The Center for Medicare and Medicaid Services (CMS) has been working to provide as many flexibilities as possible to support practices and clinicians during the COVID-19 pandemic. CMS has added options to reduce reimbursement, rural health, and provider barriers that might otherwise upsurge COVID cases if flexibilities were not allowed. Additionally, CMS has released various...Read More

A new policy was established in the 2019 Physician Fee Schedule (PFS) Final Rule that authorizes CMS to make changes to the MIPS Quality category scoring methodology for any measure(s) that may be significantly impacted by clinical guideline changes or other changes as CMS sees fit. The intent of this policy is to hold harmless...Read More

How can you identify and avoid these common MIPS reporting mistakes? At ReportingMD we see plenty of reporting and scoring traps when it comes to reporting performance data. As these programs become more complex and the risk of penalties larger, organizations face an ever-steepening climb to incentive payments. Over the past 16 years we’ve witnessed...Read More

As the 2019 reporting year draws to a close, practices are focused on ensuring that all 2019 data is ready for submission and primed to earn the highest possible score for maximum incentives. What may not be on their minds is the next, or even subsequent, reporting year(s). It’s time to direct attention toward the...Read More

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