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Accountable Care Organizations

About Us

Accountable Care Organizations (ACOs) are groups consisting of various healthcare providers (doctors, hospitals) with the mutual goal of providing high-quality care to Medicare patients. These groups voluntarily come together to assist and when Medicare saves money due to their results, they are compensated with a share of the savings. When providers join an ACO, they are given the opportunity to participate in other population-based care incentives, which ensures patients are receiving the proper care at the proper time.

For the past five years, NJII has provided Medicare shared-savings support to several of the largest ACOs in New Jersey. We are a proven and trusted team that aggregates our clients’ quality data and prepares it for submission to the Centers for Medicare and Medicaid Services (CMS). NJII also provides a team of highly trained nurses to abstract quality measure values from both Electronic Health Record and paper or scanned charts to completely meet CMS quality reporting requirements.

What We Do

Our ACO support services include:

  • Data capture via Claim and Claims Line Feed (CCLF), electronic medical record data and manual nurse abstraction throughout the year for prospective reporting
  • Data capture via Claim and Claims Line Feed (CCLF), electronic medical record data and manual nurse abstraction throughout the year for retroprospective reporting
  • Bulk Group Practice Reporting Option (GPRO) submission
  • Support workflow redesign
  • Data analytics
  • Physician and staff education on measures and workflows for Electronic Medical Record data collection
  • Abstraction Progress Reports that track critical elements such as beneficiary ranking and skips so an ACO can monitor its performance at any point in the GPRO audit process.

The team utilizes our innovative “capture” software tool to ensure that all quality values are collected and entered accurately.

Benefits

NJII’s ACO support promotes:

  • Improved workflow
  • Ability to track data-capture progress
  • Analytics for measuring provider/practice compliance and performance
  • Relief from the burden of submitting all beneficiary data to CMS on an extremely tight timeframe.
  • Patient retention and attribution within the ACO
  • Delivery of a higher level of care at a lower cost with a better chance of obtaining shared savings

Contact Us

For more information, call NJII at 973-642- 4055 to speak with a member of our ACO team:

Van Ly, van.ly@njii.com
Liza Lapugot, liza.lapugot@njii.com
Amanda Nagy, Amanda.nagy@njii.com