User Guide — Pay for Performance Service

1. Make sure that the provider has been added to athenaOne on the Users page. (On the Main Menu, click Settings >User. In the left menu,under Practice Links — Users, click Users.)
2. Add the provider to the Providers page. (On the Main Menu, click Settings >Billing. In the left menu, under Practice Links — Providers, click Providers.)
3. On the Providers page, verify that this provider can create encounters; that is, the Encounters option on this page must be selected.
4. Add the provider's NPI to athenaOne. (On the Main Menu, click Settings >Billing. In the left menu, under Practice Links — Enrollment and Numbers, click NPIs and Other Numbers.)
5. On the Main Menu, click Support > Success Community > Contact Client Support Center.
   
6. Complete the following fields.
   Important: Provide as much detail as possible, but do not enter protected health information (PHI), such as patient name or diagnosis.
1. Enter the Practice or Practice ID you need help with (required) — Start typing and select from the options that populate.
2. Add a Subject for your case (required) — We use the details you provide here to suggest related knowledge resources and case topics for your request. This can be short and precise.
3. Enter a detailed description of what you need help with today (required) — Specify the following information: Provide to enroll; program that the provider is currently enrolled in; program that the provider should be enrolled in; any specific measures that should be tracked for that provider (if applicable).
4. Is this request a patient safety concern (optional) — If your request is a patient safety concern, turn on the toggle and describe how this request affects patient safety.
7. Click Next.
8. Review resources (if applicable): Based on the details you provided, we’ll show you resources that may help you self-serve. We recommend reviewing the related knowledge articles.

9. Provide any relevant athenaOne example IDs and answer any additional questions related to your case (if applicable).
   Note: These fields are not required for this workflow.

   1. Example ID — Enter the athenaOne record ID number such as patient ID, claim numbers, document numbers. If you have multiple examples to provide, click Add More Records. Note: Please do not your enter your practice ID in this field.

   2. Example Type— Select the athenaOne record type from the menu.

   3. Description — Enter a description.

10. To add attachments to your case, click Add Attachments.

11. Click Create Online Case. A notification appears confirming that you successfully created a case.

1. Before you submit a case to change the P4P program for a provider:
   • Verify that the provider can create encounters; that is, the Encounters option on the Providers page must be selected.
   • Verify that the provider's NPI is still listed in athenaOne. (On the Main Menu, click Settings >Billing. In the left menu, under Practice Links — Enrollment and Numbers, click NPIs and Other Numbers.)
2. On the Main Menu, click Support > Success Community > Contact Client Support Center.
   
3. Complete the fields on the case creation page.
   Important: Provide as much detail as possible, but do not enter protected health information (PHI), such as patient name or diagnosis.
1. Enter the Practice or Practice ID you need help with (required) — Start typing and select from the options that populate.
2. Add a Subject for your case (required) — We use the details you provide here to suggest related knowledge resources and case topics for your request. This can be short and precise.
3. Enter a detailed description of what you need help with today (required) — Specify the following information: program that the provider is currently enrolled in; program that the provider needs to be enrolled in.
4. Is this request a patient safety concern (optional) — If your request is a patient safety concern, turn on the toggle and describe how this request affects patient safety.
4. Click Next.
5. Review resources (if applicable): Based on the details you provided, we’ll show you resources that may help you self-serve. We recommend reviewing the related knowledge articles.

6. Provide any relevant athenaOne example IDs and answer any additional questions related to your case (if applicable).

   1. Example ID — Enter the athenaOne record ID number such as patient ID, claim numbers, document numbers. If you have multiple examples to provide, click Add More Records. Note: Please do not your enter your practice ID in this field.

   2. Example Type— Select the athenaOne record type from the menu.

   3. Description — Enter a description.

7. To add attachments to your case, click Add Attachments.

8. Click Create Online Case. A notification appears confirming that you successfully created a case.

 

If you are not yet enrolled in a quality management program, a Terms and Conditions agreement will appear for participating providers when you first log in following your enrollment in a P4P program.

 

This agreement concerns the submission of clinical data to a third party related to pay for performance service program and measures:

• This agreement allows us to submit clinical data from athenaClinicals on your behalf to third parties for the pay for performance programs that you are enrolled in. The accuracy of the data is the responsibility of the practice.
• Although athenahealth will assist you with the pay for performance programs, there is no guarantee of payment from the programs.
• Your practice must still adhere to state and local laws regarding consent and privacy.

If this agreement appears and you are not interested in taking advantage of our pay for performance service, please contact us at P4P@athenahealth.com or contact the CSC from athenaOne > Support > Success Community > Contact Client Support Center so that we can disable the Terms and Conditions agreement for you.