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QUALITY
Develop quality and compliance initiatives, conduct coding reviews, participate in PQRS, and lower practice risk.
Prime Practice Management supports practices as they strive to achieve the highest possible quality. We offer a variety of services to champion quality and compliance initiatives. The services are intended to make quality and compliance processes as simple as possible.
Our coding reviews are conducted by a Certified Professional Coder with experience in your particular specialty. We provide a written Executive Summary Report to help you code accurately. The bottom line is fewer denials, cleaner claims, and enhanced revenue.
Coding Reviews
Prime Practice Management will guide you to meet the CMS CQMs while maintaining patient satisfaction and volume goals. We support practices with many aspects of patient quality including health outcomes, clinical processes, patient safety, efficient use of health care resources, care coordination, patient engagements, population and public health, and clinical guidelines. Continuously measuring CQMs helps to verify that each practice is meeting internal goals by delivering effective, safe, efficient, patient-centered, equitable, and timely care.
Clinical Quality Measures (CQMs)
PQRS Implementation Management
The Physician Quality Reporting System (PQRS) had used an incentive program to pay providers bonuses for participating in 2013 and 2014. Beginning this year, the program applies a payment adjustment to eligible professionals who did not satisfactorily report data on quality measures for covered professional services by 2013. Prime Practice Management will walk you through the processes needed to receive all available incentive payments - and avoid penalties.
Patient, Physician and Staff Satisfaction Surveys
Satisfaction Surveys help quantify feelings and opinions. This allows a practice to formalize internal controls in patient, employee and physician activities. We will build surveys customized to each practice, enter data in real-time, benchmark key measures of patient satisfaction, and allow practices to retrieve customized reports at any time. Happy patients, staff, and physicians will result in a better practice environment, optimistic brand recognition, and loyalty to the organization.
Human Resources and Corrective Action Plans
The extensive demands and complexity of health care organizations sometimes make it difficult to provide leadership and supervision to employees. Our health care management team can develop training and corrective action plans for underperforming staff. We help establish a practice vision to give consistent direction to organizations.
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