HEALTH CARE Compliance & engagement Solutions
GLOBAL & PROFESSIONAL DIRECT CONTRACTING MODEL
- April 27 - 29: NAACOS Spring Conference
- April 22: ACO REACH Application Due
- May 30: Deadline DCE Bene Notices from 1/1/22 Alignment
- June 29: Deadline DCE Bene Notices from 4/1/22 Alignment
- Sept. 29: Deadline DCE Bene Notices from 7/1/22 Alignment
- Nov. 29: Deadline DCE Bene Notices from 10/1/22 Alignment
GENERAL
- 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
Wilems Resource Group releases a quarterly newsletter that provides free resources and guidance on ACO Compliance and Engagement. Click here to subscribe.
UPCOMING Events & DEADLINES
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.
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; Consumer Advocate) 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.
MEDICARE SHARED SAVINGS PROGRAM
- Emergency Preparedness Webpage
- 2021 APM Performance Pathway Toolkit
- QPP 2020 Final Rule Fact Sheet
- Repayment Mechanism Guidance
- Final Rule "Pathways to Success"
- MSSP PY2022 Application Actions & Deadlines
- 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
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
TALKING POINTS FOR DCE PROVIDERS
This resource was created to help support providers when communicating to Beneficiaries about the Global & Professional Model.
#raisingourlegacy
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Wilems Resource Group White Papers
Need insights into ACO and DCE Compliance or Engagement? Browse our library.
#Wilemsrg resources
NAACOS MSSP & GPDC MODEL
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.
WILEMS RESOURCE GROUP