NextGen® Enterprise EHR 5.9.3 (formerly called NextGen Ambulatory EHR)

The Health IT module(s) is 2015 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

Holds Certificate No: 15.04.04.2054.Next.59.06.1.190221, Certification Date: Feb. 21, 2019, Effective Date: 2015 Edition

  Visit NextGen Healthcare for full certificate and disclosure requirement details at https://www.nextgen.com/certifications 

©2018 Topaz Information Solutions® . All rights reserved.

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

 

  • MACRA establishes new payment methods for physicians who provide services to   Medicare beneficiaries. It repeals the Sustainable Growth Rate (SGR) Formula that determines Medicare Part B reimbursement rates for physicians and replaces it with new ways of paying for care. Under MACRA, participating providers will be paid based on the quality and effectiveness of the care they provide.

 

  • MACRA’s value-based payment programs will be based on two new reimbursement structures:

 

  • The Merit Based Incentive Payments System (MIPS) combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-Based Payment Modifier) and the Medicare Electronic Health Record (EHR) incentive programs into one.

 

  • Alternative Payment Models (APMs) provide a new way for Medicare to compensate healthcare providers for the care they give to Medicare beneficiaries.

 

 

Click here to learn more information about MACRA https://qpp.cms.gov/

CCBHC/Excellence Act

 

  • Certified Community Behavioral Health Clinics (CCBHCs) are designed to provide a comprehensive range of mental health and substance use disorder services, particularly to vulnerable individuals with the most complex needs during a federal demonstration program with participating states.

  • The Excellence Act established a federal definition and criteria for CCBHCs and stipulated that CCBHCs may receive an enhanced Medicaid reimbursement rate based on their anticipated costs of care.

 

Click here to learn more about CCBHC https://www.thenationalcouncil.org/wp-content/uploads/2015/11/Fact-Sheet_what-is-a-ccbhc-FINAL.pdf

CARA

  • The Comprehensive Addiction and Recovery Act of 2016 (CARA) establishes a comprehensive, coordinated, balanced strategy through enhanced grant programs that would expand prevention and education efforts while also promoting treatment and recovery.

 

Brief Summary of Provisions of CARA

  • Expand prevention and educational efforts—particularly aimed at teens, parents and other caretakers, and aging populations—to prevent the abuse of methamphetamines, opioids and heroin, and to promote treatment and recovery.

  • Expand the availability of naloxone to law enforcement agencies and other first responders to help in the reversal of overdoses to save lives.

  • Expand resources to identify and treat incarcerated individuals suffering from addiction disorders promptly by collaborating with criminal justice stakeholders and by providing evidence-based treatment.

  • Expand disposal sites for unwanted prescription medications to keep them out of the hands of our children and adolescents.

  • Launch an evidence-based opioid and heroin treatment and intervention program to expand best practices throughout the country.

  • Launch a medication assisted treatment and intervention demonstration program.

  • Strengthen prescription drug monitoring programs to help states monitor and track prescription drug diversion and to help at-risk individuals access services.

 

Click here to learn more about CARA: http://www.cadca.org/comprehensive-addiction-and-recovery-act-cara

HEDIS

  • The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 81 measures across 5 domains of care. Topaz Information Solution focuses on providing the necessary assistance and tools to help our clients meet HEDIS measures. 

 

Click here for more information on HEDIS http://www.ncqa.org/hedis-quality-measurement/hedis-measures

HIE

  • Health Information Exchange (HIE) allows health care professionals and patients to appropriately access and securely share a patient’s vital medical information electronically. The needs and requirements for health information exchange differ from practice to practice, and the solutions available differ from state to state. While several options may be available, there are specific questions physicians should be asking to determine what solution is best for them. Topaz Information Solutions partners with HIE vendors to ensure interoperability of our EHR system and to get your HIE questions answered.

Click here for more information on HIE https://www.healthit.gov/HIE

State Innovation Models (SIM) Initiatives

  • SIM provides financial and technical support to states for the development and testing of state-led, multi-payer health care payment and service delivery models. The goal of the SIM initiative is to improve health system performance, increase quality of care, and decrease costs for Medicare, Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries for residents of participating states. Topaz Information Solutions is actively monitoring federal requirements and timelines of the SIM grant. 

 

Click here for more information on SIM https://innovation.cms.gov/initiatives/state-innovations

Value based payment model – Better care, better health, lower cost

  • Value-based programs reward health care providers with incentive payments for the quality of care they provide to Medicaid and Medicare members. The VBP Models are a larger quality strategy to reform how health care is delivered and paid. 

 

Please contact your State Medicaid Agency on the VBP model(s) for your state.

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