Understanding CMS/Payer reports & our ROI calculator

  CMS/Payer Data & ROI Calculator - Rules of the Road

1. If There’s No CMS/Payer Data – the provider’s services are being billed under an organization NPI.

2. In That Case – enter the total number of patients into the ROI Calculator to mimic those same metrics.

3. RAF Score & Missed Opportunity are Gross/Global Numbers

4. Quality Measures are separate and do not add up to the Missed Opportunity