{"id":33,"date":"2021-05-14T17:43:01","date_gmt":"2021-05-14T11:43:01","guid":{"rendered":"http:\/\/proteammgmt.com\/?page_id=33"},"modified":"2026-03-23T23:48:48","modified_gmt":"2026-03-23T17:48:48","slug":"cms-quality-reporting-services","status":"publish","type":"page","link":"https:\/\/ptm.services\/services\/cms-quality-reporting-services\/","title":{"rendered":"CMS Performance Measurement &amp; Reporting"},"content":{"rendered":"\n<h2 class=\"wp-block-heading alignwide has-secondary-color has-text-color has-large-font-size\"><\/h2>\n\n\n\n<div class=\"wp-block-cover has-very-light-gray-color has-text-color has-link-color wp-elements-7a31a062fc1155a9e6112ca035d96688\" style=\"min-height:600px;aspect-ratio:unset;\"><img decoding=\"async\" class=\"wp-block-cover__image-background wp-image-704\" alt=\"Discussion of CQM Medicare Quality Measures\" src=\"https:\/\/test.ptm.services\/wp-content\/uploads\/sites\/6\/2026\/03\/CQM-Measures-1200-1.png\" style=\"object-position:50% 17%\" data-object-fit=\"cover\" data-object-position=\"50% 17%\"\/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-20 has-background-dim\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<h2 class=\"wp-block-heading alignwide has-text-align-center has-white-color has-text-color has-link-color has-large-font-size wp-elements-27397abf5331ad5b38398769dbde5224\">CMS Performance Measurement &amp; Reporting<\/h2>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-white-color has-text-color has-link-color wp-elements-4808df48324083beccf0e2697296cc03\">Data analytics to track key metrics required by regulation<\/h3>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-light-green-cyan-color has-alpha-channel-opacity has-light-green-cyan-background-color has-background\"\/>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px\">The Centers for Medicare &amp; Medicaid Services (CMS) mandate compliance with various initiatives, impacting your revenue and reputation. Since the inception of the physician quality reporting system (PQRS) in 2007, PROTeam Management has teamed with our clients to provide expertise, knowledgeable professionals, and project management skills to meet deadlines with optimized submissions.<\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li style=\"font-size:20px\">The CMS Medicare Shared Savings Program (MSSP) quality reporting&nbsp;requires ACOs to use the Alternative Payment Model Performance Pathway (APP) or APP Plus to submit quality data, focusing on digital metrics like eCQMs and MIPS CQMs.<\/li>\n\n\n\n<li style=\"font-size:20px\">CMS quality reporting ties provider payments to performance, impacting revenue.<\/li>\n\n\n\n<li style=\"font-size:20px\">Health insurance plans use CAHPS surveys to obtain patient feedback, imposing financial penalties on organizations with low scores, impacting revenue.<\/li>\n\n\n\n<li style=\"font-size:20px\">Publicly available CAHPS survey scores help consumers choose healthcare providers, impacting reputation<\/li>\n\n\n\n<li style=\"font-size:20px\">HEDIS scores directly measure healthcare quality and performance of health insurance plans, significantly impacting insurance plan revenue, Medicare Star Ratings, and member acquisition.<\/li>\n\n\n\n<li style=\"font-size:20px\">Hospital Compare scores&nbsp;directly measure hospital safety, impact hospital finances, reputation, and patient choices. High ratings (4-5 stars) drive higher patient volume and, in some cases, higher negotiated prices, while low scores can trigger CMS&nbsp; These scores influence reimbursement through&nbsp;Value-Based Purchasing (VBP) programs<\/li>\n<\/ul>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px\">These submissions are ever-changing, complex, and time sensitive deadlines.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px\">High scores lead to increased CMS bonuses, while low scores cause financial penalties, reduced funding, and lower market competitiveness.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50\"><a class=\"wp-block-button__link has-white-color has-light-green-cyan-background-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/ptm.services\/contact\/\">Continue the Conversation<\/a><\/div>\n<\/div>\n\n\n\n<h6 class=\"wp-block-heading\"><\/h6>\n","protected":false},"excerpt":{"rendered":"<p>The Centers for Medicare &amp; Medicaid Services (CMS) mandate compliance with various initiatives, impacting your revenue and reputation. Since the inception of the physician quality reporting system (PQRS) in 2007, PROTeam Management has teamed with our clients to provide expertise, knowledgeable professionals, and project management skills to meet deadlines with optimized submissions. These submissions are [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":27,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-33","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages\/33","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/comments?post=33"}],"version-history":[{"count":13,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages\/33\/revisions"}],"predecessor-version":[{"id":719,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages\/33\/revisions\/719"}],"up":[{"embeddable":true,"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/pages\/27"}],"wp:attachment":[{"href":"https:\/\/ptm.services\/wp-json\/wp\/v2\/media?parent=33"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}