Overview

Every lost billable hour costs between $1,000-$1,500. Our physician led teams can quickly implement solutions to overcome short-term challenges while analyzing your environment to identify root cause and determine the pathway to long-term success.

Quality Initiative Services

The concept of tying medical reimbursements to quality of care is here to stay, but the effort to measure and report what payors define as quality can be difficult. Despite their complexity, however, quality programs can make a dramatic difference in quality of care and correspondingly, the success of your business.

Some organizations lack the time or resources to address such payor programs and requirements in a strategic way.  Ineffective data capture processes and lack of experienced resources increase the likelihood of financial and reputational penalties.  Reimbursements may be reduced, incentives lost, and physicians’ reputations marred by not getting appropriate credit for the quality care begin delivered. BroadPath understands this and works tirelessly to ensure that our clients’ reputations and reimbursements reflect the high quality of care being delivered to their patients.

Value Based Care Reporting

BroadPath Provider Services specialize in simplifying regulatory compliance with the evolving world of pay-for-performance.  We bring a core team that includes individuals with strong backgrounds in physician practice operations, regulatory compliance, EHR implementations, medical training, and public health policy and administration.  Using available tools and appropriate technology, we minimize expenses by collaborating remotely when appropriate, and can bring resources onsite quickly when necessary.

Our primary focus is to help our clients achieve stronger performance on their clinical quality measures for both government (e.g., CMS’ Quality Payment Program – MIPS and APMs) and commercial (e.g., HEDIS) payor programs.  For the past three years, we’ve helped thousands of clinicians from across the nation with their PQRS reporting strategies.  With the advent of MACRA, we have been leveraging our experience and network to help our clients navigate the new Quality Payment Program requirements, guiding them to attain all available and applicable Performance Category points for the 2017 MIPS performance calendar year.  We work with our clients’ Quality, Finance, IT, Ambulatory Care and Physician Services teams to recommend the most appropriate measures based on actual practice, taking advantage of the data available in the EHR system and documentation already being collected for any other payor quality programs.

Quality Payment Program

Dedicated consulting services and cloud-based software tools to improve regulatory compliance and reduce physician abrasion.

  • Strategic and tactical guidance on how best to navigate CMS’ Quality Payment Program framework for eligible clinicians under Medicare Part B (MIPS/APM).
  • Data collection, integration, and graphical reporting software to inform measure selection, monitoring, and attestation.
  • Clinical workflow analysis and optimization of CQM’s and EHR documentation processes.
  • Vendor communications.
  • Provider education.

Patient Centered Medical Home

Strategic evaluation, design, implementation, and/or certification project management/assistance.

To be successful in the move to VBC, your patient panel must have a solid primary care base from which to manage acute cases and chronic diseases.  The adoption of PCMH concepts can benefit your practice, your patients, and your bottom line.  Plus, PCMH activities and measures align well with government Quality Payment Program and commercial HEDIS standards, to help increase reimbursement.

If you are just beginning your evaluation/implementation, BroadPath consultants can move you quickly and cost-effectively through the critical path elements toward official recognition.  Regardless of where you fall on the spectrum of PCMH transformation—managing current projects, enhancing basic concepts, or advancing to more complex initiatives—we can help guide you on your PCMH journey.

Supplemental Staffing

In addition to our core team of Quality Analysts, BroadPath can deliver highly skilled, fully vetted, work-ready tactical resources from our nationwide talent database.

For those larger organizations that have a deep bench, but may be facing tight timeframes with limited ability to respond, we can offer special project-related expertise, either onsite, or via our unique and cost-effective Work-At-Home (WAH) model.

  • Short or Long-Term operational and clinical staffing for big projects, vacancies, or business surges.
  • Onsite and/or Work-At-Home service delivery options, with proprietary video collaboration technology.
    • Prior Authorization
    • Chart Auditing
    • Patient Engagement
    • Care Coordination
    • Claims/Collections Processing
    • Provider Credentialing

HIPAA Compliance Assessments

Safeguarding Protected Health Information is not just about complying with regulations, it also demonstrates your concern for patients’ privacy, care and quality assurance. It provides a competitive advantage in a very dynamic healthcare marketplace.

Our auditors have extensive knowledge and experience in the healthcare industry and will provide customized services that are firmly aligned with the HIPAA Security and Privacy Rules. After a full HIPAA Risk Assessment, we provide our final findings in a detailed report highlighting potential risks and how to mitigate them.

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ICD-10 Services

BroadPath helps ease the ICD-10 transition process. We analyze your organization for risks and opportunities. We develop a plan outlining project management requirements. We uncover training needs, testing and best practices, and financial mitigation planning – ensuring your ICD-10 implementation moves forward seamlessly.

 

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Training

Onsite or remote, we provide general, intermediate and advanced education using a flexible tiered training model that covers the entire organization.

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Analysis

We assess the flow of information and current coding skill levels to address gaps through process improvement and technology enhancement.

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Project Management

We guide you through all project phases including end-to-end testing, claim submission, monitoring reimbursement, and vendor and payer readiness.

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EHR Services

From pre-implementation assessments and planning to system optimization and ongoing application support, we provide all the services clients need to improve overall performance. Our EHR certifications include Allscripts, Athena, Cerner, Epic, GE Centricity, McKesson, Meditech, NextGen, and dozens more.

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Find out what BroadPath can do for your organization.

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