New reports including data through 12/31/2017 are available on the My Account portal. The reports cover gaps in care and detail on high-cost members.
Supplemental Data for Quality Measures
A key element of CPC+ is the monitoring of quality data. We report data back to CPC+ providers on 10 quality measures. Most data is generated from claims. However, you may have additional data that can improve your quality scores. Examples: You may have medical records of a member having a colonoscopy prior to enrollment with QualChoice. Or a member who had a total hysterectomy does not need to be included in the cervical cancer screening measure.
To improve your 2017 quality measure ratings, you may submit the
CPC+ Supplemental Data Submission Form,
now available on the portal. Follow instructions on the spreadsheet and submit to
Care plan dates must be submitted once every 6 months. Care plans are required on at least 10% of your QualChoice population in your practice, starting with your highest risk members (Complex and Risk Tier 4). Care Plans for Risk Tier 1 members may not be included.
Multiple care plan dates may be submitted for each member.
Dates may be submitted during the quarter in which they were documented AND up to one month after that quarter. Example: Second Quarter care plans may be submitted April 1 through July 31st.
A history of previous quarter plans can be accessed through the My Account portal.
Clinics must submit Category II CPT codes as eCQMs for these measures: