pay for performancecampus.ahima.org/audio/2007/rb071207.pdf · 2007. 7. 11. · cms’s hospital...

© Copyright 2007 American Health Information Management Association. All rights reserved.

Pay for Performance

Audio Seminar/Webinar July 12, 2007

Practical Tools for Seminar Learning

Disclaimer

AHIMA 2007 Audio Seminar Series i

The American Health Information Management Association makes no representation or guarantee with respect to the contents herein and specifically disclaims any implied guarantee of suitability for any specific purpose. AHIMA has no liability or responsibility to any person or entity with respect to any loss or damage caused by the use of this audio seminar, including but not limited to any loss of revenue, interruption of service, loss of business, or indirect damages resulting from the use of this program. AHIMA makes no guarantee that the use of this program will prevent differences of opinion or disputes with Medicare or other third party payers as to the amount that will be paid to providers of service. As a provider of continuing education the American Health Information Management Association (AHIMA) must assure balance, independence, objectivity and scientific rigor in all of its endeavors. AHIMA is solely responsible for control of program objectives and content and the selection of presenters. All speakers and planning committee members are expected to disclose to the audience: (1) any significant financial interest or other relationships with the manufacturer(s) or provider(s) of any commercial product(s) or services(s) discussed in an educational presentation; (2) any significant financial interest or other relationship with any companies providing commercial support for the activity; and (3) if the presentation will include discussion of investigational or unlabeled uses of a product. The intent of this requirement is not to prevent a speaker with commercial affiliations from presenting, but rather to provide the participants with information from which they may make their own judgments. This presentation is designed to provide accurate and authoritative information in regard to the subject matter covered. The information includes both reporting and interpretation of materials in various publications, as well as interpretation of policies of various organizations. This information is subject to individual interpretation and to changes over time.

Faculty

AHIMA 2007 Audio Seminar Series ii

Susan Garrison, CPC, CHC, CCS-P, CPC-H, CPAR

Ms. Garrison is the Executive Vice President of Magnus Confidential, Inc.’s healthcare consulting division. As a consultant to hundreds of healthcare providers, legal teams, accountants and related organizations, Ms. Garrison assists clients in all facets of documentation, coding, billing, compliance, and litigation needs.

Ms. Garrison is a nationally acclaimed and highly sought speaker, having presented hundreds of educational sessions for professional organizations (AAPC, HFMA, AHIMA, MGMA, AAHAM), teaching universities, other healthcare providers, and payors. With over 25 years of professional experience, her areas of expertise include Documentation, Coding, Billing, Compliance, Litigation, Revenue Enhancement, Revenue Cycle Operations, and Professional Communications.

James Rogers, MD, FACP

Dr. Rogers completed medical school at the University of Arkansas for the Medical Sciences then moved to Oklahoma to receive his training and specialization in Internal Medicine. Afterwards, he taught for a year as a chief resident–faculty member on the OU Medical School campus in Oklahoma City.

He then began private practice in Springfield, Missouri. He has been involved in medical advocacy through many aspects of local, regional, and national level. He is a member of AMA, ACP, and holds certification in quality assurance. He has served as the President of the Medical Staff for St. John's hospital, President of the Missouri Chapter of American Society of Internal Medicine, current Past-Chairman of Primaris (QIO for Missouri), served as a Board of Directors member for AHQA, and is now the Department Chair for Primary Care of St. John's Physicians and Clinics and the medical director for the Physician Group Practice demonstration project with CMS.

Dr. Rogers also continues his clinical Internal Medicine practice.

