Chronic Care Management
E-Prescribing Implementation is Nearly Upon Us!
Prepare Today with NYACP!
The final date for implementation of E-Prescribing for both controlled and non-controlled substances is March 27, 2016.
Is your practice prepared?
If not, NYACP has a wealth of resources to assist you in your implementation efforts.
- The NYACP E-Prescribing Page: This page contains information on signing up for the Health Commerce System, Prescription Monitoring Program, and other useful information pertaining to the implementation of E-Prescribing.
- Vendor List: Courtesy of Surescripts, find out what vendors are available to suit your E-Prescribing needs!
- Frequently Asked Questions: From the NYS DOH, there is a handy guide of frequently asked questions about E-Prescribing Implementation.
- Waiver Claims: To find out if you qualify for a waiver claim, and how to set one up, you can go here.
Article courtesy of AMA
Prior to adjourning for the holidays, Congress passed the Patient Access and Medicare Protection Act (PAMPA), which directed the Centers for Medicare and Medicaid Services (CMS) to make AMA-supported changes to the Medicare EHR Incentive Program hardship exception process that allows physicians to avoid a Meaningful Use (MU) penalty in 2017.
NYACP encourages ALL physicians subject to the 2015 Medicare MU program to apply for the hardship. CMS has stated that it will broadly accept hardship exemptions because of the delayed publication of the program regulations. Applying for the hardship will not prevent a physician from earning an incentive. It simply protects a physician from receiving an MU penalty. Therefore, physicians who believe that they met the MU requirements for the 2015 reporting period should still apply for the hardship protection. Note that the program operates on a two-year look-back period, meaning that physicians who are granted an exception for the 2015 program will avoid a financial penalty for 2017.
Step-by-step instructions for completing the hardship exception application follow below:
- STEP 1: Access the instructions and download the application. You can type directly into the application on your computer if you plan to submit the application via email (more on this in Step Seven). Note that CMS “strongly recommends” submission via email, but if that is not possible, the application should be printed out and completed using blue or black ink. Do not use pencil.
- STEP 2: In Section 1.1, provide information for the person working on behalf of the physicians to apply for the hardship exception. Note that, for the first time, an individual may apply on behalf of a group of physicians. This individual may be the physician applicant him/herself or the individual filling out the information on behalf of a physician group (for example, a member of the group’s administrative staff). This step is very important because CMS will provide notice of its hardship exception decisions – which are final and cannot be appealed – via the email address provided on the application.
- STEP 3: In Section 2, check the box beside the hardship exception reason that best applies to your circumstances. The AMA is encouraging physicians to apply for a hardship exemption under the “EHR Certification/Vendor Issues (CEHRT Issues)” category (Option 2.2.d in the application), even if they are uncertain whether they will meet the program requirements this year. Because of the delay in publication of the regulation, this category will apply to all physicians. Further, given the delay of the regulations and these updates to the hardship application, CMS has stated that they will refrain from auditing physicians who file under Option 2.2d. A physician who qualifies for more than one hardship exception category may select all of the options applicable to his or her practice; however, one category will suffice.
- STEP 4: Skip Section 3. This section only applies to hospitals.
- STEP 5: In Section 4, list the NPI, first name, and last name for each physician applicant. Again, multiple providers and provider types may apply as a group using a single submission. Failure to provide each physician’s NPI will result in a delayed hardship exception decision by CMS. In addition to listing each physician’s information on the application itself, CMS will accept physician identification contained in the following formats: Microsoft Excel (.xls or .xlsx), comma delimited (.csv), or text file (.txt).
- STEP 6: In Section 5, check the box marked “Confirm” and enter the date of application and the name of the individual completing the form.
- STEP 7: Submit the application to CMS. If you are submitting the application electronically, attach the application to an email addressed to email@example.com. If an electronic submission is not feasible, fax the application to 814-456-7132. If you have listed the required physician identification in a separate file as described in Step Five above, be sure to attach it to your email or include it with your fax. No additional documentation is required to be submitted to CMS; however, physicians should keep a copy of their application and any documentation supporting hardship exceptions claimed in addition to Option 2.2.d.
If granted, an exemption will prevent penalties for the 2017 payment year. This hardship exception application will not affect payment adjustments for 2016. The application must be received by CMS by 11:59PM ET on March 15, 2016. CMS has not said when applicants will be notified of CMS’ decision.
