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Accountable Care Organization, ACO, healthcare providers, MIPS reporting services, Quality Payment Program, MIPS reporting, MIPS 2021 reporting, ACO reporting, ACO 2021 reporting, payment incentive program, MIPS Qualified Registry, mips quality measures, mips data submission, doctors, healthcare

Why Becoming ACO Improves Your Quality Payment Reporting?

Overview

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Ultimately, these add up to clinician’s MIPS reporting services, ACO reporting, or Quality Payment Program.

They are usually responsible for people under Medicare, which allows those patients access to a more coordinated care type that is cost-effective.

How Does It Work?

The main goal of an ACO is to provide you with the best healthcare services possible by a team of clinicians. It consists of

  • Primary care doctors and specialists
  • Hospitals, medical centers, and long-term care providers
  • Local services

Together they find the best solutions for your health issues and submit efforts for rendered services as MIPS 2021 reporting data or ACO 2021 reporting data.

It is also the reason why this type of care is better for patients with chronic illnesses, as they require consistent or regular checkups.

The provider considers your health conditions, consults with the team, and gives you the available treatment options. It can be in the form of medications, tests, procedures, preventative measures, etc.

A point to remember is that you can question your care at any moment. There should be transparency between you and the team working with you, and ACO reporting services reflect that.

Advantages for Patients

There are a lot of benefits that patients can get from becoming a part of an ACO, such as:

Better Quality of Care

Easily the most important one, ACO coordinated care is better for most patients as it allows their doctors to share information. This way, they know what they get prescribed for their particular health condition. Moreover, this adds points to the ACO 2021 reporting as a payment incentive program.

Transparency

There is complete transparency between you and your team of clinicians. It is understandable as all of us want to be informed about anything to do with our health.

Your doctors have to tell you everything about your care, including

  • Medical procedures they might need to perform
  • Your medical history
  • Your illness(es) or conditions (those that already exist or the ones that might be a side effect)
  • Prescribed medications

You are also free to ask them anything you believe you need to know regarding the treatments you are going through. It empowers patients and allows you to score more via ACO reporting services or a MIPS Qualified Registry.

Cost-Efficient

If you have different doctors for different conditions, there might have been times you had to get the same test done multiple times. Or you were given a medication that the other didn’t think was necessary. It can be troublesome as it increases your overall healthcare costs and makes you spend more money than required.

When you are a part of an ACO, your doctors can contact and communicate with each other. This way, they are updated on all of your medical histories and can work together with you to find the best solution for your health issues.

They know who prescribed what, when, can discuss if there is a better alternative, etc. It prevents you from spending time and money on unnecessary procedures and medications, which is one of the purposes of the ACO 2021 reporting.

Accountability

There is a higher rate of accountability among ACO-affiliated healthcare providers. That is because you can question them at any step, and they are also supposed to communicate with you about everything.

Another thing is that an ACO is required to show that a team is working for your care. They have to show that you are getting everything you need, even the preventative measures such as screenings or shots. They get assessed upon 23 quality measures, and if they are diligent with your care and remain in touch with you, they get rewarded.

Option of Care Coordinator

If you are unsure about the care provided for you, then you can get a care coordinator. It can be someone like a social worker or a nurse who can help with the procedures you are going through and act as a liaison between you and your healthcare team.

They can also monitor, evaluate the care provided, and even supervise or bring together the specialists you might require.

How to Become a Part of ACO?

There are a few ways you can come under the care of ACO, such as,

Joining Through Your Doctor

If your doctor is a part of an ACO, then you can be assigned to their ACO. Also, the ACO itself should inform you if your doctor is a part of one and explain how it will affect your care.

No Changes Required

You do not need to change your primary doctor or even others that are currently working with you. It is perfectly acceptable for you to continue with your preferences, as you are free to go to any healthcare provider, you choose. Moreover, from physicians’ point of view, their quality payment program shifts to ACO reporting services.

to services to require data without using any services as per the environment.

Conclusion

There are advantages to becoming a part of an ACO, as stated in the benefits above. The main thing is that there is communication between you and your healthcare-providing team.

But what you need to remember is that it is not necessary. You can say no when it comes to sharing your information and even change your team of providers if you think they are not the right fit for you. However, as a physician, what’s important is that you gather information accurately and consult ACO reporting services to handle your administrative load for quality data submission.

QPP MIPS, MIPS Quality measures, MIPS reporting services, healthcare industry

How Can Physicians Increase Patient Referrals?

Survival in the healthcare industry is getting tough day by day. The cost factor to provide value-based healthcare services is doing well in patients’ favor, but it’s also been a burden for physicians. While MIPS reporting services, MIPS Quality Measures are the parameters to show progress in terms of interoperability, cost, quality, and improvement activities.

Other than making efforts to earn incentives and bonuses and to remain protected from penalties, MIPS has been a great help. But, first physicians have to meet the criteria of checking 200 patients and bill more than $90,000 for Part B covered services.

