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Core Measure Abstraction Outsourcing

Core Measure Abstraction Outsourcing Direct Difference expertise as a Core Measure Abstraction Outsourcing company that we have been called as an expert witness in a recent court case heard in Washington DC. Our testimony helped the hospital that was involved win their case and be awarded their full APU reimbursement payment*.
Expertise as a Core Measure Abstraction company is not just skin deep. We have presented on CHF and CAD for the “Get with the Guidelines” program at the American Heart Association.
Core Measures was a program started by Centers for Medicare and Medicaid Services (CMS) in an attempt to ensure a universal quality of care for patients. The program has developed into a set of “measures” that hospitals are required to report on in order to receive their full APU reimbursement.
Our team consists of a group of highly educated individuals that understand what it takes to bridge the gap between what the CMS will reimburse and actual patient care. Our team members all work in the Acute Health Care setting and understand the true impact this has on facilities across the nation.
Analyzing and identifying “problem” areas for hospitals is one of our strongest areas of expertise. For example, Western Medical Center, Santa Ana achieved the Gold medal for Coronary Artery Disease and Heart Failure from the American Heart Association in 2008/2009 and was published in the U.S. World News Report due to the efforts of the Direct Difference team members. We have also worked with Los Alamitos / Tenet in achieving the Gold medals for CAD and CHF from the AHA. They are now recognized as a facility that ranks in the top 10% of the nation.
Direct Difference is continually monitoring the upcoming legislation that will increase the measure sets by 300% over the next three years. The new CMS Value-Based Purchasing Program (VBP) has been studied extensively by our staff and will be one of the biggest challenges that hospitals will have to face in the next few years.
What do we offer in addition to core measures abstraction outsourcing?
▪       Guidance for proper abstraction of core measure charts.
▪       Analysis and identification of problem areas.
▪       Education for physicians and hospital staff on core measures.
▪       Guidance for proper implementation of new protocols.
▪       Improvement in publicly reported scores.
▪       Awareness for upcoming measures.
▪       Maximize reimbursement within the Value-Based Purchasing Program.
▪       Gain positive recognition from the AHA.
▪       Guidance on becoming a certified Stroke Center.
▪       Increased scoring for HCAHPS.
▪       A round-the-clock business resource.
Contact a Direct Difference team member for more information:
Core Measure & Medical Abstraction 
Phone: (800) 805-4880
Email:   info@directdifference.com

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