The Philadelphia Regional Office of the Centers for Medicare & Medicaid Services will be hosting two webinars entitled “The Medicare Quality Reporting Programs: What Eligible Providers Need to Know in 2016” on Wednesday, February 10 and Wednesday, February 17, both from 11:30 AM – 1:00 PM EST. These webinars will feature the same presentations on both dates. Topics that will be discussed include:
- Medicare Access and CHIP Reauthorization Act (MACRA) Preview
- 2016 Incentive Payments and 2018 Payment Adjustments
- 2016 PQRS Updates
- 2018 Value-based Payment Modifier (VM) Policies
- Physician Compare Updates for 2016
- Meaningful Use of CEHRT in 2016
The webinars will be delivered via WebEx, and instructions on how to join the calls will be given upon registration. To register for each of the calls, please see the links below:
Wednesday, February 10, 2016, 11:30 AM – 1:00 PM EST
1. Go to this link.
2. Click "Register".
3. On the registration form, enter your information and then click "Submit"
Wednesday, February 17, 2016, 11:30 AM – 1:00 PM EST
1. Go to this link.
2. Click "Register".
3. On the registration form, enter your information and then click "Submit"
Once the host approves your registration, you will receive a confirmation email message with instructions on how to join the event.
Today, clinical educators are expected to practice and demonstrate high-value care while simultaneously training future physicians to do so. However, many educators lack the knowledge and experience required to mentor trainees in this new skill.
ACP will host an opportunity to gain new strategies to teach, implement, and supervise value-based quality improvement activities in a rigorous way. Participants will be able to earn CME credits.
This course is designed for internal medicine educators at any level with an interest in high-value care and quality improvement. Institutions are encouraged to send more than one individual to this program to gain maximal benefit for curriculum planning and so that teams can return to their institution ready to engage in this work together. Individuals who should attend include, but are not limited to, educational administrators (program director, associate program director, clerkship director, fellowship director), faculty with an interest in HVC and/or QI, and hospital quality leaders (e.g., CMO, CQO). Residents, chief residents, and non-physician health care providers are also invited to attend as part of a team.
Please share this with your colleagues and consider attending this uniquely educational high-value care opportunity.
Wednesday, March 16, 2016
9:00 a.m. – 4:00 p.m.
190 N. Independence Mall West
Philadelphia, PA 19106
This event is presented in partnership between the American College of Physicians and the Alliance for Academic Internal Medicine (AAIM).
New York State Office for the Aging: Community-Based Programs and Services Available to Compliment the Medical Care and Advice Physicians Provide to Older Adults
Did you know there are extensive community-based services available to older adults funded under the Older Americans Act? These programs and services are critical to an individual’s overall health, wellness and independence. The New York State Office for the Aging (NYSOFA) and its network can help to connect patients through referral to the important day-to-day social supports that will reinforce and compliment the medical care and advice you provide.
NYSOFA contracts with 59 county based area agencies on aging (AAA) who have partnerships with almost 1,200 service providers to provide the following services in every county in the state:
- NY Connects Program (ADRC) – provides county-specific, objective information and assistance in accessing long term services and supports, options counseling, benefits and application assistance
- Health Insurance Information, Counseling and Assistance (HIICAP) helps individuals understand their Medicare benefits, assistance selecting Part D plans, etc.
- Personal Care Level I and II (non-Medicaid)
- Case management
- Ancillary services such as Personal Emergency Response Systems (PERS) and assistive devices
- Social adult day services
- Transportation to needed medical appointments, community services and activities
- Employment services
- Legal Services
- Home modifications, repairs
- Long Term Care Ombudsman
- Home delivered meals (HDM)
- Congregate meals
- Nutrition counseling & education
- Senior center programming
- Health promotion and wellness
- Evidence Based Interventions – Chronic Disease Self-Management Education Programs (CDSMEs), fall prevention, etc.
- Volunteer opportunities
Contact your local County Office for the Aging today to learn more about the community programs and services available to assist your patients in better accessing services that will help to improve their health care outcomes and maintain independence for as long as possible.
When you encounter an older adult and/or their caregiver, remember the aging network and the role they can play in helping your patients. Your referral to the Office for the Aging or NY Connects can make a big difference in their lives.