Table of Contents

AHIMA 2007 Audio Seminar Series

Disclaimer ..................................................................................................................... i Faculty .........................................................................................................................ii CMS Pay for Performance Programs................................................................................. 1 In This Session We Will Cover ......................................................................................... 1 Optimistic Paranoia ........................................................................................................ 2 Overview of Pay for Performance..................................................................................... 2 Definition ...................................................................................................................... 3 Hospital Quality Initiatives RHQDAPU, etc. .................................................................................................. 3 For FY 2007 ....................................................................................................... 4 Quality Measures................................................................................................ 4 Hospitals, paid by Medicare under IPPS… ........................................................... 5 Submit data to the QIO Clinical Warehouse .......................................................... 5 Hospital Compare website – charts ................................................................... 6-7 CMS's Hospital Chart Audio Validation .............................................................................. 8 Physician Group Practice (PGP) Demonstration Project ...................................................... 8 P4P "Living the Dream"....................................................................................... 9 About St. John's ............................................................................................9-10 About the Project Participants........................................................................10-11 CMS Goals and Objectives..................................................................................12 Demonstration Overview....................................................................................12 Cohort or "Assigned Beneficiaries" ......................................................................13 "Usual" Payments..............................................................................................13 Base Expenditure Amount ..................................................................................14 Financial Details ................................................................................................14 Quality Measures..........................................................................................15-16 Quality Performance Thresholds .........................................................................17 Provider Quotes ................................................................................................17 St. John's Resources..........................................................................................18 Benefits of the Project .......................................................................................18 Operational Structure.........................................................................................19 PGP Task Teams ...............................................................................................19 Strategies .........................................................................................................20 Care Redesign...................................................................................................20 Risk Adjustment Encounter Report......................................................................21 Patient Registry............................................................................................21-23 Magnitude of Data.............................................................................................23 Financial Success...............................................................................................24 Base Year Comparison .......................................................................................24 PGP Year 1 .......................................................................................................25 Quality Outcomes..............................................................................................25

(CONTINUED)

Table of Contents

AHIMA 2007 Audio Seminar Series

Key Advice........................................................................................................26 There are three kinds of groups..........................................................................26 Physician Quality Initiatives PQRI basic info .................................................................................................27 Specs ...............................................................................................................28 PQRI Quality-Data Codes ...................................................................................29 CPT II Modifiers ................................................................................................29 Form and Manner of Reporting ...........................................................................30 Bonus Payment .................................................................................................30 Resource/Reference List ................................................................................................31 Audience Questions.......................................................................................................31 Audio Seminar Discussion and Audio Seminar Information Online......................................32 Upcoming Audio Seminars ............................................................................................33 AHIMA Distance Education online courses .......................................................................33 Thank You/Evaluation Form and CE Certificate (Web Address) ..........................................34 Appendix ..................................................................................................................35 Resource/Reference List .......................................................................................36 CE Certificate Instructions

Pay for Performance

AHIMA 2007 Audio Seminar Series 1

Notes/Comments/Questions

CMS ‘Pay for Performance’ Programs

Eye of the storm

or blue skies for

providers?

1

In This Session We Will Cover

Current pay for performance initiativesEffective methods to implement Pay for Performance (P4P) programsKey indicators for hospitals and physiciansCMS Physician Group Practice P4P Demonstration ProjectDifferences between P4P and traditional paymentYour questions

2

Pay for Performance



3

Overview of Pay for PerformanceFocus: 5 Major Areas

Structure and Objectives

5 Steps

PhysiciansHospitalsNursing HomesDialysis Facilities/ ESRDHome Healthcare

Organize efforts short termDetermine each provider’s demonstration time periodRemain patient centeredFocus long term

Determine quality and performance measuresCMS collection of dataMechanics of paymentHow to validateHow to add value 4

Pay for Performance



Definition

Pay for performance is an emerging movement in health insurance where providers under this arrangement are rewarded for meeting pre-established targets for delivery of healthcare services.

This payment model rewards physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures for quality and efficiency.

1. Legitimate targets must be established.2. Rewards must be determined.3. Implementation must be structured.4. Validation of process must continue.

5

Hospital Quality Initiatives

The Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU)To provide information on quality of care so consumers may make informed decisions about their health care.Encouraging hospitals and clinicians to improve the quality of inpatient care provided to all patients.

Hospital quality of care information available on the Hospital Compare website: www.hospitalcompare.hhs.gov

Hospitals submit data for specific quality measuresHealth conditions common among people with Medicare, and Which typically result in hospitalization.

6

Pay for Performance



For FY 2007:

CMS requires that hospitals continue to submit data regarding the 10 quality measures for three medical conditions:

acute myocardial infarction, heart failure, and pneumonia.

Now, participating hospitals are required to collect and submit data on an expanded set of 11 clinical quality measures.

surgical care improvement is added as a fourth condition.

Eligible hospitals that do not participate in the initiative receive a 2 percentage points reduction in Medicare Annual Payment Update for FY 2007.

More information: www.qualitynet.org


7

Quality Measures

A quality measure is medical information from patient records converted into a rate or percentage that shows how well hospitals care for their patients.


