We've helped both large hospital systems and small provider practices stay compliant with Meaningful Use, the Physician Quality Reporting System, Patient Centered Medical Home and more.
Medicare payment policy has evolved from the cost- and charge-reimbursement approach to a policy that rewards improved patient care and increase operational efficiency. The enactment of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), and its 2016 policy ruling, established the Quality Payment Program (QPP).
To help providers navigate the QPP's Merit-based Incentive Payment System (MIPS), Purdue Healthcare Advisors is guiding 3,500 Indiana providers toward value-based care through the Great Lakes Practice Transformation Network (GLPTN) and the Quality Payment Program Resource Center for the Midwest (QPP-RC). Our subject-matter experts can help you:
- understand upcoming MIPS Payment Year 2019 reimbursement changes;
- enhance your participation in legacy program such as the Physician Quality Reporting System (PQRS), the Medicare Meaningful Use (MU) Incentive Program, and the Value-Based Modifier to transition into MIPS performance;
- determine implications of MIPS Pick Your Pace options in 2017; and
- establish a Chronic Care Management program to leverage new Medicare billing code changes.
Find out whether you are a MIPS-eligible clinician.
Boosting metrics and improving care
Are you seeing lower-than-expected MIPS Composite Quality Measures (CQMs)? We can work with you to improve these metrics and your overall score with the application of Lean Daily Improvement (LDI), a continuous improvement process run at the point of service so it doesn't disrupt your day-to-day activities.
We also can help you achieve Patient Centered Medical Home (PCMH) recognition, which can lead to higher quality and lower costs, and can improve patients’ and providers’ experience of care. We've guided clients to PCMH by enhancing their ability to manage their patient populations; track/coordinate care; and measure/improve performance.
We'll help you determine PCMH eligibility; guide you in transforming your practice using PCMH standards and guidelines; and assist you with preparing your submission for recognition to the NCQA or other recognizing body. Formal recognition has many benefits. The majority of PCMH practices recognized by NCQA receive financial rewards from their state Medicaid agencies or commercial insurance companies.
For Lean Daily Improvement and/or PCMH recognition, contact PHA Senior Advisor Natalie Stewart at (765) 496-1265 for contract pricing.
Lean Daily Improvement helps improve chronic care management enrollment at multiple sites
Multi-specialty healthcare provider establishes protocol to assess opioid prescriptions for older adult patients
Northeast Indiana primary care applies practice transformation tools to hit MIPS metrics
Drug abuse fighters get training
Federal award provides funds for Purdue to help Fayette County improve local opioid abuse prevention and treatment