Why Referrals are Important?

Referrals are an excellent way to keep up with the high number of patients. Word of mouth from fellow physicians and patients also helps to maintain goodwill in the industry.

It helps to grow the practice and improves the worth of your services rapidly.

How to Increase Referrals for your Practice?

Here are several suggestions upon which medical practitioners can thrive and get referrals without any problem.

  1. Connect with Fellow Physicians

Find those physicians in the industry with which you can build a give and take relationship.

For Instance, if you can refer a patient for any service to another physician, he should be able to do the same for you for your area of expertise.

  1. Increase Patient’s Engagement Level

Make processes easy and less hectic for patients. Such as a simple or automated way of patient scheduling system automatically improves patients’ engagement.

Another way is to send follow up messages to remind patients about their appointments.

These tactics can help to get referrals from patients.

  1. Have a Friendly Behavior at Work

When someone treats you with kindness, it leaves an impact on you. The same rule works for organic referrals. If a physician treats his patients with a smile, listens to them, and take time to make things easy for them, he is more likely to get referrals.

  1. Be Kind to the Staff Working for You

Nurses, physician assistants (PAs), and others spend a major deal of effort and time for the well-being of patients.

Spend time with them, and make small talk to release work stress. In this way, your behavior and kindness will reflect across the board. Not only it does improve your performance but also makes an ideal working environment.

Additionally, it helps to know your staff’s relationships with others in healthcare. Through them comes the goodness for a practice. In fact, physicians can definitely deduce better results from this strategy.

  1. Embrace Technological Innovations

Adopting technology gives points for Improvement Activities (IA) in QPP MIPS. This way you get the reputation of a progressive medical practice and achieve higher MIPS points for incentives.

Medical practitioners can use the following things:

  • Make their own app if possible
  • Create a user-friendly website for their services
  • Figure a way to make the appointment scheduling process easy and automated
  • Use technology to offer support to staff and patients alike
  1. Be Informative & Unique with your Website

The website is the first portal to reach patients. Patients search online about what services they want and what doctor they need.

If you have all the information on your website, it’s easy to get referrals from others against your user-friendliness.

  1. Make Referral Process Easy

Another way to increase patient referrals is by making the referral process easy and simple.

Follow-up services after or during the appointment, thus, play a crucial role. It helps you provide quality healthcare to patients, which you can use to submit MIPS quality measures.

Moreover, if the patient has any problem giving a referral, it is easier for them to seek help from you.

Medical practices can hand over a referral form during the treatment, stating the demographics, reason for referral, and other important information. It is indeed an added step for front desk staff or medical billing services can help cater to this process. The response will be quicker. But, in the long run, it will value your referral sheet.

Given above are just a few ideas to improve physicians’ worth in the industry and get referrals. More referrals mean more patients and ultimately reimbursements and incentives to straighten up revenue cycle management.

So, get started now.

News

MIPS reporting services, Medicare and Medicaid Services, MIPS 2020 Reporting, MIPS 2020, MIPS score, MIPS payment adjustments, MIPS 2020 data submission, MIPS eligible clinicians, MIPS 2020 Data

The Deadline for MIPS 2020 Performance Year Targeted Review Extended

The impact of covid-19 is still not over. We are feeling its after-effects, to say the least. And MIPS reporting services are no exception in this regard.

Due to the lag in 2020, CMS (Centers for Medicare and Medicaid Services) extended the deadline for its targeted review.

The deadline extends to November 29, 2021, until 8 p.m. ET. Now, clinicians, groups, virtual groups, and Alternative Payment Model (APM) entities can request reweighting any category. However, it all happens under the Extreme and Uncontrollable Circumstances (EUC) policy.

Why Is EUC Deadline Extension for MIPS 2020 Reporting Serious?

Well! Now, all MIPS 2020 eligible clinicians have the authority to review their final MIPS score, individually or as a group. Moreover, they can also go through their MIPS payment adjustments

It is also important to review every single detail in order to avoid penalties of any sort. Because it is observed that some clinicians have also received a penalty for reporting Medicare Part B claims in 2020.

What This Program Is All About?

Under the EUC policy, CMS is also granted to reweight any category to 0% in case of the no MIPS 2020 data submission. However, this condition applies only to MIPS-eligible clinicians that qualify for group, virtual group, or APM entity participation.

Having said that, if any medical practice compiles Medicare Part B claims for 2020 as an individual and group! It could lead to negative payment adjustments for clinicians who were not eligible to report as individuals but the group.

So, Review Your MIPS 2020 Data Scrupulously!

MIPS 2020 eligible clinicians must take this opportunity to review all their data as an individual and group to keep a check on the impact on the non-eligible clinicians of their facility.

What you or your MIPS reporting services can do on your behalf is to see if your group data meets the performance threshold. If yes, it is fine. Otherwise, ask for a review for a score below then 45 MIPS points.

So, hurry up! Time is running out.