The hospital quality measures include: • Eight measures related to heart attack care • Four measures related to heart failure care • Seven measures related to pneumonia care • Two measures related to surgical infection

prevention

8

Pay for Performance



Hospitals, paid by Medicare under IPPS, receive their full (non-reduced) Medicare Annual Payment Update by:

1. Identifying a QualityNet Security Administrator to register on www.QualityNet.org.

2. Completing and submitting a revised RHQDAPU-DRA Notice of Participation form.

3. Begin or continue data collection for all 10 "starter set" quality measures* plus the expanded set of 21 quality measures and submit to the QIO Clinical Warehouse.

4. The data for each quarter must be submitted on time and pass all edits and consistency checks required in the QIO Clinical Warehouse.


9

Submit data to the QIO Clinical Warehouse by either:

CMS Abstraction & Reporting Tool (CART)

JCAHO ORYX® Core Measure Performance Measurement System (PMS)

Other third-party vendor who has met the Measurement Specifications for data transmission (XML file format) via QualityNet to the QIO Clinical Warehouse


10

Pay for Performance



www.hospitalcompare.hhs.gov/Hospital/Static/About-HospQuality.asp?dest=NAV|Home|About|QualityMeasures


11


Beta blockers are a type of medicine used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent a heart attack.

Percent of Heart Attack Patients Given Beta Blocker at Arrival

Taking aspirin may help prevent further heart attacks. Percent of Heart Attack Patients Given Aspirin at Discharge

Aspirin can help keep blood clots from forming and dissolve blood clots that can cause heart attacks.

Percent of Heart Attack Patients Given Aspirin at Arrival

ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat heart attacks, heart failure, or a decreased function of the heart.

Percent of Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

12

Brief ExplanationHeart Attack Quality MeasuresFor more information about Heart Attack, click here

Pay for Performance




13


14

Pay for Performance



CMS’s Hospital Chart Audit Validation

If hospital submits six or more discharges (across topics) in a quarter, a random sample of five discharges will be validated.

Clinical Data Abstraction Center (CDAC) requests copies of medical records for selected discharges from the hospital.

When records are requested, submit them.

Any record not submitted on time, overall reliability score for the hospital could be impacted.

15

Physician Group Practice (PGP) Demonstration Project

“Better Care for Medicare”

CMS’s PGP Demonstration ProjectInsight into reality

16

Pay for Performance



P4P “Living the Dream”

St. John’s organizational descriptionPGP Demo participantsPGP Demo descriptionOur experience

17

St. John’s Health System

# 1 among America’s Top 100 Health Systems (Verispan, February 2007)

Institute for Healthcare Improvements (IHI) National Recognition (March 2004)

Among Nation’s Top Ten Clinics for Patient Satisfaction (Press Ganey , February 2004)

18

Pay for Performance



St. John’s Clinic

509 Physicians, 42 specialties• PCP 199• Specialists 310

150 mid-level providers and 2,000 coworkers

70 sites in 35 communities

1.4 million patient visits per year

19

Participating Organizations

Dartmouth-Hitchcock Clinic – New Hampshire

Deaconess Billings Clinic – Montana

The Everett Clinic – Washington

Forsyth Medical Group – North Carolina

Geisinger Clinic – Pennsylvania

Integrated Resources for Middlesex Area – Connecticut

Marshfield Clinic – Wisconsin

Park Nicolett Health Services – Minnesota

St. John’s Health System – Missouri

University of Michigan Faculty Group Practice – Michigan

20

Pay for Performance



Participants

21

Participant Description

Ten large PGPs are participating• 232 to 1,291 providers• 8 part of IDS, 2 AMCs,

1 network model, most nonprofits

Medicare FFS patients of these PGPs are notified, but not enrolled• 8,000 to 45,000 assigned beneficiaries

per PGP• Over 225,000 total assigned beneficiaries

22

Pay for Performance



CMS Goals and Objectives

Save money while improving quality of care

Encourage coordination of Part A and Part B services

Reward physicians for improving health outcomes

Promote efficiency through investment in administrative structure and process

Compare PGP group to control group

23

Demonstration Overview

Three-year project

Comparison Year 2004

Project started April 1st, 2005

Inflation and Risk adjustment formulas

Share what is saved, if quality measures are met

24

Pay for Performance



Cohort or “Assigned Beneficiaries”

