Description
Gain a better understanding of the CMS Quality Reporting Program, ValueBased 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 feeforservice program to a complex payment system that hinges on physicians’ participation in valuebased payment programs. Physicians, practice managers, and thirdparty vendors that offer health information technology solutions must meet various regulatory requirements to ensure successful participation in valuebased 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.
Date: 2022-02-24 Start Time: End Time:
Learning Objectives
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
AHIMA ,Additional credit may be available upon request. Contact Lorman at 866-352-9540 for further information.
Scott Weinstein-McDermott Will & Emery
