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ACCOUNTABLE CARE ORGANIZATION (ACO) 2018 QUALITY MEASURES







"ACOs participating in the Medicare Shared Savings Program (Shared Savings Program) are required to completely and accurately report quality data that are used to calculate and assess their quality performance. In order to be eligible to share in any savings generated, an ACO must meet the established quality performance standard that corresponds to its performance year. This document presents the 31 quality measures used to assess ACO quality performance and the quality performance standard for the 2018 performance year for the Shared Savings Program."



ACO are evaluated by 4 domains:

1. Patient/Caregiver Experience
2. Care Coordination/Patient Safety
3. Clinical care for At-Risk Population
4. Preventative Health


https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/2018-reporting-year-narrative-specifications.pdf





























Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.
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Location: San Diego, CA, USA

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