Geographically definedPlurality of outpatient visits

Defined in base yearReadjusted yearly

ExclusionsHospiceHMOCatastrophic > $100,000 “cap”

25

“Usual” Payments

Continued FFS reimbursementNormal part A – hospitalNormal part B – providersNormal DME

26

Pay for Performance



Base Expenditure Amount

Sharing Rate

80% 20%

Earned Bonus:Financial Performance

70%Quality Bonus 30%

Medicare Trust Fund

CMS Bonus Payment

27

Financial Details

Savings shared CMS=20% and PGP=80% (after 2 % threshold) Savings capitated = 5%Financial/quality payout *

Yr. 1=70/30Yr. 2= 60/40Yr. 3 = 50/50

*Total payout requires both financial performance and quality achievement

28

Pay for Performance



Quality Measures

32 Measures (Disease & Preventive)Year One: Diabetic module & prevention (diabetic influenza and pneumococcal vaccinations)Year Two: adds CHF and CAD modulesYear Three: adds HTN module and prevention (colorectal & breast cancer - population )

• Claims weight (7 from claims, 25 from charts)4 = claims based measures1 = chart review and hybrid methodology

29

DM-1 HbA1c ManagementDM-2 HbA1c ControlDM-3 Blood Pressure ManagementDM-4 Lipid MeasurementDM-5 LDL Cholesterol Level

DM-6 Urine Protein TestingDM-7 Eye ExamDM-8 Foot ExamDM-7 Influenza VaccinationDM-8 Pneumonia Vaccination

Quality Measures - First Year

30

Pay for Performance



HF-1 Left Ventricular Function AssessmentHF-2 Left Ventricular Ejection Fraction TestingHF-3 Weight MeasurementHF-4 Blood Pressure ScreeningHF-5 Patient EducationHF-6 Beta-Blocker Therapy Pt w/LVSDHF-7 Ace Inhibitor Therapy Pt w/LVSDHF-8 Warfarin Therapy for A Fib/HF

HF-9 Influenza VaccinationHF-10 Pneumonia VaccinationCAD-1 AntiplateletTherapyCAD-2 Drug Therapy for Lowering LDL CholesterolCAD-3 Beta-Blocker Therapy – Prior MICAD-4 Blood PressureCAD-5 Lipid ProfileCAD-6 LDL Cholesterol LevelCAD-7 Ace Inhibitor Therapy Pt w/DM &/or LVSD

Quality Measures - Second Year

31

HTN-1 Blood Pressure Screening

HTN-2 Blood Pressure Control

HTN-3 Plan of Care

PC-5 Breast Cancer Screening

PC-6 Colorectal Cancer Screening

Quality Measures – Third Year

32

Pay for Performance



Quality Performance Thresholds

Absolute: 75% complianceRelative: Medicare private plan mean/70th percentileImprovement: 10% improvement of deficit at baseline

33

Provider Quotes

“The right care, to the right patient, at the right time, every time”

“To do the best, for the most, with what we have”

“Crap! Another unfunded mandate”

“All of my patients already get ______”

34

Pay for Performance



St. John’s Resources

Clinic StructureDisease Management

Premier experienceCHF database

Community Case ManagementExtended Social ServicesPatient EducationCoding Expertise

35

Benefits of the Project

P4P legislation proposed in CongressMonthly conference calls with CMSExperience in preparing for new P4PEnhanced patient servicesPatient Registry installation

36

Pay for Performance



Operational Structure

Steering committee

Clinical Planning Team

PGP Task Teams

Technical team

37

PGP Task Teams

St. John’s ClinicDefined – limited taskRapid turnaround required3 month time limit (with maximum 1 extension)

38

Pay for Performance



Strategies

FinancialCHF care/summitCOPD careHospice referralsPatient educationNursing home communicationRisk Capture

Quality measuresDiabetic foot exam template & codeImplement registryStanding agenda item on monthly business meetingSoftmed BP Capture

39

Care Redesign

Nursing Home Task Force

Medication Reconciliation

Discharge Planning Redesign

Advance Care Planning

CHF full continuum care coordination redesign

HHC/DME Task Force

COPD full continuum care coordination redesign

40

Pay for Performance



Risk Adjustment Encounter Report

41

Patient Registry

Three essential componentsTimely automatic feedsWorkflow remindersAd hoc reporting