A REMINDER: Starting on January 1, 2016, Medicare began covering advance care planning as a separate and billable service. The two advance care planning codes for Medicare are:
- 99497 for an initial 30 minute voluntary advance care planning consultation (Final RVU 1.5)
- 99498 as an add-on code for additional 30 minute time blocks needed (Final RVU 1.4)
-- Review the FAQ document developed by the Henry J. Kaiser Family Foundation for more information on Medicare’s role in end-of-life care and advance care planning.
-- Visit the Chapter’s Practice Management webpage for more advance care planning tools.
The New York City Department of Health’s Bureau of Environmental Disease & Injury Prevention recently released a publication that guides health care providers on how to conduct screening and comprehensive risk factor assessment to prevent falls among older adults: City Health Information: Preventing Falls in Older Adults. This guide describes steps for initial falls risk assessment and stratification, further clinical evaluation, and evidence-based interventions to reduce falls risk. The guide also links to the CDC STEADI toolkit and describes Medicare billing and incentive programs and community resources for older adults.
The state Department of Health on Wednesday unveiled an online registration system for patients seeking to qualify for the state’s medical marijuana program. The program is due to become active next month, though Gov. Andrew Cuomo has signed legislation earlier in the year creating an expedited system.
Before patients can register online, they must first be certified by a physician who has been authorized to operate in the medical marijuana program. Doctors must have taken an online course and registered with the state in order to prescribed medical marijuana.
After online registration is completed, patients will then receive a registry identification card in the mail, which must be shown when purchasing medical marijuana at dispensing facility. New York’s medical marijuana program is limited to a small number of illnesses, including cancer, HIV/AIDS, ALS, Parkinson’s as well as severe epilepsy, among others. The medical marijuana program includes five companies growing, manufacturing and dispensing prescription medical marijuana in the state. It’s expected that given the small patient pool, registration for the program will be relatively small in the beginning.
Also: Re-watch the four-part series on the state’s medical marijuana program, The Growing Economy.
The New York State Department of Health (NYSDOH) recently approved the online availability of the 4-hour medical use of marijuana course through theAnswerPage.The cost to take the course is $249, and includes the following topics: the pharmacology of marijuana; contraindications; side effects; adverse reactions; overdose prevention; drug interactions; dosing; routes of administration; risks and benefits; warnings and precautions; and abuse and dependence. 4.5 hours of CME Credit are available upon completion.
As a follow-up to this course, there is a new brochure with information available for physicians. "The New York State Medical Marijuana Program: Physician Information" brochure provides information on how health care providers qualify for the program, how to register with the NYSDOH, and how to certify your patients. A copy has been posted to the NYSDOH website on the practitioner information page.
The system that will be used by physicians to issue certifications to patients, as well as the patient registration system, will be available soon. More information will be posted as it becomes available.
In 2015, 116 ACP members achieved Fellowship with the College. Congratulations to the New York ACP Fellows that were elected this year!
Fellowship in the College is an honor. Being an FACP is a mark of esteem from colleagues who recognize accomplishments and achievements over and above the practice of medicine.
ACP Fellowship is primarily achieved through advancement from ACP Membership. Fellows are authorized to use the letters FACP (Fellow of the American College of Physicians) in connection with their professional activities for as long as their membership remains current. FACP is a federally registered service mark and is defined as providing recognition by way of an honorific. Fellows of the American College of Physicians have the right to vote, hold office, and sponsor applicants for Membership and Fellowship.
If you are not an ACP Fellow, but have been an ACP member for two or more years (post residency), we encourage you to further explore the current criteria and application process.
The American College of Physicians and the New York Chapter are asking members to help strengthen the organization by recommending ACP membership to colleagues. By joining the College, your colleagues will enrich their clinical knowledge and skills and have access to all of the ACP and Chapter member benefits that you enjoy.
To thank you for your dedication to our organization, ACP offers incentives to members and their chapters for recruiting new members through the Recruit-a-Colleague Chapter (RACC) Rewards Program.
The RACC Program rewards successful individual recruiters with dues credits for each new full Member or Physician Affiliate member recruited and a chance to win a trip to the annual Internal Medicine meeting. In addition, the RACC Program also provides rewards to the recruiter’s chapter, and complimentary registrations to the annual Internal Medicine meeting.
The 2015-16 Recruit-a-Colleague Chapter Rewards Program runs until March 1, 2016.
