By the end of this course, learners will be able to: Explain the structure and purpose of CMS reporting programs, including MIPS and CAH systems. Identify the performance categories and scoring methodologies used in the MIPS program. Collect and prepare data for submission under CMS quality reporting requirements. Apply CMS guidelines to ensure data accuracy, completeness, and compliance during reporting. Interpret MIPS and CAH performance reports to evaluate reimbursement and performance outcomes. Develop strategies to improve quality scores and financial performance under value-based care models. Evaluate the implications of CMS reporting programs on healthcare quality, transparency, and accountability.

Prerequisites: Completion of Units 4.1–4.4 in this module. Knowledge of regulatory and accreditation frameworks from Module 3 (Compliance and Regulatory Standards), particularly: Unit 3.3 (CMS Regulations and Accreditation Standards) Unit 3.4 (Auditing and Ensuring Compliance) Familiarity with performance data submission, report validation, and compliance monitoring. Rationale: This capstone course builds on all previous units, requiring learners to apply analytical, regulatory, and quality improvement skills to manage CMS-based reporting systems (MIPS and CAH). Prior mastery of performance measurement and compliance systems is essential for effective participation.

Follow Coral Plus LMS policies: participation, integrity, respectful conduct, HIPAA/privacy adherence, timely completion of assessments. 1. Participants should register in advance to receive access details. 2. Access links and passwords, if applicable, should be provided securely to registered participants. 3. Participants are encouraged to join the webinar a few minutes early to resolve any technical issues 4. Participants are responsible for ensuring a stable internet connection, compatible devices (computer, tablet, or smartphone), and recommended browsers. 5. A microphone and webcam may be required for interactive sessions. Please test your audio and video settings in advance. 6. The webinar may be recorded for educational purposes. 7. Recorded sessions may be shared with registered participants after the webinar. 8. Please be mindful not to share personal or confidential information during the webinar. 9. A detailed agenda will be provided, and each session will adhere to the schedule to cover all planned topics. 10. Time will be allocated for Q&A sessions and discussions. 11. A helpdesk or contact information for technical support will be provided during the webinar. 12. Common technical issues will be addressed at the beginning of the session. 13. Relevant resources, such as presentation slides or additional reading materials, will be shared after the webinar. Proprietary Interest Policy: It is the policy of Coral MED that if instructors have a vested interest in any product, instrument, device, or materials that may be used in the learning event, they must disclose this interest. Further, if the instructors receive any share of the royalties or profits from the product promotion or endorsement, the interest must be disclosed to the learner. If there are any breaches of this policy, please contact Coral MED at +1 (808) 913-7979 OR send an email to compliance@coralmed-inc.com Anti Discrimination Policy: Coral MED is committed to providing work and learning environments free of sexual or any form of unlawful harassment or discrimination. Harassment or unlawful discrimination against individuals on the basis of race, religion, creed, color, national origin, sex, sexual orientation, gender identity, age, ancestry, physical or mental disability, medical condition including medical characteristics, marital status or any other classification protected by local, state or federal laws is illegal and prohibited by Coral MED policy. If there are any breaches of this policy, please contact Coral MED at +1 (808) 913-7979 or send an email to compliance@coralmed-inc.com 6) Privacy & Data Protection Policy Coral MED values the privacy, security, and integrity of your learner records. Your information is managed in accordance with Policy CM012 – Learner Records Privacy and Data Security Policy, which complies with applicable data protection laws and accreditation standards.How to Request the Release or Correction of Your Records If you wish to obtain, release, or correct your learner records, please follow these steps: 1. Submit a written or electronic request to: elearn@coralmed-inc.com ↗ . 2. Include your full name, learner ID, and specific request type (e.g., transcript, name correction, verification letter). 3. Requests are processed within 10 business days of verification. 4. You will receive an email confirmation once your request has been fulfilled. Notification of Record Availability Upon completion of a learning event, Coral MED notifies learners via email when official records (e.g., transcripts, certificates, or CEUs) are issued or available for download within the LMS. You may review the full policy at any time by visiting:. View Policy ↗

This advanced course is ideal for professionals involved in regulatory reporting, reimbursement management, and compliance with federal healthcare performance programs. Healthcare administrators and finance managers overseeing CMS reporting and reimbursement processes. Compliance and regulatory officers managing MIPS and CAH participation and submissions. Clinical documentation specialists ensuring accurate reporting for performance and payment integrity. Policy and quality analysts interpreting CMS performance data and quality metrics. Consultants and advanced students preparing for specialized roles in healthcare compliance, analytics, or policy design.