Core Measure Abstraction

Core Measure Abstraction 2017-07-12T23:28:04+00:00
Core Measure AbstractionThanks to our testimony as an expert witness, the hospital involved in the case won and was reimbursed their full APU payment*. We have also presented on CHF and CAD for the Get with the Guidelines program at the American Heart Association.
Core Measures was a program started by 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 CMS reimbursement and 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.
We have hundreds of satisfied clients. Direct Difference’s considerable knowledge of Core Measures has enabled us to help institutions overcome the extensive burden that the Centers for Medicare and Medicaid Services(CMS) has placed on hospitals nation-wide. We are educated in current and future legislation that will directly impact health care organizations. Our staff has an intimate knowledge of hospital procedures and culture, which makes us an excellent choice.
Analyzing and identifying “problem” areas for hospitals is one of our strongest areas of expertise. We have been able to successfully implement new protocols and make hospital-wide changes that have resulted in an increase in core measures scores. 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.
 
Contact a Direct Difference team member for more information:
Core Measure & Medical Abstraction 
Phone: (800) 805-4880
Email:   info@directdifference.com Core Measure Abstraction

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