The Centers for Medicare & Medicaid Services (CMS ) have developed a standardized approach to the implementation of a quality of care infrastructure. Streamlining procedures and increased accountability are a crucial part of the strategy. Part of the Affordable Care Act, this initiative aims at reducing healthcare costs while improving quality of care.
Today's healthcare organizations must not only provide quality care to its consumers but also balance complex business transactions, finance, and information technology while meeting numerous regulatory requirements. Evolving rules and regulations make the process even more complicated by. The implementation of the ICD-10 coding system, changes in reimbursement guidelines, and payer rules and regulations, as well as the conversion to electronic health records, can make it difficult to stay in compliance.
The Measures Management System (MMS) is available to assist Healthcare Plans and Providers to develop, implement and maintain the quality measures set forth. Providers and other eligible professionals can participate in the Physician Quality Reporting System. The process entails reporting information about services provided to Medicare patients with specific medical conditions. The data of quality measures is collected or reported in a variety of ways, such as claims, assessment instruments, chart abstraction, and registries.
Participating in the Quality Reporting Process is an effective way for a healthcare provider to align their practice with regulatory compliance issues. Feedback from the data reported helps measure the quality of care provided as well as the accuracy of the billing code, payment and follow-up care. The feedback received gives an organization an idea of where they stand in readiness for new regulations, laws, and practices. The Centers for Medicare & Medicaid Services (CMS) are linking payment to quality standards and offering new incentives for providers who deliver high-quality, coordinated care. Holding the provider to a higher standard of care, The Centers for Medicare and Medicaid Services (CMS) is making an investment and fostering improvement in the quality, safety, and efficiency of care and striving for long term results in the American health system.
The success of programs such as this, rely heavily on partnerships and support from many sources that encompass the healthcare community. The Centers for Medicare & Medicaid Services (CMS), the health plan, and the provider all play integral parts. Implementation of the new and more stringent compliance regulations is beneficial to all of the parties involved. The changes are inevitable and all share one goal; providing the highest-quality, personable care to the consumer at the lowest possible cost.
Today's healthcare organizations must not only provide quality care to its consumers but also balance complex business transactions, finance, and information technology while meeting numerous regulatory requirements. Evolving rules and regulations make the process even more complicated by. The implementation of the ICD-10 coding system, changes in reimbursement guidelines, and payer rules and regulations, as well as the conversion to electronic health records, can make it difficult to stay in compliance.
The Measures Management System (MMS) is available to assist Healthcare Plans and Providers to develop, implement and maintain the quality measures set forth. Providers and other eligible professionals can participate in the Physician Quality Reporting System. The process entails reporting information about services provided to Medicare patients with specific medical conditions. The data of quality measures is collected or reported in a variety of ways, such as claims, assessment instruments, chart abstraction, and registries.
Participating in the Quality Reporting Process is an effective way for a healthcare provider to align their practice with regulatory compliance issues. Feedback from the data reported helps measure the quality of care provided as well as the accuracy of the billing code, payment and follow-up care. The feedback received gives an organization an idea of where they stand in readiness for new regulations, laws, and practices. The Centers for Medicare & Medicaid Services (CMS) are linking payment to quality standards and offering new incentives for providers who deliver high-quality, coordinated care. Holding the provider to a higher standard of care, The Centers for Medicare and Medicaid Services (CMS) is making an investment and fostering improvement in the quality, safety, and efficiency of care and striving for long term results in the American health system.
The success of programs such as this, rely heavily on partnerships and support from many sources that encompass the healthcare community. The Centers for Medicare & Medicaid Services (CMS), the health plan, and the provider all play integral parts. Implementation of the new and more stringent compliance regulations is beneficial to all of the parties involved. The changes are inevitable and all share one goal; providing the highest-quality, personable care to the consumer at the lowest possible cost.
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