Data collection for pay-for-performance programs should not interfere with practitioner efficiency or patient care. The data needed to report for pay-for-performance programs should be collected as a natural byproduct of care delivery and should be leveraged to support quality outcomes. EHR technology is a key component of MIPS reporting, but the extraction of required data for reporting can be cumbersome and time consuming. If the practitioner’s workflow is not configured to identify and collect the data elements responsible for quality measures, it can be nearly impossible to identify care gaps concurrent with care delivery, resulting in subsequent re-work to find documentation to resolve the care gaps, or, more probably lower performance scores and payment adjustments.
Knowing the abilities of your EHR system to capture quality data is vital to success with pay for performance programs – especially as the stakes get higher and the penalties become more difficult to avoid. Configuring your EHR effectively so that quality source data can be entered into standard fields and making those fields mandatory can contribute to substantial improvement in reported outcomes.
When choosing quality measures to report, practices should be choosing measures that are:
- Pertinent to their specialty and/or patient focus;
- Associated with standard processes and procedures in place;
- Associated with discrete data fields in the EHR to capture measure-related data elements; and are associated with key performance indicators.
Once the EHR is configured to capture the source data, the practice incurs the expense of technical support to extract, aggregate and compile the measures data. Too often this task is pushed off and treated as lower priority until submission deadlines begin to approach. At this point, it is too late to implement process improvements and to close care gaps.
How do you avoid these issues and earn the maximum incentive you can from your pay-for-performance program? ReportingMD has solutions to all the above and more.
ReportingMD has the requisite technical and programmatic knowledge to help you optimize your performance under pay-for-performance programs. Our dedicated staff will train you on the program, do the research for you, identify optimal measure and reporting strategy and guide you to success throughout the reporting process. Our technical team can extract essential data directly from your EHR, populating our ONC-certified registry while allowing your scarce and expensive IT resources to focus on higher priority initiatives. We will guide you through the measure selection process to ensure you are choosing not only measures that make sense for your practice, but also earn you the highest points.
Our Total Outcomes Management (TOM™) solution will provide you with day-to-day operational visibility. This allows for your practice to see its performance at any time during the year drilled down to the level of provider and patient. TOMTM will keep your practice on track for reporting so that throughout the year you will know your projected scores, financial impact, and identify areas for improvement. ReportingMD has the tools to help you identify and to close care gaps prior to submission as ReportingMD is focused on getting you the maximum performance bonus you can earn from pay-for-performance programs.
The criteria which determine MIPS eligibility are multi-faceted and complex. ReportingMD understands these criteria’s and works with client organizations to optimize incentive performance in the MIPS (and other value-based care programs.)
With the proven experience of our client services team and Total Outcomes Management (TOM™) a powerful measure calculation engine, ReportingMD can help you navigate the complexities of the pay-for-performance landscape.
We were invited by CMS to help develop the MIPS program, which provides our team with unique expertise and a depth of experience that’s unmatched.
Using TOM™, practices can gain operational visibility to the quality performance of their physicians and avoid CMS penalties for non-compliance. TOM™ aggregates data from multiple sources to identify and manage patient care gaps.
The experience of our client services team helps guide measure selection and a reporting framework designed for success. At ReportingMD, we help our clients earn the highest possible performance reimbursement possible.
Learn why mid to large sized healthcare organizations turn to ReportingMD for powerful tools that help improve patient care, improve quality outcomes, and maximize reimbursements.
About the MIPS Program
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is aimed at strengthening Medicare access, improving physician payments, and encouraging better patient care. Among other improvements. Under MACRA, CMS is required to implement a Quality Payment Program (QPP), which offers clinicians and practices two separate tracks: (1) the Merit-Based Incentive Payment System (aka MIPS) track; and, (2) the Advanced Alternative Payment Model (Advanced APM) track.