Survey Reveals Hospital Finance Executives Underestimate CMS Quality Payment Program Impact
June 26 2017 - 8:00AM
Nuance Communications, Inc. (NASDAQ:NUAN) today shared the results
of a survey of hospital finance executives and professionals to
gauge their awareness and understanding of the new Centers for
Medicare and Medicaid Services (CMS) Quality Payment Program (QPP)
under the Medicare Access and CHIP Reauthorization Act (MACRA). The
findings reveal that a significant lack of knowledge exists around
the implications of Merit-Based Incentive Payment System (MIPS) and
that executives are not adequately prepared to meet several
significant reporting requirements, namely capturing complete
clinical documentation, developing business processes and provider
awareness.
A majority of survey respondents reported that they are
participating in QPP, expressed confidence in understanding QPP
requirements and stated that they are ready to meet these
requirements. However, the findings show this does not necessarily
translate into concrete understanding of key QPP thresholds.
Hospitals and clinicians that are not prepared to capture and
report on the 2017 MIPS requirements can face large consequences.
At risk is not only a 4% reduction in their Medicare reimbursement
starting in 2019, but also their reputation. CMS will start making
quality scores public, which will pose significant financial and
reputational risks to clinicians with poor scores.
The survey revealed that better awareness and education is
needed for several key areas of QPP, notably:
- Low awareness of revenue at risk – Eligible
providers who choose not to participate in QPP in 2017 are at risk
of a 4% reduction in Medicare reimbursements in 2019. More than 75%
of finance respondents who said they were somewhat or very
confident in understanding QPP requirements did not correctly
report this number as 4% when asked; 60% either underestimated the
percent of revenue at risk or did not know the answer.
- Confusion around submission timing requirement
– Only 35% of finance respondents who said they were confident in
knowing the QPP requirements correctly reported that QPP requires
90 days of quality data to be submitted; 50% either underestimated
or did not know the number of required days.
Complete and accurate clinical documentation is critical to
reflecting clinician scores and obtaining reimbursement, and Nuance
solutions that capture and improve clinical documentation, coding,
and quality analytics and reporting can help hospitals and
clinicians with these challenges. Of hospitals that have used
Nuance’s Clintegrity Quality Measures to report on core measures
performance, over 95% consistently achieve 100% of their annual
payment update. Nuance has also integrated the Alpha II Registry in
the Clintegrity Quality Measures software to streamline reporting
and to help hospitals meet these new quality reporting
requirements.
“Without proper clinical documentation, no organization will do
well with QPP. Our suite of clinical documentation and quality
solutions can help organizations meet these new requirements,” said
Dr. Anthony Oliva, chief medical officer, Nuance. “While the
changes are daunting, it is crucial for hospitals and clinicians to
take proactive steps to prepare, plan and participate. Doing so
will help organizations retain what they earn in the short term,
but will also set them up to avoid severe penalties in the long
run.”
Real-time performance information is also needed to improve
clinicians’ individual quality scores. Nuance’s Clintegrity
Performance Analytics was recently recognized by the independent
research company, KLAS, as the best performance management solution
for delivering easily accessible and actionable data to providers
in a specialty report titled, “Quality, Patient Safety, and Risk
Management 2017: Which Solutions Improve Patient Care Outcomes?”
The report comments that Clintegrity Performance Analytics “is best
at delivering easily accessible and actionable data to providers,
and they have consistently satisfied their customers. Nuance’s data
is highly accurate, and customers report using it for regularly
scheduled reporting meetings with their C-suite.”
To help educate finance officers on the impact of MACRA and the
specific ways in which hospitals can meet the requirements for pay
for performance, HFMA-ANI attendees can attend the session titled
“Pay for Performance in 2017: Meeting New Physician Quality
Reporting and Payment Requirements for MACRA and PQRS” featuring
Catherine Gorman-Klug, RN, MSN, CPM, Director, Quality Service
Line, Nuance, and Deborah Larkin-Carney, Vice President of Quality,
Barnabas Health, on Tuesday, June 27, from 3:30 p.m. to 4:45 p.m.
ET.
For more information on how Nuance’s suite of clinical
documentation and quality solutions can help hospitals meet the new
QPP requirements, visit www.nuance.com or at booth #1221 at
HFMA-ANI in Orlando, FL, from June 25-28, 2017. Additional
resources include:
- Infographic
- Webinar: “Holy MACRA! Navigating CMS' Quality Payment Program
(QPP)”
Nuance provides intelligent systems that support a more natural
and insightful approach to clinical documentation, freeing
clinicians to spend more time caring for patients. Nuance
healthcare solutions capture, improve and communicate more than 300
million patient stories each year, helping more than 500,000
clinicians in 10,000 global healthcare organizations to drive
meaningful clinical and financial outcomes. Nuance’s award-winning
clinical speech recognition, medical transcription, CDI, coding,
quality and medical imaging solutions provide a more complete and
accurate view of patient care.
About Nuance Communications, Inc.Nuance
Communications, Inc. is a leading provider of voice and language
solutions for businesses and consumers around the world. Its
technologies, applications and services make the user experience
more compelling by transforming the way people interact with
devices and systems. Every day, millions of users and thousands of
businesses experience Nuance’s proven applications. For more
information, please visit www.nuance.com.
Trademark reference: Nuance and the Nuance logo are registered
trademarks or trademarks of Nuance Communications, Inc. or its
affiliates in the United States and/or other countries. All other
trademarks referenced herein are the property of their respective
owners.
Contact Information
For Press
Julie Sculley, LPP
Julie_Sculley@lpp.com
617-986-5730
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