ACO Reporting
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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.

Enter a three-year ACO participation contract

Agree to carry out all ACO contracts or arrangements in compliance with the participation agreement

Provide healthcare to a minimum of 5,000 beneficiaries

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. 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 Revenue Cycle Management

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.

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.

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

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.

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.
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