Compliance
POPULATION HEALTH MANAGEMENT
Health Systems, Independent physicians, specialists, group networks, ACOs, and other clinically integrated systems.
Clinical
Compliance under all ACA Measures, MACRA, and Quality Payment Program reporting including PQRS and NCQA-PCMH. Care Management services are extensive, including structured recording of patient health information, an electronic care plan addressing all health issues, access to 24/7 care, care coordination and management among all practitioners within the chain of care.
HIPPA/HITECH
HIPAA compliant via patient web portal and through the use of a certified Electronic Health Records, and EMR/EHR network integration.
Care Coaches
Our Care Coaches receive comprehensive training on the most common chronic conditions, as defined by NCQA measures, and, with advanced communication skills training to ensure better interaction with patients and providers. Ensure new law and HIPAA compliance, with measurable employee training and reporting.
HIPPA
Health Insurance Portability and Accountability Act of 1996
MACRA
Medicare Access and CHIP Reauthorization Act of 2015
RAF
Risk Adjustment Factor Score – Increases with Participation and Compliance
Star Rating
CMS Star Rating –
1 point increase from 3 to 4 can result in 13% – 17% increase in revenue.
MIPS
Merit-based Incentive Payment System 2017 – Incentivizes & Penalizes according to participation.