Buffalo, NY (PRWEB) June 28, 2012
Medicare plans whose 2012 Star Ratings are lower than they would like – particularly those with poorly performing Medication Therapy Management (MTM) programs – may be able to improve their scores with Star Ratings Booster from Clinical Support Services, Inc. (CSS).
Star Ratings Boosters technology platform helps Medicare plans in supporting and enhancing quality performance ratings. The module enables CSS clinicians, with the support of clients pharmacy and medical claims data, to determine a patients compliance on select Medicare Part C/D measures and proactively generate comprehensive care-enhancing recommendations for the patient, which then may be shared with the patients physician and/or pharmacy.
CSSs web-based module enables pharmacy claims and other available clinical data to be uploaded to the clients patient profiles. Using claims data and clinical source information, CSSs MTMPath module allows CSS clinicians to identify patients who are non-compliant on certain Part C/D measures. CSS reaches out to the respective patient and his/her physician to bring the measure into compliance giving CSS the potential to improve Star Ratings over time.
At the heart of CSSs MTM programs is MTMPath, a web-based electronic medical record specially designed to review patients medications, medical claims, clinical data, and determine the most appropriate therapy. MTMPath allows for the development of a patient profile from which potential therapy-enhancing recommendations may be drawn. MTMPath was built in a S-O-A-P (Subjective-Objective Assessment Plan) Note structure.
We know how much a good Star Rating means to a Medicare plan, said James Notaro, RPh., Ph.D., CSS president. Higher ratings translate into bonuses and increased enrollment. Every criterion counts.
Star Ratings Booster has an unlimited patient capacity, and was built in accordance with the latest HEDIS-based guidelines.
About CSS: Founded in 1999 by pharmacists and technologists, CSS is staffed by experienced clinicians, software developers and operations personnel. At the heart is Medication Pathfinder built in S-O-A-P (Subjective-Objective-Assessment-Plan) Note structure to help pharmacists move quickly through complex patient Medication Therapy Management (MTM) assessment procedures. Structured data storage is a main differentiating feature of the MTMPath system.