QUALITY TODAY

A blog dedicated to advancing healthcare quality.

Are You Ready? The Clock Ticks Towards MIPS Reporting Decision Deadline

Posted by Jodie Jackson, Jr. on Jun 19, 2017 9:00:00 AM

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Physician groups that plan to submit quality data on the CMS Web Interface under the Merit-based Incentive Payment System (MIPS) must alert CMS of that decision by June 30.

MIPS combines the previous PQRS, Meaningful Use and Value-Based Modifier programs into one package. MIPS was introduced under the Quality Payment Program as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

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Topics: MACRA, MIPS

Sharpen Your Care Coordination Skills for MIPS Success

Posted by Rachel Verslues on May 1, 2017 9:00:00 AM

The healthcare industry’s migration to value-based care thrust care coordination into the spotlight, and consequently, it has occupied a position on healthcare’s list of trending topics for several years now. Care coordination has beeDoctors using computer whiles theirs colleagues looking at Xray in medical office.jpegn labeled an essential component of value-based healthcare – not only because it elevates the quality of care patients receive, but also because it is starting to be linked more to reimbursements. If you are planning to participate in the Merit-based Incentive Payment System (MIPS) in 2017, a portion (15%) of your MIPS composite performance score will come from Improvement Activities (IA). The MIPS IA category is divided into different subcategories – one of which is care coordination.

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Topics: care coordination, MACRA, MIPS

New Survey Reveals Small Practices are Unprepared for MACRA

Posted by Rachel Verslues on Apr 4, 2017 9:00:00 AM

 A recent survey of U.S. physicians revealed that many small practices across the country are not yet prepared for The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), even though the program kicked off on January 1 of this year. Months and months of discussion prior to the launch of MACRA’s Quality Payment Program (QPP) revolved around concerns about the impact of MACRA on small practices. Data collected from 2,045 physicians in various specialties signals that many of those concerns and worries about small providers having a particularly difficult time adapting to MACRA may have been correct.

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Topics: MACRA, MIPS

Are You Ready for MIPS?

Posted by Katy Bennett-Blumer on Mar 23, 2017 9:00:00 AM

The time is here! The first performance year for the Merit-Based Incentive Payment System (MIPS) began January 1, 2017 with the first payment year implementing in 2019. It’s important for your organization to prepare now to maximize incentives and avoid penalties on your Medicare Part B payments.

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Topics: MACRA, MIPS

Primaris to help rural healthcare providers navigate federal Quality Payment Program

Posted by Rachel Verslues on Mar 6, 2017 9:00:00 AM

In a recent press releasePrimaris announced that it will provide on-the-ground training and education about the Quality Payment Program (QPP) as a subcontractor to TMF Health Quality Institute (TMF). TMF, a leading non-profit health care consulting company based in Austin, has been contracted to help small medical practices in generally underserved areas prepare for and participate in the new QPP, which was established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

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Topics: MACRA, MIPS

Here are some key issues ACOS can expect in 2017

Posted by Rachel Verslues on Feb 6, 2017 9:00:00 AM

We are all aware with the new presidential administration, 2017 is likely to be quite unpredictable and exciting for the world of healthcare. This includes the continued growth of Accountable Care Organizations (ACOs). 
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Topics: MACRA, ACO

What Can You Expect When Transitioning To A New Payment Model?

Posted by Adam Voight on Jan 12, 2017 9:00:00 AM

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Medicare is knee-deep in a payment model overhaul that began with the introduction of MACRA in 2015. Because of the size of this reform and the impact it will eventually have on reimbursements, there are obvious concerns about program changes, how they will be implemented, and what it will take for healthcare providers to comply. A study by the Commonwealth Fund identified five of the top barriers to the successful sustainability and spread of new healthcare models. Those barriers are financial incentives, capacity to change, culture and workforce, infrastructure, and evidence. As providers plan for MACRA, it is helpful to examine the different factors that make adapting to a new healthcare model successful (or unsuccessful).

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Topics: MACRA, value-based payments

Improving Efficiency is Vital During MIPS' First Year

Posted by Adam Voight on Dec 15, 2016 10:00:00 AM

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Right now, a lot of healthcare providers are breathing a sigh of relief because of the unexpected flexibility that was built into the final MACRA rule. Requirements for the first year of MACRA are more relaxed than many thought they would be. Rather than having to submit a full year’s worth of MIPS data in 2017, providers can choose to submit only partial data without being penalized. Also, providers participating in MIPS that are not ready to begin collecting data on January 1 can choose to begin collecting data anytime up until October 2, 2017. The point is, CMS made some allowances to help providers transition to MACRA’s new Quality Payment Program (QPP). Below is a look at one of those allowances in particular: the delayed inclusion of “cost” as a MIPS evaluation category.

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Topics: MACRA, MIPS

Physicians Are Behind Schedule on MACRA Preparations

Posted by Rachel Verslues on Dec 8, 2016 10:00:00 AM

On January 1, 2017 the first MACRA reporting period will begin. Considering CMS says that more than 700,000 clinicians are expected to participate in MACRA’s new reporting program next year, it is surprising and a little alarming that as recently as July of 2016, half of surveyed physicians said they had never heard of MACRA (the Medicare Access and CHIP Reauthorization Act of 2015).

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Topics: MACRA, APM, MIPS

MIPS CPIAs: How to Apply them to Your Practice

Posted by Janell Royer on Dec 6, 2016 10:00:00 AM

As we saw in the final Medicare Access and CHIP Reauthorization Act (MACRA) rulings the beginning of this month, there were some changes made to performance categories. Several of those changes took place to the Clincical Practice Improvement Activities (CPIA).

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Topics: MACRA, MIPS

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