Payment Reform & More

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MEANINGFUL USE & MORE

CliniSyncPLUS Consulting

No matter what Meaningful Use or quality measures you need support for, we’re able to help you maximize your incentive payments, avoid penalties, and ensure you comply with audit documentation. Let us conduct a “mock” audit for you.

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Meaningful Use Information

Get the most up-to-date information on federal and state Meaningful Use requirements and changes in regulations. Use the experience of our experts to help you navigate through the maze of Meaningful Use!

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PQRS & Quality Reporting

Learn about resources available to ensure all PQRS, GPRO and other quality reporting requirements aren’t missed! We will help answer your questions and steer you in the right direction.

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Comprehensive Primary Care Plus (CPC+)

Our CliniSyncPLUS team will provide guidance on how Health Information Technology can benefit you and your patients and how you can streamline work to meet payer reporting requirements.

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Payment Reform Initiatives

Learn how CliniSync can assist with Health Plan Services, Accountable Care Organizations, Patient-Centered Medical Homes and state initiatives to promote payment reform.

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E-Prescribing of Controlled Substances

Our CliniSyncPLUS team is working across the state to ensure that the medical community knows how to e-prescribe controlled substances to pharmacies.

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Frustrated by the complexity of Payment Reform? Get relief from your CliniSyncPLUS advisors.

Through the Office of the National Coordinator of HIT’s Regional Extension Center program, we assisted more than 6,000 primary care physicians and 100 hospitals to ensure they received federal incentive funds while maximizing their incentive payments. Our experience as the largest Regional Extension Center in the nation allows us to use our expertise to provide specialized assistance to both hospitals and practices. Although a grant provided funding for implementation of that work, it has ended. We now function as an independent nonprofit and are offering our services under the name of CliniSyncPLUS at a very reasonable cost.

Services

We Provide:

  • Assistance in registering and meeting the requirements of the Ohio Medicaid Comprehensive Primary Care (CPC) and the federal Comprehensive Primary Care Plus (CPC+) programs for Medicare incentives.
  • An understanding of and preparing for the proposed MACRA regulation.
  • Resources to help you understand quality reporting for PQRS and GPRO reporting.
  • Guidance on using your Quality and Resource Use Report (QRUR) to maximize Medicare reimbursements.
  • Information on Meaningful Use requirements and attestation regulations.
  • Customized education for practices and hospital personnel on Payment Reform strategies and timelines. This education may occur through onsite visits, online webinars or telephone conferences.
  • Ohio-specific information on Public Health Reporting from the Ohio Department of Health and attestation updates from the Ohio Department of Medicaid.
  • Meaningful Use “mock” audits and preparation of responses to federal audits.

As an added benefit, when you sign up for CliniSyncPLUS services, you will become a member of the CliniSync Health Information Exchange Community.

For more information on CliniSyncPLUS, contact Cathy Rich, Scott Mash or Cathy Costello at clinisyncplus@clinisync.org

Meaningful Use Information

Work with us to see what the latest changes in CMS regulations require for Meaningful Use (MU) reporting. Specifically, we can assist you in:

  • Determining what MU measures are required to be reported and what measures can be excluded.
  • Assessing which quality metrics should be reported for MU and how those relate to PQRS.
  • Analyzing which type of public health reporting or clinical data reporting will meet the 2015 – 2017 CMS regulations.
  • Understanding what is required to successfully respond to a Meaningful Use audit.
  • Understanding the differences in the Medicaid and Medicare attestation requirements for MU.

Audits for meaningful use

  • Conduct mock audits for Medicare or Medicaid MU.
  • Assess security review requirements to meet Office of Inspector General audits, Office of Civil Rights audits or Figliozzi audits.
  • Assist in MU audit response and narrative.

Downloadable Documents

The most recently uploaded 8 documents that are categorized as 'Meaningful Use' will be displayed here. To add or remove documents go to 'Manage > Modules > Media Downloads."
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Websites

You can add, edit or remove the Website Links by going to "Manage > Web Apps > CSMeaningfulUseWebsiteLinks."

Webinars

You can add, edit or remove the Website Links by going to "Manage > Web Apps > CSMeaningfulUseWebinarLinks."

