Achieve QI

Achieve optimum healthcare quality and qualify for Value-Based Payment Programs.

PCMH Simplified  |  ACO Transformation


Clinical reporting, business analytics, leverage your data – CMS Solutions provides in-depth data capture and  analytics.

Provider Support Services

CMS Solutions offers skilled services to support healthcare organizations daily operations and improvement goals.

Patient-Centered Medical Home

Earn Quality Payments… Become Recognized!

The Patient-Centered Medical Home (PCMH) is a care delivery model whereby patient treatment is coordinated through their primary care physician and in a centralized location to ensure they receive the necessary care when and where they need it, in a manner they can understand.

Value-based payment programs

Value Based Payment (VBP) is a concept by which purchasers of health care (government, employers, and consumers) and payers (public and private) hold the health care delivery system at large (physicians and other providers, hospitals, etc.) accountable for both quality and cost of care.

CMS Solutions

Offers a number of services designed to help

healthcare companies set their mark in healthcare.

CMS Quality Services

All Eligible Clinicians should particiapte in Quality Payment Programs (QPP). Report Merit -based Incentive Payment System (MIPS)  measures or Advanced Alternative Payment Model (AAMP) and participate in improvement activities that optimize clinical practice.

How We Help:

  • Strategic approaches to sustainable success under appropriate care models
  • Guidance in meeting requirements under developing payment models through correct use of revenue codes
  • Support for measure selection aligning to your goals and priorities across MIPS categories
  • Reporting support through our Healthcare Data & Analytics services

CMS offers a number of consulting solutions  to help your organization’s before, during and after completion of the transformation process from basic guidance of project self-management to the comprehensive project facilitation.

Accountable Care Organizations provide coordinated care and chronic disease management while lowering costs.

Medicare offers several ACO programs, including:

  • Medicare Shared Savings Program – For fee-for-service beneficiaries
  • ACO Investment Model – For Medicare Shared Savings Program ACOs to test pre-paid savings in rural and underserved areas
  • Advance Payment ACO Model – For certain eligible providers already in or interested in the Medicare Shared Savings Program
  • Comprehensive ESRD Care Initiative – For beneficiaries receiving dialysis services
  • Next Generation ACO Model – For ACOs experienced in managing care for populations of patients
  • Pioneer ACO Model – Health care organizations and providers already experienced in coordinating care for patients across care settings

“When an ACO succeeds in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.”

Clinical Quality Measures (CQMs) are the vehicle by which organizations validate the level of quality delivered to their patients.

MR Reviews are conducted by CMS Solutions’ team of experienced reviewers, which include Certified Content Experts and skilled healthcare professionals. The analysis compares the organizations care delivery and patient experience against select measures. A comprehensive report of our findings is provided upon completion.

CMS Solutions Healthcare Quality Management is designed to ensure healthcare providers are delivering care that is:

  • Effective,
  • Safe,
  • Efficient,
  • Patient-centered,
  • Equitable, and
  • Timely.

Increase your practice’s efficiency. Let us handle some of the load:

  • Contact Center
  • TransEHR
  • Medical Record Fulfillment
  • Claims Denial Management