42

Pay for Performance



Patient Registry

EHR transitionEHR application Outcomes capture tool

PGP DemoCMAPHEDIS

43

Patient Registry

Electronic interfaces – IDX and Cerner• Patient demographics• Visit schedules • Lab tests and results• Procedure information such as

mammograms and immunizationsWeb-based systemSecurity and HIPAA audit tracking compliance

44

Pay for Performance



Patient Registry

Visit Planner• Contained within established workflow• “to do list” with that visit

Reports • “current” exception list• Telephone Call Lists/Labels/Reminder

Letters• Provider and Clinic Outcomes Summary

45

Magnitude of Data

Total Medicare database =

>60,000

Diabetics = 8560CHF = 5240CAD = 10,120

Average number of annual visits

Diabetics = 6.2CHF = 8.3CAD = 4.2

46

Pay for Performance



Financial Success*

CY2004 FY2005 Last 12mo

Admits/1000 121 118 113Readmits in 31days 6.1 5.6 5.5ER visits/1000 161 160 158Case mix 1.69 1.73 1.79

* total Medicare admits in St. Johns Hospital

47

Measure Achievement Percentage, 2004

Number of PGPsMeeting Level

Threshold

DM-1

DM-2

DM-3

DM-4

DM-5

DM-6

DM-7

DM-8

DM-9

DM-100 10 20 30 40 50 60 70 80 90 100

10

10

1

2

9

9

6

0

2

3

Base Year Comparison

48

Pay for Performance



PGP Year 1 (est.)

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

St. John's PY1* 91.59% 91.27% 52.40% 84.88% 81.68% 59.74% 40.48% 59.94% 64.96% 67.82%

St. John's PY1 Target 84.59% 73.24% 50.71% 82.59% 75.00% 62.57% 64.06% 19.98% 53.37% 66.44%

HbA1c Assessed HbA1c < 9%

BP Managemen

t <140/90

LDL Assessed LDL <130

Urine Protein Test Assessed

Retinal Eye Exam

Assessed

Foot Exam Assessed

Influenza Vaccination

Pneumonia Vaccination

49

Quality OutcomesSt John's Clinic

MCR MRR Diabetes Markers CY2004 and PGP Year Ending March 31, 2006

69.74%

88.99%

3.41%

61.04%

67.48%

18.92% 17.71%

1.88%

55.64%

48.99%

91.55% 91.23%

52.56%

84.82%81.36%

61.22%

41.11%

61.05%65.01% 68.16%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

HbA1cAssessed

HbA1c <9% BloodPressure

<140/90 mmHg

LDLAssessed

LDL <130mg/dl

UPTAssessed

Retinal EyeExam

Assessed

Foot ExamAssessed

Flu Vaccine PneumoniaVaccine

2004 2005 target 50

Pay for Performance



Key Advice?

Tell the story (many times and many ways)A very tight “Core Team” with the visionPatient Registry that works

51

those which make things happen,

those which wait for things to happen,

and those which wonder what happened.

There are three kinds of groups—

52

Pay for Performance



Physician Quality Initiatives

The Tax Relief and Health Care Act of 2006 (TRHCA) authorized the physician quality reporting system by CMS.

The program is called the Physician Quality Reporting Initiative(PQRI).

It’s voluntary right now.

It carries a financial incentive for eligible and participating professionals.

From 7/1/07 – 12/31/07 = 1.5% of total allowed chargesThere is a cap

A designated set of quality measures must be submitted on claims.

53


Physicians Quality Reporting Initiative (PQRI) began July 1, 2007.

• All Medicare-enrolled eligible professionals may participate, regardless of whether they have signed a Medicare participation agreement to accept assignment on all claims.

• No registration is required to participate in PQRI.

54

Pay for Performance




Specs:For 2007, PQRI reporting has 74 unique measures.

The measures are associated with clinical conditions through the use of ICD-9-CM and HCPCS.

The specific measures and associated codes address various aspects of care:

• prevention, • management of chronic conditions, • acute episode of care management, • procedure-related care, • resource utilization, and • care coordination.

55


The Specs describe each PQRI quality measure and how to code each measure’s numerator and denominator.