PQRS & Quality Reporting

PQRS reporting and its technicalities can be overwhelming, even for sophisticated practices. Understanding the advantages of PQRS vs. GPRO reporting or sorting out the impact of the value modifier on reimbursement or the Measure Applicability Validation (MAV) process can be daunting.

Let our CliniSyncPLUS team help you analyze:

  • Whether claims reporting, individual PQRS reporting or GPRO reporting is most suited to your practice and the various specialties reporting under your tax ID number.
  • Whether registry reporting, CMS web interface, EHR vendor, direct EHR or Qualified Clinical Data Registry (QCDR) will be the best method for PQRS submission.
  • The selection of quality measures to report which will achieve the most benefit for the practice during CMS’s quality/cost review of the practice.
  • How to successfully register for PQRS and other quality programs.
  • What the new cross-cutting measures for PQRS are and how to report them.
  • How the PQRS reporting affects your practice’s reimbursement.
  • How the PQRS data is used to prepare the QRUR quality/cost reports by CMS.

Comprehensive Primary Care Plus CPC+

The CPC+ program is a national advanced primary care medical home model that seeks to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation.

The CliniSync Health Information Exchange is a supplemental IT source to help you meet your requirements!

  • Our CliniSyncPLUS team can offer guidance on registering for these programs and the technical requirements for Ohio Medicaid CPC and Medicare CPC+.
  • Please email the CliniSyncPLUS team at clinisyncplus@clinisync.org for guidance.
  • We've created a Global Letter of Support for practices published below.
  • GLOBAL LETTER OF SUPPORT FOR CPC+ for Medicare CPC+, Track 2 practices.

Payment Reform Initiatives

Use CliniSync services to electronically connect with the medical neighborhood to facilitate team-based, quality care required by performance-based payment reform models.

Learn how CliniSync helps you with Patient-Centered Medical Home requirements and other patient-centric initiatives.

  • Access a single community record of your patients’ encounters with other CliniSync hospitals and providers including related results and reports.
  • Receive patients’ lab results, radiology and transcribed reports directly into your EHR or use your EHR to exchange secure email with other providers to coordinate care.
  • Receive a notification when your patient goes to the Emergency Department or is admitted to the hospital, discharged or transferred to another facility.
  • Report data to public health registries or contribute care summaries to the HIE for other treating providers to access.
  • Get guidance on practice transformation, health IT tools optimization, MU requirements, audits, quality measure reporting and more.
  • Sign up for secure email capability and gain access to a statewide provider DIRECTory that includes DirectTrust email addresses of other providers at no charge.

Use CliniSync to support your Accountable Care Organization, episode-based payment initiatives and other shared savings and risk arrangements.

CliniSync Services can:

  • Expedite payment of claims through immediate notification to health plans why a member was admitted or seen in ER
  • Comply with Medicaid’s 24-hour ER notification requirement automatically
  • Reduce onsite health plan nurse or your staff time to collect information for case management or prior authorization purposes
  • Facilitate and support your ACO, episode-based payment initiatives and other shared savings/risk arrangements
  • Send timely discharge summaries to initiate efficient post-admission care support and minimize re-admissions
  • Help your patients by alleviating the manual coordination of information between you and their insurer

Familiarize yourself with State of Ohio initiatives involving payment reform.

Ohio’s State Innovation Model (SIM) Grant

Ohio’s State Innovation Model (SIM) grant awarded in December 2014 seeks to improve Ohio’s population health while supplementing CMS’ work on payment reform by creating new payment models for Medicaid,
Medicare-Medicaid dual eligibles and private payers. The SIM
model builds on the work of the Patient-Centered Primary Care Model as well as Cincinnati’s Comprehensive Primary Care Initiative (CPCI), funded in 2012 by Centers for Medicare and Medicaid Innovation (CMMI) to scale payment transformation statewide.

E-Prescribing of Controlled Substances

Did you know…it’s legal to e-prescribe controlled substances in Ohio?

While you may have heard otherwise, it’s legal to e-prescribe controlled substances in Ohio, as well as all other states. Here is information on how the providers involved at various points in the e-prescribing process can meet the Drug Enforcement Administration’s (DEA) requirements to successfully e-prescribe controlled substances:

For more information, contact clinisyncplus@clinisync.org

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