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Understanding and Complying With the CMS Quality Reporting and Incentive Programs

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 information helps 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. The information also will 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.

Runtime: 88 minutes
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Why Lorman?

Over 32 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) vs. 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 2019 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
  • Consolidation Trends
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More Program Information

Why Lorman?

Over 32 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 Webinar

This course was last revised on February 1, 2019.

Call 1-866-352-9540 for further credit information.

  • AHIMA 1.5 including Clinical Data Management 1.5
     
  • This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
     

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Audio & Reference Manual

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

MP3 Download

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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More Program Information

Why Lorman?

Over 32 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

Scott Weinstein

McDermott Will & Emery

  • Partner in the Washington D.C. office of McDermott Will & Emery LLP
  • 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
  • Undergraduate degree, Georgetown University; graduate, The George Washington University Law School; graduate, The George Washington University School of Public Health and Health Studies
  • Can be contacted at 202-756-8671 or [email protected]
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Why Lorman?

Over 32 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.

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

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  • MP3 Downloads
  • Course Manuals
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  • White Papers and Articles
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Additional benefits include:

  • State Specific Credit Tracker
  • Members Only Newsletter
  • All-Access Pass Course Concierge

* For audio recordings you only pay shipping

Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 403905
Published 2019
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