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Value-Based Payment, Quality Reporting and Physician Feedback

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As Medicare transforms from a passive payer to an active purchaser of higher quality, more efficient and effective healthcare, CMS is implementing an increasing number of quality measures and reporting & value-based payment programs. All these changes can be confusing, but atom Alliance is here to help you understand the Quality Payment Program.

After providing technical assistance to hospitals and physician offices for years, atom Alliance will now assist a wide array of healthcare providers improve their quality and efficiency of care – including Inpatient Psychiatric Facilities (IPFs), PPS-exempt Cancer Hospitals (PCHs), inpatient and outpatient departments of hospitals, physician practices, and Ambulatory Surgical Centers (ASCs). Our experts stand ready to help assess clinical quality of care, care coordination, patient safety, patient experience of care, caregiver experience of care, population/community health and efficiency.

Promoting Effective Prevention and Treatment of Chronic Disease
Promoting Effective Prevention and Treatment of Chronic Disease

Preview: Promoting Effective Prevention and Treatment of Chronic Disease
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2.28 MB | Last Updated: September 24, 2015

Which initiatives are right for you?

Several atom Alliance initiatives compliment each other. See how other atom Alliance improvement initiatives align with this one. How many fit your practice’s needs?

Learn more about these initiatives: Cardiac Health, Diabetes, MU & HIT, VBP & PQRS, Immunizations, Behavioral Health

Featured Resources

Memorial Gulfport Success Story
Memorial Gulfport Success Story

Preview: Memorial Gulfport Success Story
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1.54 MB | Last Updated: August 30, 2016

CMS Equity Plan
CMS Equity Plan

Preview: CMS Equity Plan
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433.40 KB | Last Updated: January 26, 2016

How to Report Once for Medicare Quality Reporting Programs
How to Report Once for Medicare Quality Reporting Programs

Preview: How to Report Once for Medicare Quality Reporting Programs
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1.53 MB | Last Updated: April 1, 2015


Contact Us

For general inquiries contact Don Gettinger, Quality Data Reporting Manager.

Use the tabs to the right to search for specific tools and resources related to this page.

You can also search our comprehensive library of online resources, where you can sort by atom Alliance state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

Guidance on Care Management Services for Physicians
Connected Care Campaign Resource Hub
Quick Reference Guide for Accessing the 2013 QRUR and Performance Dashboard
Illustrates how to access and download a QRUR, along with the supplemental exhibits and Performance Dashboard from the CMS Enterprise Portal
List of Eligible Professionals
PQRS Measures
Registry-based Reporting
EHR-based Reporting
QCDR Reporting
ONC’s Certified HIT Product Lookup
QualityNet PQRS Portal (for use with EHR-based Reporting & PQRS Feedback Reports)
Value-Based Purchasing
Quality Resource and Use Reports (QRURs)
Hospital Value-Based Purchasing
Memorial Gulfport Success Story
Memorial Gulfport Success Story

Preview: Memorial Gulfport Success Story
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1.54 MB | Last Updated: August 30, 2016

MACRA Tips
MACRA Tips

Preview: MACRA Tips
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845.04 KB | Last Updated: August 30, 2016

IQR EHR Alignment Checklist
IQR EHR Alignment Checklist

Preview: IQR EHR Alignment Checklist
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153.64 KB | Last Updated: June 13, 2016

Calendar Year (CY) 2016 Electronic Clinical Quality Measure (eCQM) Submission Information for the Hospital Inpatient Quality Reporting (IQR) Program
Calendar Year (CY) 2016 Electronic Clinical Quality Measure (eCQM) Submission Information for the Hospital Inpatient Quality Reporting (IQR) Program
ICD 10 Resource Flyer
ICD 10 Resource Flyer

Preview: ICD 10 Resource Flyer
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118.23 KB | Last Updated: February 10, 2016

PQRS EHR Direct Data Submission Checklist
PQRS EHR Direct Data Submission Checklist

Preview: PQRS EHR Direct Data Submission Checklist
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889.96 KB | Last Updated: December 8, 2015

EHR Incentive Programs for Eligible Hospitals & CAHs: What You Need to Know for 2015 Tipsheet
EHR Incentive Programs for Eligible Hospitals & CAHs: What You Need to Know for 2015 Tipsheet
EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet
EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet
EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview
EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview

Preview: EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview
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2.17 MB | Last Updated: October 14, 2015

Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Guide
Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Guide

Preview: Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Guide
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1.16 MB | Last Updated: October 12, 2015

