For Payors

For Payors

Helping payors to improve:

  • Risk Adjustment Report to identify gaps in Hierarchical Condition Categories (HCCs) (Medicare reimbursements and Commercial business risk pool adjustment)
  • Improvement Opportunities for HEDIS and Quality Outcome Measures
  • From early notification of Admit and Discharge Dates
  • Follow-up after Hospitalization for Mental Illness (NM Centennial Care quality metric)
  • Follow-up after ED visit for MI (NMCC quality metric)
  • Initiation and Engagement of Alcohol and other drug dependence (NMCC quality metric)
  • Prenatal and Postpartum Visit-Post-Partum Visit (NMCC quality metric)
  • All cause readmissions (Star measure)
  • Transition of Care – Inpatient admission (CMS Display Measure)
  • NCQA Accreditation Sub-Measure under Population Health

Public Health Reporting

SYNCRONYS has been authorized by the New Mexico Department of Health to provide Reportable Lab Results reporting and Syndromic Surveillance reporting to NM Department of Health for New Mexico hospitals.

Several ways to participate.