Healthcare quality pay-for-performance (P4P) reporting isn’t easy. This truth has existed since the era of the Physician Quality Reporting System (PQRS), Meaningful Use and continues today in the ever-changing Merit-Based Incentive Payment System (MIPS) track, under the 2015 MACRA legislation’s Quality Payment Program (QPP). If programmatic conditions remained static over time, clinicians and practices could...Read More

Your actual clinical performance may not be reflected in your MIPS results. If you’re missing out on important points that will increase your Composite Performance Score (CPS), you may be at risk. Here’s why this is becoming more critical. Each year of the MIPS program, the payment adjustment amounts increase. Therefore, so does the importance...Read More

If your practice is reporting quality measures using a specialty specific registry, you are not alone. Here are some factors to consider as we roll into the 2019 reporting year and beyond. Each year of the MIPS program, it becomes more important to earn a higher CPS score in order to keep pace with the...Read More

Data collection for pay-for-performance programs should not interfere with practitioner efficiency or patient care. The data needed to report for pay-for-performance programs should be collected as a natural byproduct of care delivery and should be leveraged to support quality outcomes. EHR technology is a key component of MIPS reporting, but the extraction of required data...Read More

Is your practice overwhelmed with increasing administrative burden? Healthcare reimbursements continue to transition from fee-for-service to pay-for-performance, in both public and private payor programs. With each incremental shift, the penalties and incentives increase and the administrative burden placed on practices grows more and more complex. If your practice is overwhelmed with increasing administrative burden, you...Read More

Here’s what you need to know in order to survive an audit. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Sustainable Growth Rate (SGR), which was how CMS previously controlled the cost of Medicare Payments to physicians. MACRA is aimed at strengthening Medicare access, improving physician payments, and encouraging better...Read More

Build a great reporting framework for your organization. The 2019 proposed and final rulemaking as well as the information available on the QPP portal have revealed a great deal about these topics… Read part three of our three-part series. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Sustainable Growth Rate...Read More

How do you start to create a solid strategy? When thinking about a solid MIPS strategy we narrow in on five topics… Read part two of our three-part series. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Sustainable Growth Rate (SGR), which was how CMS previously controlled the cost of...Read More