Practices Count On athenaPractice’s Advanced Value-based Care Reporting Metrics
Getting paid for services provided is the most basic hurdle for any business, including practices, to clear. Sadly, it’s increasingly difficult for practices to get paid today due to regulatory conditions and increasing burdens on patients to pay “out of pocket” for services.
In this business climate, it’s more essential than ever to tighten the ship and have clear visibility into both clinical and financial data. That’s why we offer a suite of value-based care solutions and reporting products to give all the insight you need in a value-based care environment. It takes more than a custom practice management configuration to make sense of the practices’ cash flow and other essential data points that serve as indicators of population health and practice health.
Identify Claim Denial Patterns to Reduce Future Denials
Wouldn’t it be nice to use technology to sniff out problem claims before they’re denied? It sounds like a dream, but in this case it’s a dream come true for practices with DenialsIQ. DenialsIQ identifies hidden claims denial patterns and groups them based on root causes. This helps you surface insights into why the claims were denied and to quickly address multiple charges as a group. Put DenialsIQ to work for your practice and take the guesswork out of the appeals process, improve workflows, and reduce future denials before they occur.
Comprehensive Financial Reporting
Insights Into Practice Health
Many of our partners in medical practices rely on athenaPractice’s comprehensive financial reporting to demonstrate the health of their business and reveal key areas for improvement. From appointment to reimbursement, your team can use these reports to track every aspect of the practice’s revenue cycle. If your practice needs more advanced reporting options, we will customize the data flow and make it all understandable and available in familiar Excel pivot table functionality.
Quality Reporting Requirements Made Simple
Make sure your practice “measures up” with these two Quality Reporting tools. The Centers for Medicare and Medicaid Services (CMS) actively incentivize practices to meet new federal quality care standards. Starting with Meaningful Use, and now with the Quality Payment Program, CMS and participating clinicians are working together to promote effective, safe, efficient, patient-centered, equitable, and timely care.
But how do you measure your practice’s progress in these key areas and receive the payment you’ve earned in the process? The short answer is you can rely on Quatris Healthco to help support your practice’s quality improvement initiatives, and provide the reports needed for value based payment.
Clinical Quality Reporting (CQR)
Clinical Quality Reporting (CQR) is a cloud-based reporting tool for Quality Payment Program (QPP) attestation. For most practices, demonstrating quality care is hard enough as it is. That’s why it’s important to apply CQR today to simplify reporting and capture your practice’s performance at the patient level. With Clinical Quality Reporting in place, your practice can:
- Visualize year-to-date progress toward program goals
- View weekly measurement updates to help identify problem areas
- More readily focus on the measures that need improvement
- Link to individual patient records as proof points
Quality Submission Services (QSS)
Now that you’ve successfully captured all the clinical data that CMS requires, use our Quality Submission Services, in conjunction with athenaPractice, will submit your individual provider or group practice quality data directly to CMS.
This service reduces the administrative burden of quality data submissions and audits, making it easier to avoid payment adjustments for failing to submit data. To use Quality Submission Services, your practice must also be a member of the Medical Quality Improvement Consortium (MQIC). Members agree to contribute de-identified data for purposes of secondary use in clinical research.