Gain a better understanding of the CMS Quality Reporting Program, Value-Based Purchasing Program, and other initiative and incentive programs.
At Congress's direction, the Centers for Medicare & Medicaid Services has transitioned physician payments from a strictly fee-for-service program to a complex payment system that hinges on physicians' participation in value-based payment programs. Physicians, practice managers, and third-party vendors that offer health information technology solutions must meet various regulatory requirements to ensure successful participation in value-based payment. This material will help the persons responsible for quality reporting and implementing electronic health records understand the requirements of these regulations and avoid problems that could lead to lower reimbursement. This material will also explain the implications of practices shifting to Alternative Payment Models like Accountable Care Organizations and discuss methods for exchanging Protected Health Information between practices participating in these integrated care models in compliance with HIPAA.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Agenda
History and Evolution of CMS Quality Reporting Programs
- Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier
- Medicare EHR Incentive Program
- Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
- Current Incentive Payments and Penalties
Quality
- Requirements Under MIPS and Alternative Payment Models (APMs)
- Clinical Quality Measures (CQMs) Versus Electronic Clinical Quality Measures (eCQMs)
- Scoring of Quality Measures Under MIPS
- Methods for Reporting Quality Measures
Promoting Interoperability (Formerly Known as Meaningful Use)
- EHR Certification Program and Applicable Certification Requirements
- Review of 2022 Measures and Objectives
- Implications of Application Programmable Interfaces
- Scoring of Promoting Interoperability Performance Category
Improvement Activities
- Reporting Requirements for Improvement Activities
- Improvement Activity Categories and Examples of Improvement Activities
- Future of the Improvement Activities Category
Cost
- Cost Measurement
- Implications of Cost Category
Hospital Quality Programs
- Inpatient Quality Reporting Program
- Outpatient Quality Reporting Program
- Promoting Interoperability for Hospitals
Future of Value-Based Payment - Transition to Alternative Payment Models
- Incentives to Participate in APMs
- HIPAA Implications of APMs
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Credits
OnDemand Course
This course was last revised on February 24, 2022.
Call 1-866-352-9540 for further credit information.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Faculty
Scott Weinstein
McDermott Will & Emery
- Partner in the Washington, D.C. office of McDermott Will & Emery
- Practice addresses all aspects of health care regulatory law, with a focus on compliance with Medicare and Medicaid value-based payment programs and federal and state privacy and security laws
- Conducts regular seminars and workshops on value-based payment, quality reporting, and HIPAA compliance
- Author of several publications related to the areas of HIPAA, health information technology, and value-based payment
- Member of the American Health Lawyers Association
- Graduate, The George Washington University Law School and The George Washington University School of Public Health and Health Studies; undergraduate degree, Georgetown University
- Can be contacted at [email protected] or 202-756-8671
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
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