Maximize Your Performance and Increase Reimbursement
T he shift from reporting-based to performance-based clinical quality measures has demanded robust data capture, integration, continuous measurement and comparison against performance benchmarks. Process and outcome measures crossover into Medicare, Medicaid and Commercial programs as organizations manage their adult and pediatric populations with the same evidence-based guidelines. Successful payer and provider organizations recognize the importance of timely measurement, integration of both clinical and financial data and the ability to engage with providers to improve clinical coding and quality action capture in the EHR.
SPH Analytics is a CMS-approved Qualified Clinical Data Registry (QCDR) and Qualified Registry that can extract and aggregate clinical data from multiple EHR systems and payer files, calculate quality measures, and compare your performance against national benchmarks. The data collection process is streamlined to alleviate labor-intensive, manual processes for practices and providers. The solution helps providers gain visibility into their quality measure results throughout the year so proactive steps can help improve performance for CMS submission or commercial payer reporting.
Additional Solution Benefits:
- Patient lists to close gaps: Enable your providers with patient lists to close care gaps and improve quality metrics during workflow.
- Multi-payer quality improvement: Calculate and report on measure performance across Medicare and non-Medicare patients to support all payer quality improvement initiatives. Ability to build custom commercial measures available.
- Provider comparison: Compare measure performance and patient contribution across providers.
- Maximize payments: Achieve quality metric goals to maximize value-based reimbursements, avoid financial penalties, or earn shared savings and bonus payments.