MACRA

Medicare ACO Proposed Changes

Recently The Centers for Medicare and Medicaid (CMS) announced an overhaul to the Affordable Care Organization program. The overhaul would be specific to EHRs and risk-based payment models. My favorite proposed changes in this rule: Reduce administrative burden by streamlining quality measures that ACOs are required to report. Allow ACOs to provide incentive payments to [...]

By |MACRA|Comments Off on Medicare ACO Proposed Changes

MIPS 2019 FAQs

MIPS FAQs There has been confusion about what counts towards the low-volume threshold. Does this included Medicare billings or Medicare allowed charges? Medicare allowed charges, which includes the 80% Medicare pays and the 20% covered by cost-sharing. What is the advantage of reporting as a group vs individual? The most important thing to know about [...]

By |MACRA|Comments Off on MIPS 2019 FAQs

Highlights for the 2019 MIPS Proposed Rule

CMS has released the 2019 Proposed Rule for the MIPS program. Let’s talk about some of the highlights below. Opt-In Option Starting in Year 3, clinicians or groups can opt to participate in MIPS if they meet or exceed one or two of the low-volume threshold criteria. This option is not available if the clinician [...]

By |MACRA|Comments Off on Highlights for the 2019 MIPS Proposed Rule

Creating and Accessing CMS EIDM Accounts

I know what you probably think, “Great, another CMS website that I need to remember the login for so I can log in once a year.” Well, kind of. You will use this site to submit MIPS data or verify that that the MIPS data for your practice has been reported to CMS. You will [...]

By |MACRA|Comments Off on Creating and Accessing CMS EIDM Accounts

Surviving MIPS: Small Practices

MIPS has proven to be an extremely difficult and cost-burdening program for many practices across the nation, especially small practices.  CMS has heard all of the suggestions submitted to make this program more small practice friendly by adding hardships, special statuses, reweighting of the categories and virtual groups. Hardship Exceptions: If a practice has insufficient [...]

By |MACRA, Meaningful Use|Comments Off on Surviving MIPS: Small Practices

What Does MIPS mean for FQHCs?

I have received a ton of questions over the past few years regarding where FQHcs stand with the Quality Payment Program. The truth is, it is a bit confusing so let’s break down to how find out if you (or one of your providers) qualify for the Quality Payment Program. The first thing to note [...]

By |MACRA, Meaningful Use|Comments Off on What Does MIPS mean for FQHCs?

Understanding the MIPS Cost Category

We’ve all been hearing about the 4th category in the Merit-based Incentive Payment System (MIPS) but many physicians and administrators haven’t given it much thought because it had no impact on the final MIPS score. Here’s a breakdown to prepare you for this year’s new Cost category. The cost category is 10% of a clinician’s [...]

By |MACRA, Meaningful Use|Comments Off on Understanding the MIPS Cost Category

3 Tips to Mastering MIPS Secure Messaging

3 Tips to Mastering MIPS Secure Messaging The secure messaging measure is a fairly new measure in the EHR Incentive Payment program and is the measure that seems to give clinicians the most trouble throughout the reporting year. Secure messaging is not required for the MIPS base score in 2018 but it is a measure [...]

By |MACRA|Comments Off on 3 Tips to Mastering MIPS Secure Messaging

CMS Patients over Paperwork Initiative

Patients over Paperwork Initiative The Patients over Paperwork initiative focuses its efforts on patients while easing the regulatory burdens that break the doctor-patient relationship while ensuring Providers deliver the best quality care to their patients. The program has focused its efforts in the following areas: Implementing MACRA to lessen burden & cost Cutting documentation requirements [...]

By |MACRA, Meaningful Use, News|Comments Off on CMS Patients over Paperwork Initiative

CMS Program Overhaul to Promote Interoperability

The Centers for Medicare and Medicaid Services (CMS) announced a name change the EHR Incentive Programs as part of an effort to overhaul the programs. As part of the proposed rule, the change aims to transform the EHR Incentive Programs also introducing changes to Medicare payment policy rates under the Inpatient Prospective Payment System (IPPS) [...]

By |MACRA, Meaningful Use, News|Comments Off on CMS Program Overhaul to Promote Interoperability
Load More Posts