As NJ hospitals pursue their mission of providing clinical excellence and transformation through Population Health initiatives, HCIS has developed solutions designed to optimize submissions for the Quality Improvement Program (QIP-NJ). QIP-NJ can be challenging with the increasing complexity of reporting requirements and year-over-year performance targets. HCIS stands as your experienced partner to ensure a smooth reporting process and optimization of your submission file with the latest QIP-NJ requirements, leading to a maximized reimbursement.
QIP-NJ Analysis and Appeals Support
QIP-NJ preliminary NCB (non-claims based) results have been distributed for MY3! Organizations aiming to achieve maximum incentive payments for QIP-NJ are preparing to analyze their results, targets, and necessary patient denominator minimums. Since the inception of the QIP-NJ program, HCIS has been working with NJ hospitals on their appeals yielding highly successful results. October 18th is the deadline to submit your appeal.
HCIS performs the following Appeals services on behalf of our clients:
- Review results of your submission
- Make a determination if an Appeal is warranted or necessary
- Analyze each measure and its performance criteria
- Identify the errors and make corrections
- Formulate, prepare and submit Appeals report to QIP-NJ
MeasuresManager ™ for QIP-NJ – The only workflow automation, analytics and submission file generation platform purpose-built for QIP-NJ.
Benefits:
- Measures ManagerTM eliminates cumbersome spreadsheets
- Aggregates disparate client and claims data sources into a user-friendly user dashboard.
Features:
- Measures Management Portal
- Quickly sort data by providers, practices, and patients
- Measures Analysis Dashboard
- Streamlined dashboard to easily identify performance gaps and measure compliance
- View gap and benchmark completion data with the ability to drill down to the patient level information
- Nurse Abstraction Module
- Measures Writer Algorithm
- Measures Analysis Reporting
- “One-Click” Submission Report Generation
Measures Managers Portal
Nurse Abstraction Model
To see if your hospital should leverage the Appeals process, you can contact HCIS and schedule a FREE consultation! You can also Email mary.aitken@hcisservices.com or call (862) 401-1780.
