Cms Proposes The Creation Of Provider Performance Reports

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In a revolutionary move to increase transparency of information and lower healthcare costs, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule on June 3, 2011 Medicare Program; Availability of Medicare Data for Performance Measurement (CMS-5059-P) in an effort to make physician and hospital performance claim data available to the public via provider performance reports.
Presently there is limited availability to claims data. These new performance reports would address this deficiency by combining data from Medicare and private sector claims data. This information would be made available to the public, allowing for the identification of trends in efficient patient care, lowered costs and industry/specialty specific concerns retrieved from claims data.
The proposal has been met with mixed reactions in the industry. With government incentives and technological advances moving rapidly toward digitalized medical records, the key concern is the privacy and security of data. CMS ensures that strict security requirements will be placed on the organizations who handle the claims data. They will ask that providers will work in cooperation with these organizations to ensure the accuracy of the records and safety of patient information.
CMS believes that the availability of this data will be a progressive step in transparency of healthcare information, helping to foster an environment of increased competition, improved patient care and overall lower healthcare costs, nationwide.

The entire CMS document CMS-5059-P June 3, 2011 can be found at: http://www.ofr.gov/OFRUpload/OFRData/2011-14003_PI.pdf

Patricia Schoeneberger
Waiting Room Solutions
(www.waitingroomsolutions.com)
Waiting Room Solutions is the leading online provider of fully integrated Electronic Medical Records (EMR), Medical Billing and Practice Management solutions that automate all of the clinical and business functions required for healthcare providers.
Waiting Room Solutions offers seamless integrated Website Creation, Patient Portals, Personal Health Records, Scheduling, EMR, Billing, Messaging, Fax, Order Tracking, Rx Scripting, and Revenue Cycle Management at an affordable monthly fee. Waiting Room Solutions products are ONC-ATCB & CCHIT certified and recognized for their use of leading edge technology.
http://www.waitingroomsolutions.com/newsletter/2011/jun/cms-proposes-creation-provider-performance-reports


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