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Sponsored by Lorman Education
Product ID: 409704EAU
 
Credit & Course Provided by:

Understanding and Complying With the CMS Quality Reporting and Incentive Programs

OnDemand Webinar (65 minutes)

Gain a better understanding of the CMS Quality Reporting Program, Value-Based Purchasing Program, and other initiative and incentive programs.At Congress's direction, the Centers for Medicare & Medicaid Services has transitioned physician payments from a strictly fee-for-service program to a complex payment system that hinges on physicians' participation in value-based payment programs. Physicians, practice managers, and third-party vendors that offer health information technology solutions must meet various regulatory requirements to ensure successful participation in value-based payment. This material will help the persons responsible for quality reporting and implementing electronic health records understand the requirements of these regulations and avoid problems that could lead to lower reimbursement. This material will also explain the implications of practices shifting to Alternative Payment Models like Accountable Care Organizations and discuss methods for exchanging Protected Health Information between practices participating in these integrated care models in compliance with HIPAA.

Authors

Scott Weinstein, McDermott Will & Emery

Agenda

History and Evolution of CMS Quality Reporting Programs

• Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier

• Medicare EHR Incentive Program

• Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

• Current Incentive Payments and Penalties

Quality

• Requirements Under MIPS and Alternative Payment Models (APMs)

• Clinical Quality Measures (CQMs) Versus Electronic Clinical Quality Measures (eCQMs)

• Scoring of Quality Measures Under MIPS

• Methods for Reporting Quality Measures

Promoting Interoperability (Formerly Known as Meaningful Use)

• EHR Certification Program and Applicable Certification Requirements

• Review of 2022 Measures and Objectives

• Implications of Application Programmable Interfaces

• Scoring of Promoting Interoperability Performance Category

Improvement Activities

• Reporting Requirements for Improvement Activities

• Improvement Activity Categories and Examples of Improvement Activities

• Future of the Improvement Activities Category

Cost

• Cost Measurement

• Implications of Cost Category

Hospital Quality Programs

• Inpatient Quality Reporting Program

• Outpatient Quality Reporting Program

• Promoting Interoperability for Hospitals

Future of Value-Based Payment - Transition to Alternative Payment Models

• Incentives to Participate in APMs

• HIPAA Implications of APMs