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.

• About the Patient-Centered Medical Home
• PCMH Simplified Consulting
  • Basic
  • Essentials
  • Enhanced
  • Comprehensive
  • Compare
• PCMH Simplified Project Portal
• PCMH Training

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.

• Promoting Interoperability (PI) Programs
• Merit-based Incentive Payment System (MIPS)
• Advanced Alternative Payment Models (AAPM)
• Healthcare Effectiveness Data and Information Set (HEDIS)
• Patient-Centered Medical Home (PCMH)
• Accountable Care Organizations (ACO)

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