To participate, simply forward a membership application found at www.acponline.org/racc to your colleagues. To qualify for the program, your name must be listed on the recruiter line of the application, and the form must include the code “RACC”. We suggest you print the form and add that information to get credit!
Your help with membership recruitment, is a win-win for all!
While the Office of National Coodinator (ONC) and Centers for Medicare & Medicaid Services (CMS) already have online resources addressing many meaningful use and EHR concerns, a new form gives physicians a place to share their certified health IT-related issues with the federal government if they cannot find a resolution within existing ONC resources.
The ONC asks that physicians describe their issues relating to these areas when they complete the form:
- ONC health IT certification
- Information blocking
- Health IT safety
- Privacy and security
- Clinical quality measures
While the ONC may not always be able to step in and fix the problem, they may be able to help in other ways, such as beginning a dialogue between physicians and their EHR vendors/developers. Submitting concerns to the ONC also helps the agency better understand the extent of problems as they work with other federal agencies to develop solutions.
The New York State Department of Health is pleased to announce the availability of the online 4-hour medical use of marijuana education course. Practitioners who wish to register with the Department and certify their patients for the Medical Marijuana Program must do the following:
- Be qualified, by training or experience, to treat patients with one or more of the serious conditions eligible for medical marijuana;
- Be licensed, in good standing as a physician and practicing medicine, as defined in article one hundred thirty one of the Education Law, in New York State;
- Possess a Health Commerce System (HCS) Medical Professions Account user ID and password;
- Possess an active Drug Enforcement Administration (DEA) registration number; and
- Complete the four hour Department-approved medical use of marijuana course.
The online course will be provided by The Answer Page, an established online medical education provider. The course content was created by physicians with contributions from academicians and will be fully referenced. The course will include the following topics:
- The pharmacology of marijuana;
- side effects and adverse reactions;
- overdose prevention, drug interactions, dosing, abuse and dependence;
- routes of administration, risks and benefits;
- warnings and precautions.
The cost to take the course is $249, and practitioners will earn 4.5 hours of CME credit upon successful completion.
Medicare / Medicaid
Chronic care management (CCM) is a unique physician fee schedule service designed to pay separately for non-face-to-face care coordination services furnished to part B Medicare beneficiaries with multiple chronic conditions. It applies to practices and patients that are not included in alternative payment models. The code (99490) fills a long-awaited void in treating patients with multiple chronic conditions and was included in the Centers for Medicare and Medicaid Services' final Physician Fee Schedule rule for 2015.
MLN Releases Chronic Care Management FAQ
MLN Matters® Special Edition Article #SE1516: "Chronic Care Management (CCM) Services FAQ" has been released to view and download. This article is designed to provide education on Medicare's requirement for 24/7 access by individuals furnishing CCM services to the electronic care plan, rather than the entire medical record. It includes FAQs regarding billing CCM services to the Physician Fee Schedule (PFS) and Hospital Outpatient Prospective Payment System (OPPS) under CPT code 99490.
Chronic Care Management Services Fact Sheet
The Chronic Care Management Services Fact Sheet (ICN 909188) was released and is available in downloadable format. This fact sheet is designed to provide background on the separately payable Chronic Care Management (CCM) Services for non-face-to-face care coordination services furnished to Medicare beneficiaries with multiple chronic conditions. it includes information on eligible providers and patients; Physician Fee Schedule billing requirements; and a table aligning the CCM Scope of Service Elements and billing requirements with the Certified Electronic Health Record or other electronic technology requirements.
Other CCM Resources
Practice Management Tools
Advance decision making and end-of-life care options are unfortunate but necessary conversations for patients to have with their physicians and families. New York Chapter ACP has gathered important resources to assist in making these difficult discussions a reality.
A recently released report from the Institute of Medicine of the National Academies entitled “Dying In America: Improving Quality and Honoring Individual Preferences Near the End of Life” details key findings and recommendations related to the realities of the clinician-patient relationship and how to effectively communicate and facilitate end of life wishes and directives. An excerpt of the recommendations:
“Most people nearing the end of life are not physically, mentally, or cognitively able to make their own decisions about care. The majority of these patients will receive acute hospital care from physicians who do not know them. Therefore, advance care planning is essential to ensure that patients receive care reflecting their values, goals, and preferences.”
You can read the document in its entirety here.
