Accountable Care Organization (ACO) Reporting
The Office of the Inspector General (OIG) issued an alert over its growing concern of data blocking, emphasizing that such activities are in violation of the Federal Anti-Kickback statue. This article explains what data blocking is and the OIG’s stance in its regard.
This Journal of the American Medical Association article reveals the progress achievements of the Accountable Care Organization (ACO) Pioneer model (e.g. $147 million in total program savings for year one in 2012). The essay reveals that most ACOs outperformed Medicare Fee-For-Service models for all 15 quality metrics. Not all ACOs generated savings, as the article confirms nine ACOs have transitioned to the Shared Savings Program, while three have withdrawn entirely. Further improvements are documented in year two, where ACOs demonstrated a mean overall quality score of 84% in 2013 as compared to 70.8% in 2012. They also saved $96 million in year two vs. $87 million in year one.
Electronic Health Records (EHRs)
The Centers for Medicare & Medicaid Services defines certified electronic health record technology (CEHRT) and additional information on such technology certified to the 2014 and 2015 Edition.
This document provides an introduction to the basic terms and concepts regarding EHR contracting.
Group Physician Reporting Option (GPRO)
This 2015 Quick Start User Guide (PDF format) provides information on how to access the ACO GPRO Web Interface and the PQRS GPRO Web Interface.
This Centers for Medicare & Medicaid Services PDF document provides group practices with basic GPRO information, including registration and reporting.
Produced by the Office of the National Coordinator for Health Information Technology, this PDF guide looks into privacy and security and Meaningful Use.
A Centers for Medicare & Medicaid Services introduction (PDF format) to help eligible professionals understand the basics of the Medicare EHR incentive program.
This PDF fact sheet provides information about the 2013 Physician Compare redesign, which includes a more accurate database and improved search features.
This Centers for Medicare & Medicaid Services overview provides information about Physician Compare, as well as its purpose, evolution, and future.
Physician Quality Reporting System (PQRS)
The Centers for Medicare & Medicaid Services PQRS homepage includes information, links, and other PQRS resources.
This Centers for Medicare & Medicaid Services website provides information about PQRS incentive payments and how to read feedback reports.
Quality Reporting & Performance Improvement (QAPI)
This Centers for Medicare & Medicaid Services PDF fact sheet briefly describes the five elements of QAPI.
This Centers for Medicare & Medicaid Services step-by-step PDF guide explains how to implement QAPI in nursing homes.
The Hospital Value-Based Purchasing Program is one of many Affordable Care Act programs Medicare is putting into place to pay for quality instead of quantity. For FY 2016, this Centers for Medicare & Medicaid Services (CMS) report gives a snapshot of how hospitals are performing on several...
The 30-day mortality measures for acute myocardial infarction (AMI), heart failure (HF), and pneumonia (PN) under the Outcome domain
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