Need help submitting your quality measures?

Eligible Colorado practices benefit from services provided by our Quality Improvement team

Many healthcare programs supported by federal agencies aspire to deliver better care for individuals while generating value-based incentive payments for participating practices and reducing costs.

But these programs also require many practices to change their processes in reporting clinical guidelines, compensation, coding and quality measures – increasing the administrative burden, not to mention potentially adding new layers of confusion and frustration for providers and clinicians.

“Though the benefits are ultimately worthwhile on a number of levels, these programs require a steep learning curve,” says Contexture’s Vice President of Quality Improvement and Business Line Management Lauren Girard. “Participation can be an onerous and time-consuming process. That’s why our Quality Improvement team offers a suite of services to help healthcare practices transition to new payment models and reporting requirements to optimize the benefits for their patients and to the bottom line.”

We can help
For the past four years, CORHIO was approved by the Center for Medicare and Medicaid Services (CMS) as a Qualified Registry (QR). This designation allows the health information exchange (HIE) to collect and submit clinical quality data on behalf of eligible healthcare practices. For 2022, CORHIO is listed in the registry under our umbrella organization Contexture.

As a qualified registry, our Quality Improvement team can aggregate, calculate, validate and submit measures on the client’s behalf.

Our QR designation allows us assist practices participating in the CMS Primary Care First (PCF) program. PCF practices must meet certain standards to be eligible for a positive performance-based adjustment to the primary care model payments.

Furthermore, participation satisfies one of the requirements for the CMS Merit-based Incentive Payment System program (MIPS) – one of two tracks offered by CMS to meet the requirements of the Quality Payment Program (QPP).

Qualifying providers for the QPP include:

• Physicians (including doctors of medicine, osteopathy, dental surgery, dental medicine, podiatric medicine and optometry)
• Osteopathic practitioners
• Chiropractors
• Physician assistants
• Nurse practitioners
• Clinical nurse specialists
• Certified registered nurse anesthetists
• Physical therapists
• Occupational therapists
• Clinical psychologists
• Qualified speech-language pathologists
• Qualified audiologists
• Registered dieticians or nutrition professionals

Among the services we provide through the QR:

• Validating data sources
• Assisting with data mapping
• Helping practices understand measure definitions
• Reporting for the quality category Electronic Clinical Quality Measures (eCQM) by utilizing clinical care documents
• Reporting for measures in the Promoting Interoperability category
• Correcting inaccuracies in reporting
• Reporting MIPS data -- including selection of measures and data validation
• Providing quarterly feedback reports for participating clinicians

Benefits of our registry services
In short, our QR services could take the stress out of reporting quality measures for MIPS, QPP, PCF, Advanced Payment Models and other programs to help your organization reach its goals while improving outcomes for your customers and communities. It can also improve reimbursements, the integrity of data and may give practices bi-directional status for their Promoting Interoperability measure to support transitions of care.

“As a CMS-designated QR, we have and will continue to help eligible customers enhance patient care through data insights that will ultimately result in cost savings and better outcomes,” Girard says.

To learn more about CORHIO/Contexture’s QR services and other services provided by its Quality Improvement team, contact us at qi@contexture.org