Guidance Analytics provides an AI-based platform for automating MIPS reporting, streamlining compliance for healthcare practices. The system uses Qualified Clinical Data Registries (QCDR) to accurately evaluate performance data in real-time. This automation reduces administrative burden and helps organizations maximize Medicare payment adjustments through enhanced accuracy and consulting support.
Funding
Funding not disclosed
Founders
Product
Problem
Radiology practices face challenges in complying with Medicare's Quality Payment Program (QPP) due to the large volume of radiology reports that must be reviewed. Manual review of these reports is often inaccurate, time-consuming, and costly, potentially leading to financial repercussions. Standard MIPS measures for radiology may offer limited value due to steep benchmarks or being "topped out," further complicating compliance efforts.
Solution
Guidance Analytics offers an AI-powered platform that automates the analysis of radiology reports to provide real-time feedback on MIPS scores, streamlining compliance with Medicare's QPP. The platform leverages ACR Qualified Clinical Data Registry (QCDR) measures designed for radiologists, enabling enhanced performance tracking and maximized Medicare reimbursement. Interactive dashboards provide a visual representation of performance data, allowing practices to identify areas for improvement and optimize their MIPS strategy. The system analyzes reports significantly faster than manual methods, reducing the administrative burden and allowing providers to focus on improving quality and financial performance.
Target Audience
The primary target audience includes radiology practices, radiologists, and healthcare organizations seeking to automate and improve their MIPS reporting process and maximize Medicare reimbursement.
Features
- Automated analysis of radiology reports using a patent-pending AI engine
- Real-time feedback on MIPS scores throughout the performance year
- DataLUX™ dashboards for tracking organizational performance with interactive visualizations
- Filtering capabilities by TIN, date, measure, and individual provider
- Support for ACR QCDR measures, including ACRad 15-25, ACRad 34, ACRad 36, ACRad 37, ACRad 41, MEDNAX55, MSN13, MSN15, QMM16, QMM17, QMM18, QMM19, and QMM26
- Concierge service for tailored MIPS strategy and data submission
- Regular MACRA optimization sessions to improve quality and financial performance
- Secure data handling and compliance with relevant regulations