In addition, the Department of Health for New York State has a website of resources including the Medical Orders for Life-Sustaining Treatment (MOLST) form.
The DOH has created a portal that contains a wealth of information on advance care decisions, including legal requirements checklists, frequently asked questions, and guidance documents for physicians and patients.
MOLST legal requirements checklists and general instructions for adult patients are:
- MOLST Adult General Instructions and Glossary (3/2012) (PDF, 114KB, 6pg.)
- MOLST Checklist 1 - adult with capacity any setting (5/1/13) (PDF, 49KB)
- MOLST Checklist 2 – adult with health care proxy any setting (5/1/13) (PDF, 91KB)
- MOLST Checklist 3 - adult with FHCDA surrogate (3/2012) (PDF, 95KB, 4pg.)
- MOLST Checklist 4 - adult without FHCDA surrogate (12/1/10) (PDF, 58KB, 4pg.)
- MOLST Checklist 5 - adult without capacity in the community (12/1/10) (PDF, 59KB, 4pg.)
The MOLST legal requirements checklist for minor patients is:
- MOLST Checklist for Minor Patients and Glossary (3/2012) (PDF, 120KB, 7pg.)
Frequently Asked Questions regarding MOLST:
CMS Supports Advance Care Planning With Medicare Payment!
The decision by CMS to approve payment for end-of-life counseling affirms advance care planning is a critical component of clinical practice. Additionally, the value of thoughtful planning discussions between patients and clinicians is clearly recognized.
Shared medical decision-making must be well informed and cannot be presumed. With the increasing diversity of our population, clinicians and caregivers, there is only one way to know "what matters most" to the patient. You must ask them. This decision supports the National POLST Paradigm Program and New York's MOLST and eMOLST.
CMS began reimbursing for these conversations starting January 1, 2016. The two advance care planning codes for Medicare are:
- 99497 for an initial 30 minute voluntary advance care planning consultation (Final RVU 1.5)
- 99498 as an add-on code for additional 30 minute time blocks needed (Final RVU 1.4)
New York has been a leader in advance care planning and supports the IOM recommendation that encourages "financial incentives for improved shared decision making and advance care planning." The actions taken by CMS align with this recommendation and should be followed by other insurers.
The CMS decision is applauded by CompassionAndSupport.org, the MOLST Statewide Implementation Team and the National Healthcare Decisions Day (NHDD) NYS Coalition.
Making Fall Prevention Part of Primary Care
Implementing CDC's STEADI Toolkit in a NYS County Health System (recorded webinar now available)
Falls among older New Yorkers (age 65 and over) are the leading cause of injury deaths, hospitalizations, and emergency room visits. To reduce falls, the CDC developed the STEADI (Stopping Elderly Accidents, Deaths, & Injuries) Toolkit. The STEADI Toolkit is a comprehensive resource designed to help healthcare providers incorporate fall risk assessment and proven interventions into clinical practice.
The Chapter is excited to offer this one hour CME accredited recorded webinar on "Implementing CDC's STEADI Toolkit in a NYS County Health System" .
Frank Floyd, MD, FACP, Associate Medical Director & STEADI Champion, United Health Services presented the webinar, which highlighted:
- Information on the burden of falls in older adults in New York State
- Resources in the CDC STEADI Toolkit
- Challenges of incorporating fall prevention into clinical care
- Tips for incorporating fall prevention into clinical care
Opportunity to Earn 20 ABIM Maintenance of Certification Credits
NYACP continues to serve as a partner to the New York State Department of Health (NYSDOH) Fall Prevention Program for Older Adults. NYSDOH is entering its final year of a 5-year grant with the Centers for Disease Control (CDC) to implement three evidence-based programs to help prevent falls – Tai Chi: Moving for Better Balance, Tai Chi for Arthritis, and Stepping On – in Broome, Chautauqua, and Suffolk Counties. These programs are also proven to reduce healthcare costs.
The NYACP Geriatrics Task Force, chaired by Eleanor Weinstein, MD, FACP, regularly monitors activities of the program and would like to bring attention to information and tools developed by the CDC to assess and address older patients’ fall risk.
Tool Kit: http://www.cdc.gov/homeandrecreationalsafety/Falls/steadi/index.html
Materials can be ordered or downloaded for free through the CDC website.
Physicians who adopt STEADI can earn 20 ABIM/ABFM Maintenance of Certification credits. These credits qualify for Category II AMA credits as well.
