Improving your CMS Universe

14
Jon Swisher, Solution & Product Development Manager Pat Goetz, Senior Account Executive Improving your CMS Universe

Transcript of Improving your CMS Universe

Page 1: Improving your CMS Universe

Jon Swisher, Solution & Product Development Manager

Pat Goetz, Senior Account Executive

Improving your CMS Universe

Page 2: Improving your CMS Universe

What the average person thinks of when they hear the

term universe!

Page 3: Improving your CMS Universe

How a Healthcare Payer feels when they hear the term

universe!

Page 4: Improving your CMS Universe

But why do you feel that way?

• You don’t have enough time?• Data is hard to find?• Data is in too many locations?• You rely on other departments?• Data is difficult to manage?• Data isn’t complete?

Page 5: Improving your CMS Universe

Poll # 1

Page 6: Improving your CMS Universe

Maybe time isn’t your only issue…

Page 7: Improving your CMS Universe

Common Universe data problems:

• Misclassification of cases• Duplicate cases• Insufficient or inaccurate date tracking• CMS required formatting• Locating supporting documentation• No single source of truth

Page 8: Improving your CMS Universe

Poll # 2

Page 9: Improving your CMS Universe

Consequences of failures:

• Poor audit score• Civil Money Penalties (CMPs)• Intermediate sanctions• Termination of program• Adversely affect STAR ratings

Page 10: Improving your CMS Universe
Page 11: Improving your CMS Universe

Recap

• Quickly and easily generate universe reports• Ensure reporting data is accurate• Meet CMS required formatting• One solution

Page 12: Improving your CMS Universe

SAVE DATE“Advanced Reporting & Analytics”

October 18, 20162 PM Eastern

th

e

Page 13: Improving your CMS Universe

Poll # 3

Page 14: Improving your CMS Universe

Thank you!