Accountable Care Organization Reporting Services

Also known as ACO Reporting

NJII provides Medicare shared-savings support to 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.

The advisory services and support we provide ACO’s are part of NJII’s for-profit-subsidiary, Healthcare Innovation Solutions (HCIS.) Launched in 2018, this business line focuses on helping providers, payers, health systems, and other stakeholders improve care quality and lower costs.

Who is this program for?

This program is open to any Accountable Care Organization (ACO) eligible for Medicare shared savings.

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 ensure patients receive the proper care at the proper time.

What's involved?

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 retrospective 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 beneficiaries ranking and skips so an ACO can monitor its performance at any point in the GPRO audit process

Why participate?

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ACO’s that participate with NJII experience the following benefits:

  • 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 change of obtaining shared savings

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