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Why use QCDR-HISP to help clients with
State Medicaid quality reports? 1) Your
QCDR can offer new services to EPs
Your QCDR uses QCDR-HISP to help clients complete CMS PQRS and State Medicaid quality
reports.
(See diagram A)
2) Differentiation
Few registries are providing
Multi-Jurisdictional Support for Quality Reporting.
3) Income stream
Like tax programs, your registry can charge
more for the Multi-Jurisdictional quality report service
4) Solves regulatory issues without diluting
your product focus
Most quality report platforms do not precisely track both Federal and State Medicaid regulatory
environments.
(See Diagram B). For example:
- CMS have changed QRDA specs 3 times in past 3
years
- There is a delayed ripple
effect from any CMS updates and State Medicaid reports .
- Format and content rules vary state to state.
- State formats are different than the current
Federal/CMS standards
- States rules changes annually
(usually)
Multiply the resources required to track these
regulatory issues by 50 states, and your
registry would best double it's staff. And higher administrative
charges that alienates customers.
The design of the QCDR-HISP facilitates tracking
PQRS and the Medicaid
electronic reporting rules for all 50 states for each report
period.
5) Simplifies regulatory environment of an
audit:
QCDR-HISP maintains context dependent audit trails to reproduce the report
rule set for the year under administrative review.
Business transactions can be structured to benefit all
parties
Any one of the following processes can be established to make sure the
EP's quality report needs are met:
- EP manages contacts and accounts
Client (i.e. your QCDR) refers
EP directly to QCDR-HISP
QCDR-HISP agrees to pay referral charge
to client.
EP interacts directly with QCDR-HISP to
convert and transmit converted quality report. This approach
minimizes the time to resolve issues.
- QCDR remains single point of contact to EP
Registry retains all customer accounts, information and reports.
QCDR retains QCDR-HISP for multi-jurisdictional conversion processes.
QCDR retains all responsibility for report validation and
transmission.
- QCDR licenses Multi-Jurisdictional Quality
Report Converter (MJDQRC)
QCDR
obtains license and technology to internalize platform for
multi-jurisdictional report conversion
processor.
If you are interested in any of these QCDR-HISP
options, please call us at Phone (888) 979-2499 x2 or email at
clientservices@cuhsm.org.
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