Population Health Analytics
April 26, 2019
A MIPS Solution to Optimize Practice Performance
Under the Merit-based Incentive Payment System (MIPS), practices receive a composite score based on their performance across four categories: (1) Quality, (2) Promoting Interoperability, (3) Clinical Practice Improvement Activities and (4) Resource Use or Cost. What eligible clinicians discovered early on is that reconciling hundreds of patient records – especially across multiple instances of the same EHR – to meet quality measure reporting requirements would be arduous and time-consuming. To stay ahead of the curve, one large urology & radiation oncology practice headquartered in Farmingdale, NY, turned to Integra Connect’s MIPS Solution to optimize their MIPS 2018 performance.
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Chart Abstraction Services to Offload the Burden of Regulatory Reporting
To successfully comply with value-based programs such as the OCM, specialty practices are required to submit a wide-range of patient data in a precise file format. Unfortunately, essential data points are often buried deep within the EHR in unstructured fields, resulting in data gaps. As the deadline for the Oncology Care Model’s (OCM) Clinical and Staging data submission deadline quickly approved, one large oncology practice in Fort Worth, TX, reached out to Integra Connect to help them close their gaps.
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EOL Modeling to Refer Patients to Palliative Care and Hospice
The last 90 days of life are often the costliest for cancer care, as frequency of ER visits and hospitalizations increase. To address this, leading oncology practices have begun to reconsider aggressive therapy in advanced stages of illness when the possibility of clinical benefit is highly remote and instead refer appropriate patients to hospice or palliative care programs, which studies have shown both reduce resource utilization and improve quality of life.
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HCC Coding to Improve Patient Outcomes and Increase Revenue
Under fee-for-service models, oncologists’ clinical documentation centered around in-office encounters, with the objectives of maximizing collections while minimizing burdensome paperwork. Comorbidities were most commonly documented as part of the patient intake process for emergency visits. Under value-based reimbursement models, like the OCM, oncologists are now responsible for treating each cancer patient holistically. This includes managing patient outcomes across all conditions and care settings.
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