MBQIP Data Submission Deadline Charts
MBQIP Data Submission Deadline Charts

Preview: MBQIP Data Submission Deadline Charts
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392.18 KB | Last Updated: October 12, 2015

MBQIP Measures Matrix
MBQIP Measures Matrix

Preview: MBQIP Measures Matrix
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45.33 KB | Last Updated: October 12, 2015

Hospital IQR Submission Options for eCQM Reporting - 2015
Hospital IQR Submission Options for eCQM Reporting - 2015

Preview: Hospital IQR Submission Options for eCQM Reporting - 2015
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1.01 MB | Last Updated: September 11, 2015

Quarter 1 (Q1) 2015 Hospital Inpatient Quality Reporting (IQR) Checklist
Quarter 1 (Q1) 2015 Hospital Inpatient Quality Reporting (IQR) Checklist
ASC Quality Reporting Measures Specifications Manual, version 4.0a
ASC Quality Reporting Measures Specifications Manual, version 4.0a

Preview: ASC Quality Reporting Measures Specifications Manual, version 4.0a
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237.80 KB | Last Updated: June 11, 2015

How to Report Once for Medicare Quality Reporting Programs
How to Report Once for Medicare Quality Reporting Programs

Preview: How to Report Once for Medicare Quality Reporting Programs
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1.53 MB | Last Updated: April 1, 2015

2015 PQRS Implementation Guide
2015 PQRS Implementation Guide

Preview: 2015 PQRS Implementation Guide
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3.26 MB | Last Updated: February 26, 2015

Quick Reference Guide for Accessing the 2013 QRUR and Performance Dashboard
Quick Reference Guide for Accessing the 2013 QRUR and Performance Dashboard
Verify PQRS Payment Adjustment
Verify PQRS Payment Adjustment

Preview: Verify PQRS Payment Adjustment
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306.94 KB | Last Updated: February 5, 2015

Instructions for Requesting 2013 PQRS Feedback Reports
Instructions for Requesting 2013 PQRS Feedback Reports

Preview: Instructions for Requesting 2013 PQRS Feedback Reports
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2.50 MB | Last Updated: February 5, 2015

PQRS Negative Payment Adjustment Letter
PQRS Negative Payment Adjustment Letter

Preview: PQRS Negative Payment Adjustment Letter
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272.13 KB | Last Updated: February 5, 2015

National Quality Strategy Toolkit
National Quality Strategy Toolkit

Preview: National Quality Strategy Toolkit
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1.95 MB | Last Updated: February 5, 2015

National Quality Strategy Lever Fact Sheet
National Quality Strategy Lever Fact Sheet

Preview: National Quality Strategy Lever Fact Sheet
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304.38 KB | Last Updated: August 21, 2015

National Quality Strategy Fact Sheet
National Quality Strategy Fact Sheet

Preview: National Quality Strategy Fact Sheet
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343.86 KB | Last Updated: February 5, 2015

Federal Health IT Strategic Plan: 2015–2020
Federal Health IT Strategic Plan: 2015–2020

Preview: Federal Health IT Strategic Plan: 2015–2020
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1.10 MB | Last Updated: February 5, 2015

Physician Motivations for Adoption of Electronic Health Records
Physician Motivations for Adoption of Electronic Health Records

Preview: Physician Motivations for Adoption of Electronic Health Records
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1.81 MB | Last Updated: February 5, 2015

atom Alliance Pinterest Board: Electronic Health Records
QIO Program Progress Infographic 2011-2014
QIO Program Progress Infographic 2011-2014

Preview: QIO Program Progress Infographic 2011-2014
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1.68 MB | Last Updated: February 5, 2015

