Quality Manager

By | Blog

The CareOptimize Quality Manager is a one stop shop for all items quality related.  We combine all quality, regulatory and incentive programs into one user friendly dashboard.  We will build your Quality Manager specific for your practice and measures.  The Manager will allow you to view programs, measures, patients and encounter dates.  The functionality will also allow you to search a specific patient if desired.

Other features of our Quality Manager include single sign on for certain EHR users.  Single breakdowns by measure, provider or patient. Our module is SSL encrypted for your security.  Real time tracking of your programs so you can easily navigate the road to meeting your practice’s goals.  Care gaps are identified immediately so they can quickly be addressed. With bi-directional integration we can automatically send codes via the Manager to your EHR.  Our Quality Manager is accessible from anywhere.

Our Quality Manager not only allows your user to see an overview of different Quality programs such as MIPS, HEDIS, eCQM measures, it will also allow the user the ability to further explorer specific measures.  Drilling down into the measures will show clinicians any patient gaps that need to be worked and where they need to continue to improve as they continue to provide your patients excellent medical care.

  

 

MIPS Mid-Year Update : Insights Recap MIPS 2018 Mid Year Update

By | Blog
Our insights presentation focused on the mid-year updates for MIPS 2018.  CMS has released 2017 final scores. You can find your score, by logging into to Qpp.cms.com and using your Enterprise Identity Management (EIDM) account.  EHR and Registry entities will not have access to the final scores.  As a reminder 2017 performance adjustments will be applied in 2019.
 
2018 MIPS changes include changes to the definition of Eligible Clinicians.  Also, we will see changes in the minimum thresholds that have to be met by all EC’s to qualify for MIPS.  This year the Quality category will be weighted at 50% of the final scores.  While Promoting Interoperability, formerly ACI will account for 25%.  Improvement Activities will remain at 15%.  We have the addition of the cost category and it will account for 10% of your final score.  Minimum submissions increased 3 points to 15.  We will also see changes in bonus points.  These include Improvement bonus, 2015 Edition Bonus, and End to End reporting bonus.
 
At the mid-year point of 2018, your focus should be first on continued tracking of performances measures.  Staying ahead of performances will help ensure your practice succeeds in 2018 MIPS. If you submitted for 2017, downloading and reviewing your final scores will give you a base to decide if your current measures are the most beneficial.

 

Insights: Quality Manager Overview

By | Webinar | No Comments

We’ve just crossed the mid-year mark. If you haven’t been focused on closing your patients’ 2018 quality gaps, now is the time.

When working on your gap list, it is imperative to compare your findings to your health plans’ findings. CareOptimize’s Quality Manager makes this easy by identifying discrepancies and providing a workflow for resolving them. You’ll also see:
– How to work gaps at the point of care.
– Submitting gap closures to the health plan with just one click.
– A brief peek at our predictive coding tool.

Insights 18 MIPS Mid Year Update

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MIPS continues to be a major risk, with practices who do not participate subject to a 5% penalty. This webinar will cover:

Rule clarification and changes that have occurred since January 1st. Measure clarification and changes that have occurred since January 1st. Your measure calculations may be changing as a result.
Where your practice should be at this point in the year. How we can help support unique workflows and provider documentation.

Capitation and Risk Contracts

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The Affordable Care Act requires health plans spend 80-85% of premiums on medical care, which has created a renewed shift towards capitation and risk contracts. This video provides an overview on how to leverage these new contracts and better align physician incentives to keep patients healthy – all while providing opportunities to increase your bottom line.

Medicaid MU3 in 2018

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Medicaid MU3 is not going away. In this third iteration of the program, there are some significant changes and requirements to note. This 30-minute webinar takes you through the ins and outs of MU3, giving you tips on how you can actually be successful with the program including:

  • How the number of measures is misleading
  • 2018 compared to 2017
  • Whether or not your EHR measures up

MIPS in the 2018 QPP Final Rule

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The 2018 QPP MIPS Final Rule is out. Not only are there some important changes to the structure, but there are also new ways for practices to benefit in MIPS. CareOptimize has pored over the details to bring you what we feel are the most important aspects to ensure your success.
CareOptimize breaks it down for you in this webinar, where, among other things, you’ll learn:
  • Major changes in the 2018 Final Rule
  • How small practices can succeed in MIPS
  • Where you can earn bonus points
  • New thresholds
  • Expanded exemptions

Individual vs. Group Reporting

By | Webinar | No Comments

MIPS allows practices to decide whether providers report as individuals or groups. There are opportunities in making the best choice.
In this webinar, CareOptimize digs deep into the pros and cons of each and what you need to do to ensure you choose the category best for your practice. Topics include:
– The differences between the two categories
– How to determine which is best for you
– What to consider once you’ve chosen
– What the future holds for reporting categories