ACO/APM

ACO/APM

QRDA I – QRDA 3 – FHIR – CCDA

Your ACO Needs the Data. We Make It Easy.

ACO & QRDA I Clinical Quality Reporting

Your Practice Management Software Shouldn't Prevent You From Participating in an ACO

If your practice participates in a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO), your ACO depends on accurate clinical quality data from your patients to meet CMS reporting requirements.

For many practices, meeting those requirements can be challenging—especially if you use practice management software without an EHR or continue to rely on a legacy EHR that cannot produce the clinical reporting your ACO requires.

Medisoft software | Lytec EMR |Lytec software | Medisoft EMR

ACO quality reporting requires more than the billing and claims information typically stored in a practice management system. Your ACO may require detailed clinical information captured during the patient encounter and delivered in a specific electronic format.
This can include QRDA I (Quality Reporting Document Architecture Category I) reporting, which contains patient-level clinical quality data used to support quality measurement and reporting.
The problem is that many PM systems and older EHR platforms were never designed to capture, generate, or deliver the clinical data required for today's ACO reporting programs.

If your practice uses Lytec, Medisoft, or another PM system without an EHR, you may have everything you need to manage scheduling, billing, claims, and accounts receivable—but your PM system alone may not capture the clinical information required by your ACO.

That doesn't necessarily mean you need to replace the practice management system your staff already knows and uses every day.

CHS helps bridge the gap between your PM system and the clinical reporting requirements of your ACO.

Our approach allows your practice to maintain its existing practice management workflow while adding the clinical documentation and reporting capabilities needed to support ACO participation.

Practices using older or discontinued EHR technology can face a different version of the same problem.

Your EHR may continue to support everyday clinical documentation but may not support today's ACO, CMS, QRDA I, interoperability, or clinical quality reporting requirements.

CHS can evaluate your existing environment, identify the reporting gap, and determine what is needed to capture and deliver the required clinical information.

CHS combines more than 30 years of healthcare technology experience with our UnifiMD certified EHR platform and healthcare data integration expertise.

We work with practices to:

  • Evaluate their current PM and EHR environment
  • Identify the clinical data required by their ACO
  • Determine where required data is currently being captured—and where it is missing
  • Implement the appropriate clinical documentation workflow
  • Capture the data needed for quality reporting
  • Validate required clinical information
  • Support QRDA I and other required clinical data workflows
  • Securely deliver required data to the appropriate reporting organization or ACO
  • Adapt workflows as CMS and ACO reporting requirements evolve

For PM-only practices, moving into an ACO should not automatically mean replacing the billing and practice management system your staff already knows.

UnifiMD can provide the clinical component while allowing your practice to continue using its existing Lytec or Medisoft practice management workflow.

This gives your practice a path to meet modern clinical documentation and reporting requirements without unnecessarily disrupting the administrative and billing processes that already work for your organization.

ACO reporting isn't simply about installing software. The clinical data must be captured correctly, structured appropriately, validated, and delivered in the format required by your ACO.

That's where CHS adds value.

We bring together practice management, certified EHR technology, clinical workflow, data integration, and ACO reporting expertise to create a solution that works for your practice while helping deliver the clinical quality data your ACO needs.

Using PM software without an EHR? Using a legacy EHR that can't meet your ACO's reporting requirements?

Talk with CHS about your current software, your ACO's requirements, and the most practical path forward.

Request a Demo & Simplify Your Practice

See how UnifiMD and our all-in-one EMR, billing, and RCM solutions work as an extension of your practice. Streamline operations, reduce admin tasks, and get real human support. Request your demo today!

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