Getting paid for services provided is the most basic hurdle for any business, including clinics, to clear. Sadly, it’s increasingly difficult for clinics 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. The following suite of reporting products is our way of saying, “We got your back!” It takes more than a custom practice management configuration, and all the latest data to make sense of the clinics’ cash flow and other essential data points that serve as indicators of population health and clinic health.
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 clinics 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 clinic and take the guesswork out of the appeals process, improve workflows, and reduce future denials before they occur.
Many of our partners in medical practices rely on Centricity’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 clinic’s revenue cycle. If your clinic needs more advanced reporting options, we will customize the data flow and make it all understandable and available in familiar Excel pivot table functionality.
Make sure your clinic “measures up” with these two Quality Reporting tools. The Centers for Medicare and Medicaid Services (CMS) actively incentivize clinics 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 clinic’s progress in these key areas and receive the payment you’ve earned in the process? The short answer is you rely on GE Centricity and HealthCo to help support your clinic’s quality improvement initiatives, and provide the reports needed for value based payment.
Clinical Quality Reporting (CQR) is GE Healthcare’s cloud-based reporting tool for Quality Payment Program (QPP) attestation. For most clinics, 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 clinic’s performance at the patient level. With Clinical Quality Reporting in place, your clinic can:
Now that you’ve successfully captured all the clinical data that CMS requires, use our Quality Submission Services in conjunction with Centricity, and GE Healthcare 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 clinic 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.
More than $24.8 billion in Medicare EHR Incentive Program payments have been made between May 2011 and August 2017.