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HEDIS / Care Gaps
PCMH
MIPS
CCM & RPM
CMS Provider Quality Payment Program
It's no secret—healthcare providers aim to receive fair reimbursement while staying compliant with CMS's Quality Payment Program (QPP). At Advanced Medical Billing Solutions, we simplify this process by supporting practices in meeting HEDIS quality measures through data abstraction, care gap analysis, and population health management services.
Our comprehensive QPP service suite assists providers with Merit-based Incentive Payment System (MIPS) reporting. Our experts help practitioners align with quality reporting requirements to boost performance scores. With our support, providers maximize incentive payments, avoid penalties, and achieve optimal outcomes under CMS quality programs.
Call UsOur Providers Quality Payment Program
At Advanced Medical Billing Solutions, we’re committed to helping healthcare providers thrive under the CMS Quality Payment Program. Our tailored service suite supports initiatives like HEDIS and care gap closure, PCMH recognition, MIPS reporting, as well as CCM and RPM program implementation.
Quality improvement consulting
We offer quality improvement consulting services to help you improve your performance on quality measures. Our consultants can provide customized assistance based on your needs to help you strategize, plan, and implement quality improvement initiatives.
Data Analysis and Reporting
We offer data analysis and reporting services to help you understand your performance data. We can help you identify areas for improvement and track your progress over time so that you can make informed decisions about quality improvement initiatives.
Chart reviews
We take a collaborative approach to chart reviews that engages providers in the process. Our goal is to identify opportunities for quality improvement while maintaining the highest standards to protect patient privacy and confidentiality.
Initial practice assessment
Advanced Medical Billing Solutions USA LLC offers an initial practice assessment in which our team analyzes and reviews your practice against the NCQA standards. This will develop a road map for your PCMH recognition and certification.
Site visit facilitation
We facilitate onsite visits from NCQA CCEs and help you meet PCMH certification requirements. This will ensure that your practice is prepared for the site visit and that you understand what to expect.
Gap analysis and report
We will provide a detailed gap analysis report to help you understand the areas where your practice needs to improve to meet the PCMH standards. This ensures that you focus on the progress towards certification.
PCMH
Turn your practice into a true patient-centered medical home with the help of Advanced Medical Billing Solutions. With our proven expertise, we guide you through the transition by providing the tools and support needed to deliver coordinated, high-quality care. Get in touch with us today to explore how we can assist your journey.
We evaluate key factors such as practice size, care delivery structure, and PCMH readiness to build a custom roadmap toward your certification. Advanced Medical Billing Solutions USA LLC equips providers with comprehensive resources—including training modules, workflow templates, and reporting systems—to meet PCMH standards. Our team also offers hands-on guidance to help integrate the PCMH model smoothly into your daily operations.
Contact UsHEDIS/CARE GAPS Services
Staying compliant with evolving HEDIS and Care Gap requirements can be overwhelming for providers, especially when staffing and resources are limited. The complexity and time demands often lead to missed benchmarks—potentially resulting in financial penalties and lower performance scores.
At Advanced Medical Billing Solutions, we simplify the process by conducting a detailed gap analysis to uncover areas of noncompliance. We then implement tailored action plans to close those gaps and offer continuous support for quality improvement—allowing you to stay compliant while focusing on what matters most: delivering excellent patient care.
Explore MoreOur Providers Quality Payment Program
We at Advanced Medical Billing Solutions USA LLC are dedicated to helping healthcare providers succeed with the CMS Provider Quality Payment Program. We offer a suite of services to help with HEDIS / care gaps, PCMH, MIPS, CCM & RPM.
Recommendations for improvement
Advanced Medical Billing Solutions USA LLC will provide you with recommendations for improvement based on our analysis of your practice. Our team will help you implement these changes to meet the PCMH standards and improve the quality of care you provide to your patients.
Ongoing technical assistance
We will provide you with ongoing technical assistance throughout achieving PCMH recognition and certification. We will help you troubleshoot any issues arising from changes in the standards or process.
Application Submission
We will submit your application to NCQA on your behalf. Advanced Medical Billing Solutions USA LLC has a team of experts well-versed in the National Committee for Quality Assurance (NCQA) standards and requirements. We will work with you to ensure that your application meets all requirements.
Identifying care gaps
We will help you identify gaps in care, develop action plans to close them, and provide ongoing support to ensure that your patients receive the high-quality care they need and deserve. This will help you improve your quality measures.
Educating your staff on quality improvement
Our care gap services include educational materials and workshops for your staff on quality improvement topics such as HEDIS, the Provider Quality Payment Program, and the PCMH. We work with you to improve your HEDIS scores.
Reporting & Software Solutions
Advanced Medical Billing Solutions USA LLC will provide regular reports to patients' primary care providers detailing the data we have collected and any changes in the patient's condition. Our software solutions allow us to collect and store Patient's Vital and daily readings patients will take through the devices.
RPM
Our seamless remote patient monitoring (RPM) solutions are designed to simplify your workflow. From configuring devices to managing supplemental claim submissions, we ensure a hassle-free experience that maximizes your reimbursements and enhances patient engagement.
Our experienced team collaborates with you to design a custom RPM program tailored to your patients’ health needs and your practice goals. We offer continuous support and regular insights to help you maintain the highest standards of care delivery.
With our dedicated monitoring, your patients’ progress is tracked in real-time, allowing timely interventions when necessary. Detailed performance reports keep you informed on each patient’s status, empowering you to make data-driven clinical decisions.
Explore MoreMIPS
Navigating the MIPS program can be complex and overwhelming, yet it’s essential for ensuring full reimbursement for your services.
Advanced Medical Billing Solutions USA LLCprovides expert MIPS support to help your practice succeed under CMS guidelines. We work to boost your MIPS score, helping you avoid penalties and maximize incentives. Let us help you turn your practice into a high-performing medical home.
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CCM services
Our team of experts will work with you to develop a personalized care plan for each of your patients, and our software will help to automate the process and keep track of their progress. A comprehensive care plan for each patient is designed by our care management team and implemented by you.
Our CCM services help providers meet the quality care measures required under the CMS guidelines. We offer a range of services that can be tailored to meet your organization's specific needs. We not only provide the tools and resources needed to succeed, but we also provide on-going support to ensure that you continue to meet the required quality measures.
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What Clients Say About Us
Here’s what some of our valued clients have to say. We take pride in supporting their business success and are grateful for the thoughtful feedback they’ve shared about our services.
North Ocean Medical Group, P.C
North Orchard Medicine PC
Dr. Bryant Medical Practice PC
Advanced Medical Office, PC