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INITIATIVES

Maximize Pay-for-Performance Participation

Cielo Clinic supports active participation in pay-for-performance programs by reporting and submitting data to payor organizations AND by providing actionable information to help practices improve their quality scores. Cielo Clinic 's feature set easily configures to specific pay-for-performance program requirements and provides the accurate documentation needed to prove compliance.

Managing to more than one pay-for-performance program? Cielo Clinic allows a practice to manage multiple pay-for-performance programs simultaneously. And, if a program sponsor supports it, Cielo will submit performance data and reporting to a pay-for-performance program.

Benefits

  • At the point-of-care, Cielo Clinic generates care reminders specific to a pay-for-performance program, to ensure patients being seen are receiving required services.
  • Many pay-for-performance programs are based on the delivery of non-billable services like diabetic foot exams. Cielo Clinic easily captures the delivery of these services at the point-of-care, ensuring documentation is as complete as possible.
  • Through Cielo Clinic's rules engine, virtually any care guideline can be quickly and easily implemented in a short time without the need for a programmer or the development of a new module.
  • To ensure all patients are being managed, Cielo Clinic easily identifies patients due for services but not scheduled for a visit and provides outreach tools to contact them.
  • Cielo Clinic also documents patient compliance and refused services.
  • Cielo Clinic's reporting can take into account the specific numerator and denominator criteria of a pay-for-performance program.

Cielo Clinic helps a health system manage consistent quality-of-care standards across practices. The result is high-quality patient care with increasing revenues for additional health system services such as laboratory tests and in-network physician referrals. Optional reporting features allow the health system to collect data on practice and provider performance for comparison, analysis and study.

Does your health system have an electronic medical record solution that struggles with quality management? Click here to learn how Cielo Clinic can complement an existing EMR investment.

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