Quality and Care Management Solutions
Moxe’s quality and care management solutions allow health systems to seamlessly receive comprehensive data directly within their providers’ existing EHR workflows. This results in the improved care of patients and minimizes the time spent in providing, or duplicating, information for quality programs. Moxe offers quality and care management solutions for HCC reconciliation, HEDIS and Star quality programs, and care gap management.
Hierarchical Condition Category (HCC) Reconciliation
Moxe’s HCC reconciliation solution provides blended data from multiple sources to ensure the capture of HCCs every 12 months, as required by the Centers for Medicare and Medicaid (CMS) for reimbursement for Medicare Advantage (MA) plans. Suspected HCCs are provided directly within the EHR to stimulate review of a patient’s conditions and provide the requisite documentation for regulatory and compliance requirements tied to HCCs.
HEDIS and Star Quality Programs
Building upon Moxe’s automated chart retrieval abilities, our HEDIS and Star offering is bolstered by a user-interactive solution which provides a workflow for reconciling and collecting data. Data already documented in the EHR is married with data previously delivered to the health plan, providing answers to these quality measures and identifying any gaps or measures requiring additional information.
For measures with gaps, the measure is presented to the end user within their workflow to document a response to the gap as a status, note, or supplemental information that would fulfill the measure’s requirements. This solution allows you to automate the process of confirming HEDIS and Star measures that have already been documented in the EHR, and eliminates the current-state back-and-forth process of closing HEDIS and Star gaps.
Care Gap Management
Like Moxe’s HCC reconciliation solution, our care gap management solution provides blended data from multiple sources to identify potential gaps in care – for all diagnosis codes, not only those correlated to HCCs. These potential gaps are presented directly within the EHR, for review and action by your providers, allowing them to deliver the best care to their patients.
Moxe’s quality and care solutions are delivered through Substrate and Convergence. Substrate is an electronic medical record integration platform, facilitating the real-time exchange of clinical, analytic, and administrative data.
Convergence is an application framework for embedding web applications directly into the EHR – right within your providers’ current workflows. Convergence brings data from multiple sources to your providers and lets them know what needs to be done (and only what needs to be done).
With minimal hours of implementation effort needed from your IT and administrative staffs, Moxe’s implementation methodology reduces the burden typically placed on your teams during integration projects.