WILEMS RESOURCE GROUP
HEALTH CARE Compliance & engagement Solutions
DIRECT CONTRACTING MODEL
DATES & DEADLINES
- February - March: NGACO Voluntary Alignment Monitoring
- February 24: DC IP Paper Based Voluntary Alignment Beneficiary List Deadline (2nd)
- March - May: NGACO Provider Additions, Public Reporting, Beneficiary Notifications, Benefit Enhancements Monitoring
- March 31: Quality Reporting Deadline; DC Financial Guarantee deadline
- April 1: DC PY2021 Begins
- April/May: NGACO Annual Compliance Monitoring
Wilems Resource Group releases a quarterly newsletter that provides free resources and guidance on ACO Compliance and Engagement. Click here to subscribe.
UPCOMING Events
REAL WORLD COMPLIANCE CHECKLISTs
These checklists can help you start conversations with the appropriate business owners in your organization to build a meaningful compliance program that brings together operations, marketing, care coordination, analytics, and other departments.
Quality Measures Validation Audit resource For NAACOS Members
The Resource was prepared by Wilems Resource Group to guide ACOs as they work to ensure their organization is prepared to successfully respond to an audit request.
Next generation aco
Wilems Resource Group now provides a resource that allows ACOs and DCEs to effortlessly implement two of the five Compliance Program requirements: a method for anonymous reporting and annual compliance training. Contact us to learn more.
Compliance Training Portal – ACO and DCE related individuals are able to access the self-guided training (i.e. Compliance; Fraud, Waste and Abuse; Privacy) anytime, anywhere. Upon completion of a training, the individual submits a brief attestation to confirm their understanding of the material. Completion reports are generated and shared monthly with organization leadership.
Anonymous Reporting Tool – Individuals can report any compliance concerns regarding the DCE/ACO or organization activities. The tool allows individuals to report anonymously or to provide contact information. Reports are then transmitted to the appropriate leaders within the organization.
template documentation - blanket waivers covid-19 outbreak
This template can assist organizations as they work to meet resource limitations and maintain levels of care during this time.
RAISING OUR LEGACY.
- Emergency Preparedness Webpage
- QPP 2020 Final Rule Fact Sheet
- Repayment Mechanism Guidance
- Final Rule "Pathways to Success"
- MSSP Application Resources
- Compliance Plan Tip Sheet
- ACO Beneficiary Engagement Toolkit
- Medicare Shared Savings Website
- CMS Regional Coordinator Contacts
- Quality Measures & Performance Standards
- ACO-Management System (ACO-MS)
- CMS Enterprise Portal
- Quality Payment Program Website
Compliance training Portal & reporting tool
Medicare shared savings Program
General
Our NEWSLETTER
Compliance HAndbooks
These Handbooks were designed to help ACOs and DCEs more readily understand the operational and compliance requirements placed on them by CMS and CMMI. Contact us for your copy.
Helpful links
#raisingourlegacy
#wilemsrg
Wilems Resource Group White Papers
Need insights into ACO Compliance or Engagement? Browse our library.
- MYMEDICARE.GOV
- SMP Resource Center Website
- PHYSICIAN FEE SCHEDULE FINAL RULE
- OIG - Report FWA
- CMS Center for Program Integrity Website
- PECOS FAQs
- HIPAA Breach Reporting Tool
- EFT Authorization Form CMS-588
- Avoiding Medicare Fraud & Abuse: Road Map
- Medicare Provider Enrollment, Chain, and Ownership System (PECOS)
- Quality Payment Program Website
- National Business Group on Health - ACO Journey Map
- National Business Group on Health - ACO Scoring Guide
- Connected Care: Chronic Care Management Resource
#Wilemsrg resources
NAACOS MSSP, Next GeN, & DC Compliance ManuaLs
NAACOS has partnered with Wilems Resource Group to offer Compliance Manuals that provide a robust set of customizable policies and procedures. Click here to learn more.