thrilled to see CMS recognize metrics that impact true quality of care for our target provider audience. While reimbursement optimization is important, patients in pain and their caregivers have had limited opportunity to empirically demonstrate how pain management, pharmaceutical or other, is most optimal while also seeing comparative data from peers across the country.”
The Maine Osteopathic Association (MOA) is one of the most robust and active osteopathic associations in the country and is committed to assisting its physicians in providing the highest quality healthcare. The Maine Medical Association (MMA) was founded in 1853 only six years after the American Medical Association making it one of the oldest active medical associations in the country. Both the MOA and MMA remain active advocating for interests of the provider community both legislatively and via grassroots efforts.
P360 was founded in 2007 and has successfully reported for 99.99% of clients since inception. The patent pending technology allowing this customized reporting service continues to evolve to directly integrate with nation-leading electronic medical record and practice management systems. For more information on P360, please contact Amanda Lord at ALord@Patient360.com or (800) 537-4473.