Numerator:CPT Category II code

DenominatorICD-9-CM and CPT Category I codes

Multiple CPT Category II codes can be reported

There are reporting frequency requirements for each eligible patient seen:

Example:• report one-time only, • once for each procedure performed, • once for each acute episode

56

Pay for Performance




PQRI Quality-Data Codes

There are quality-data codes associated with each measure.

PQRI quality-data codes are CPT® II codes with temporary G codes for exception bases.

Quality-data codes translate clinical actions so they can be captured in the administrative claims process.

57


CPT II Modifiers

PQRI measures may require a modifier.

CPT II modifiers may only be reported with CPT II codes.

Two categories:

1. Performance Measure Exclusion Modifiers

2. Performance Measure Reporting Modifier

58

Pay for Performance



Form and Manner of Reporting• Reporting period is July 1–December 31, 2007

• Claims-based reporting

• CPT Category II codes (or temporary G-codes where CPT Category II codes are not yet available) for reporting quality data

• Quality codes may be reported on paper-based CMS 1500 claims or electronic 837-P claims

• Quality codes are reported with a $0.00 charge

• Quality codes, which supply the measure numerator, must be reported on the same claims as the payment codes, which supply the measure denominator

• No registration is required to participate


59

Bonus Payment• Participating eligible professionals who successfully

report may earn a 1.5% bonus, subject to cap

• 1.5% bonus calculation based on total allowed charges during the reporting period for professional services billed under the Physician Fee Schedule

• Claims must reach the National Claims History (NCH) file by February 29, 2008

• Bonus payments will be made in a lump sum in mid-2008

• Bonus payments will be made to the holder of record of the Taxpayer Identification Number (TIN)

• No beneficiary coinsurance


60

Pay for Performance



Resource/Reference List


www.cms.hhs.gov/QualityInitiativesGenInfo/

www.Qualitynet.org

www.hospitalcompare.hhs.gov

www.cms.hhs.gov/PQRI

www.cms.hhs.gov/NationalProvIdentStand

Coding Community of Practice (CoP) at www.ahima.org – member login

61

Audience Questions

Pay for Performance



Audio Seminar Discussion

Following today’s live seminarAvailable to AHIMA members at

www.AHIMA.org“Members Only” Communities of Practice (CoP)

AHIMA Member ID number and password required

Join the Coding Community from your Personal Page. Look under Community Discussions for the Audio Seminar Forum

You will be able to:• discuss seminar topics • network with other AHIMA members • enhance your learning experience

AHIMA Audio Seminars

Visit our Web site http://campus.AHIMA.orgfor information on the 2007 seminar schedule. While online, you can also register for seminars or order CDs and Webcasts of past seminars.

Pay for Performance



Upcoming Audio Seminars

Amending Closed Health RecordsAugust 9, 2007

Disaster Recovery for Health RecordsOctober 4, 2007

EHR: Print Function RestrictionOctober 25, 2007

AHIMA Distance Education

Anyone interested in learning more about e-HIM® should consider one of AHIMA’s web-based training courses.

For more information visit http://campus.ahima.org

Pay for Performance



Thank you for joining us today!

Remember − visit the AHIMA Audio Seminars Web site to complete your evaluation form and receive your CE Certificate online at:

http://campus.ahima.org/audio/2007seminars.html

Each person seeking CE credit must complete the sign-in form and evaluation in order to view and print their CE certificate.

Certificates will be awarded for AHIMA CEUs and ANCC Contact Hours.

Appendix


Resource/Reference List .......................................................................................36 CE Certificate Instructions

Appendix


Resource/Reference List


www.cms.hhs.gov/QualityInitiativesGenInfo/

www.Qualitynet.org

www.hospitalcompare.hhs.gov

www.cms.hhs.gov/PQRI

www.cms.hhs.gov/NationalProvIdentStand

Coding Community of Practice (CoP) at www.ahima.org. Log in to "My AHIMA."

To receive your

CE Certificate

Please go to the AHIMA Web site

http://campus.ahima.org/audio/2007seminars.html click on

“Complete Online Evaluation”

You will be automatically linked to the CE certificate for this seminar after completing

the evaluation.

Each participant expecting to receive continuing education credit must complete the online evaluation and sign-in information after the seminar, in order to view

and print the CE certificate.

pay for performancecampus.ahima.org/audio/2007/rb071207.pdf · 2007. 7. 11. · cms’s hospital...

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