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Coordinated Care Delivery Is the Way Forward & ACO is the Answer!
The focus on value-based healthcare services via Quality Payment Programs and APM solutions is not a hidden agenda. The reimbursement process has gotten stricter, and payers’ policies have become more precise and detailed.
So, here’s what you can do!
Eligibility Requirements
If you meet these requirements, you are eligible to form an ACO and report data to maximize services.
SAVE YOUR ADMINISTRATIVE EXPENSES BY FORMING AN ACO
An ACO (Accountable Care Organization) allows different clinicians, groups, and hospitals to voluntarily devise a system where Medicare patients receive coordinated healthcare services.
P3Care – The MIPS Qualified Registry has hundreds of clients that have been working in an ACO, and we, as their partner, assist their reporting needs.
OUR GOAL – YOUR ACCOMPLISHMENT IN RCM
Our dedicated ACO Reporting consultants understand your expectations and highlight areas of opportunities for maximum benefits.
Forming an ACO is a way to resolve issues, learn from the peer best practices, and overcome cost issues by adapting the hi-tech elements. So, why not get incentives over it by submitting data efficiently.
A CLOSER LOOK INTO THE ACO REPORTING PROCESS
Do you know ACOs have to report at least 10 Quality Measures?
CMS Web Interface will be obsolete in the upcoming years, and eligible organizations will then have to report three APP eCQMs/MIPS CQMs via a Qualified Registry. The administrative burden is too much to handle as you would be busy handling your patients. So, let our experienced consultants take the job to manage.
We Can Share Your Administrative Share!
Know About the Performance Categories of ACO Reporting
CMS, like MIPS reporting services, has a standard to measure the success of an Accountable Care Organization.
Altogether, there are four domains that you must cater to in order to unlock the earned shared savings.
Are You Interested in Earning Shared Savings?
Quality Measure Set
| Measure Number | Measure Title | Collection Type | Submitter Type |
|---|---|---|---|
| #001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | eCQM/MIPS CQM/CMS Web Interface | APM Entity/Third-Party Intermediary |
| #134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | eCQM/MIPS CQM/CMS Web Interface* | APM Entity/Third-Party Intermediary |
| #236 | Controlling High Blood Pressure | eCQM/MIPS CQM/CMS Web Interface* | APM Entity/Third-Party Intermediary |
| #321 | CAHPS for MIPS | CAHPS for MIPS Survey | Third-Party Intermediary |
| #479 | Hospital-Wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups | Administrative Claims | Not Applicable |
| #480* | Risk Standardized, AllCause Unplanned Admissions for Multiple Chronic Conditions for ACOs | Administrative Claims | Not Applicable |
These Quality measures are part of the APP measure set to manage chronic health conditions among Medicare beneficiaries. You have to report data at least 70% of eligible patients, regardless of payer type, to prove your mettle as an ACO. P3Care experts will help you maximize your reporting efforts with efficient resources.
APM Performance Pathway and ACO Reporting
This year, 2021, is the last year when you can report data via the CMS Web Interface. Moving forward, your partnership with a MIPS Qualified Registry will be more beneficial to help you compile data as per the CMS requirements.
Remember that the latest reporting requirements require ACOs to report only three measures. What more they want is to align the ACO reporting with the QPP MIPS reporting services. Most clinicians are already familiar with the MIPS reporting requirements. They are in touch with the third-party registries to cater to the administrative load. Thus, it is a great chance for clinicians to improve their revenue cycle management by aligning MIPS efforts with ACO.
Our MIPS consulting firm will help you aggregate all data, specific to your specialty and send them accurately to CMS. We have a system where we bring together relevant data, review your workflow, and select quality measures accordingly.
Be Prepared for Successful ACO Reporting
Our consultants implement strategies that focus on providing high shared earnings to access qualified resources. We have the tools and knowledge to make your reporting process impeccable.
Make the Most of Your Reporting Process – Consult P3Care!
Access the Advanced Healthcare Resources & Capture the Coordinated Care Delivery Benefits
Access the advanced healthcare resources and capture the coordinated care delivery benefits
As time goes by, the healthcare industry is more and more focused on providing quality care. An ACO, therefore, fills all gaps where a clinician may lag behind others, so a better approach is to come under a roof where technology incorporation and collaboration hold the priority positions to offer quality delivery.
Looking for Technical Assistance for ACO Reporting?
Capture the Essence of ACO Reporting with P3Care
You still have time to go through the transition period! Choose the result-oriented company to help you with the accurate reporting process. And, if you are already looking for one, you’re on the right platform.
We primarily provide HIPAA medical billing services and MIPS consultancy, among other services. As your HIT consultant, we optimize providers’ performance for improved RCM.
3200 E Guasti Rd Suite 100, Ontario, CA 91761, United States
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