For more information on earning credits or these programs, please contact Harrison Moss (firstname.lastname@example.org) at the NYS Department of Health
ACP's High Value Care Coordination Toolkit features resources to improve referrals and care coordination between primary care physicians and specialists, eliminate waste and duplicative care, and create more efficiency in care delivery.
The toolkit was developed collaboratively through ACP's Council of Subspecialty Societies (CSS) and patient advocacy groups.
The High Value Care Coordination Toolkit includes 5 components:
- a checklist of information to include in a generic referral to a subspecialist practice,
- a checklist of information to include in a subspecialist's response to a referral request,
- pertinent data sets reflecting specific information in addition to that found on a generic referral request to include in a referral for a number of specific common conditions to help ensure an effective and high-value engagement,
- model care coordination agreement templates between primary care and subspecialty practices, and between a primary care practice and hospital care team, and
- an outline of recommendations to physicians on preparing a patient for a referral in a patient- and family-centered manner.
These resources are part of ACP's High Value Care initiative, which is designed to help doctors and patients understand the benefits, harms, and costs of tests and treatment options for common clinical issues so they can pursue care together that improves health, avoids harms, and eliminates wasteful practices.
Tobacco use is leading cause of preventable death in the U.S., and as health care professionals we are in a prime position to help our patients successfully quit tobacco, while simultaneously lowering their risk of heart disease, stroke, COPD and other diseases.
Recently, the NYC Health Department has developed an excellent and free online learning module to assist physicians by enhancing your knowledge on how to effectively assess, counsel, and treat tobacco use, greatly improving patients’ chances of successfully quitting. For medical residents, this module meets five of the six Accreditation Council for Graduate Medical Education core competencies and is able to be placed in your learning management system. For attending physicians, this module provides 1 CME credit.
Highlights of the module include:
- The “5 A’s” model of treating tobacco use
- Provider/Patient communication techniques
- Treatment options and guidance, including combination therapy
- New York State Medicaid Benefits
- Billing information for smoking cessation counseling
Prescribe Opioid's Safely with Pri-Med
ACP and its curriculum partner Pri-Med offer an online training program to educate clinicians about safety and efficacy when prescribing opioids. ACP's curriculum provides a comprehensive educational program for primary care clinicians to safely and effectively manage patients with chronic pain. The program is available through the Pri-Med website.. Find out more.
With approximately 100 million adults in the U.S. suffering from chronic pain, the nonmedical use of prescription opioids has become a public health issue, and prompted the U.S. Food and Drug Administration to establish the Risk Evaluation and Mitigation Strategy (REMS) mandate. A total of 26 Continuing Medical Education (CME) and Continuing Education providers, including ACP, have created educational initiatives to help prescribers ensure that the benefits of a drug outweigh the risks for patients receiving extended release and long acting opioids.
ACP developed online training modules with Pri-Med to educate clinicians about best practices when prescribing opioids to patients and to help prescribers manage risk for abuse and inappropriate use. The REMS training modules provide comprehensive educational information for primary care clinicians, and can be completed for CME credit. Access the online modules for additional information.
A brief video from Steven Weinberger, MD, FACP, executive vice president and CEO of ACP, highlights the initiative’s goal of reducing misuse, abuse and overdose deaths associated with prescription opioids.
Note: an ACP Username/password is required to login)
Laurie Cohen, Esq., Partner at Nixon Peabody and the Chapter's attorney provides members with support and direction through articles and answering questions relevant to general practice.
Managing Your Patients With Diabetes - Tools & Resources
- ACP Smart Medicine
- ACP Quality Connect
- American Diabetes Association
- Bridges to Excellence Diabetes Care
- NCQA Diabetes Recognition Program
- ACP Diabetes Monthly
- Improving Diabetes Through Patient Engagement Webinar (password required)
Learn about NY's information network, Meaningful Use, e-Prescribing, privacy and security and best practices.
The following patient-related resources provide guidance in effectively maintaining and enhancing the doctor-patient relationship.
- Patient Centered Medical Home - ACP has gathered a comprehensive collection of information, resources and demonstration projects to assist you in planning for a complete Patient-Centered Medical Home.
- Physician Quality Reporting System - tools and resources to help guide you through collecting and reporting quality measure data.
Last updated: 12.28.15