MACRA/MIPS: Introduction
During this MLN Connects® video, Dr. Patrick Conway, Principle Deputy Administrator and Chief Medical Officer; Dr. Kate Goodrich, Director of the Center for Clinical Standards and Quality; and Patrick Hamilton, Health Insurance Specialist provide an overview of the Medicare Quality Reporting Programs at CMS.
MACRA/MIPS: MACRA- Module 1
During this MLN Connects® video, CMS subject matter experts provide an overview of the Medicare Access and CHIP Reauthorization Act (MACRA), which makes three important changes to how Medicare pays those who give care to Medicare beneficiaries.
MACRA/MIPS: Incentive Payments and Adjustments- Module 2
During this MLN Connects® video, CMS subject matter experts discuss the incentives and payment adjustments associated with the Physician Quality Reporting System (PQRS), Value-Based Payment Modifier (VM), and the Electronic Health Record (EHR) Incentive Program. Find out why it is critical to report PQRS in 2016 to avoid the PQRS payment adjustment in 2018. Also learn about the incentives available for meaningful use in 2016.
MACRA/MIPS: PQRS- Module 3
During this MLN Connects® video, CMS subject matter experts discuss updates to the Physician Quality Reporting System (PQRS) for 2016. Find out how your PQRS performance in 2016 will determine if you will be assessed the 2 percent payment adjustment and value modifier in 2018.
MACRA/MIPS: VM- Module 4
During this MLN Connects® video, CMS subject matter experts discuss updates for the 2018 Value-Based Payment Modifier (VM). CMS is using a phased-in approach to assess the VM for all Medicare physicians between 2015 and 2017. Starting in 2018, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists who are in groups of 2 or more EPs and those who are solo practitioners will be assessed the value modifier. Find out what you need to do during 2016, the performance year for the 2018 VM.
MACRA/MIPS: PC- Module 5
During this MLN Connects® video, CMS subject matter experts give an overview of the information that will be publically-available on the Physician Compare website. Physician Compare will include 2016 data for individuals, groups, and Accountable Care Organizations (ACOs) in late 2017.
MACRA/MIPS: MU CEHRT- Module 6
During this MLN Connects® video, CMS subject matter experts provide an overview of the 2016 requirements for the Electronic Health Record (EHR) Incentive Programs. The final rule made significant changes to the program to help providers meet program requirements. Find out about the alignment of objectives and measures from both stage 1 and stage 2 into one set of objectives.
PQRS/Value-Based Payment Modifier: What Medicare Professionals Need to Know in 2015 Video Presentation
This CMS MLN Connects® video presentation provides an overview of the Physician Quality Reporting System, or PQRS, and how your participation in PQRS in 2015 will determine how the Value-Based Payment Modifier will be applied to physicians’ reimbursement in 2017.
PQRS Is a Four Letter Word (Requires information)
CMS Equity Plan
CMS Equity Plan

Preview: CMS Equity Plan
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433.40 KB | Last Updated: January 26, 2016

Logic Models
The QIO Program helps you embrace data in your healthcare setting
Failure Modes & Effects Analysis (FMEA)
The QIO Program shares 5 steps in the Failure Modes and Effects Analysis (FMEA) to anticipate potential problems before they occur
Root Cause Analysis (RCA)
The QIO Program demonstrates how to identify the root cause of a problem using The 5 Whys
QIO Documentary
Learn about the history of the QIO Program, from 1966 through today.
IHI Whiteboard: Model for Improvement, Clip 1
IHI Whiteboard: Model for Improvement, Clip 2
IHI Whiteboard: PDSA Cycles, Part 1
IHI Whiteboard: PDSA Cycles, Part 2
IHI Whiteboard: Cause & Effect Diagrams

Value-Based Payment, Quality Reporting and Physician Feedback Blog

  • Health Literacy Resources for Older Adult Caregivers

    Health Literacy Resources for Older Adult Caregivers

    Caregivers for older adults may have vast responsibilities, depending on the older adults’ needs. Caregivers can influence health decisions older adults make or the decisions other people make about older adults. Because of this influence and responsibility, they need skills to support complicated medical conditions and take advantage of opportunities to help older adults with… Read More »
  • Merit-Based Incentive Payment System (MIPS) Advancing Care Information (ACI) Performance Category Web-Based Training (WBT) Course

    Merit-Based Incentive Payment System (MIPS) Advancing Care Information (ACI) Performance Category Web-Based Training (WBT) Course

    Merit-Based Incentive Payment System (MIPS) Advancing Care Information (ACI) Performance Category Web-Based Training (WBT) Course A new Quality Payment Program 2017: Merit-Based Incentive Payment System (MIPS) Advancing Care Information (ACI) Performance Category Web-Based Training (WBT) course is available through the MLN LMS. Learn about: Base, performance, and bonus score reporting requirements for Advancing Care Information… Read More »
  • Get Social with atom Alliance

    Get Social with atom Alliance

    Get social with atom Alliance We want to engage and interact with you on social media. atom Alliance posts daily updates on Twitter, LinkedIn and Facebook. We share videos on YouTube and educational images on Pinterest. Get connected to healthcare quality improvement news, updates, hot topics, upcoming events, announcements and more when you follow us. From… Read More »

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