CMS benchmarking is more than just a bureaucratic requirement. It’s a powerful tool that providers can use to improve care quality, manage costs, and gain a competitive edge in the value-based care landscape.
Yet many practices either misunderstand benchmarking or fail to use it to their advantage.
What Is CMS Benchmarking?
Benchmarking involves measuring a provider’s performance against national standards set by CMS. Metrics often include:
- Hospital readmission rates
- Patient satisfaction scores (CAHPS)
- Preventive care screenings
- Chronic disease management
These benchmarks influence reimbursements under MIPS and APMs.
Why It Matters for Providers
- Reputation Management: Benchmark data is public and impacts patient choice.
- Financial Impact: Higher scores can increase Medicare reimbursements.
- Compliance: Poor performance may trigger audits or corrective action plans.
How to Use Benchmarking for Growth
Don’t view benchmarking as a threat—see it as a strategic opportunity.
At Bannu Spy Health, we help clients:
- Compare their metrics against national CMS benchmarks
- Identify underperforming areas and optimize them
- Train staff to improve documentation for key quality indicators
- Run monthly performance reports to track improvements
Real Results Through Proactive RCM
One of our clients, a mid-sized family practice, improved its CMS benchmark score from the 45th to the 78th percentile in less than six months by partnering with us. This led to:
- Higher MIPS scores
- Increased reimbursements
- Better patient retention
Conclusion: Benchmarking is Your Compass
If you’re not actively managing your CMS benchmarks, you’re flying blind. Let Bannu Spy Health be your guide to smarter benchmarking, stronger performance, and superior patient care.
Contact us today for a free performance evaluation and CMS compliance check.