Eligible Clinicians Can Make Money from MIPS

Eligible Clinicians Can Make Money from MIPS: Part 3

In parts 1 and 2 of this series, we detailed how to earn money from MIPS by increasing your score with bonus points. CMS has given many different methods to earn bonus points across all categories. In part 3 of this series, we will continue with three more ways to help you earn more money. Earning Bonus Points: To date, …

Eligible Clinicians Can Make Money from MIPS

Eligible Clinicians Can Make Money from MIPS: Part 2

In part one we explained that providers can make money from MIPS by increasing their score.  The easiest way to increase your score is to earn bonus points.  CMS has given many ways to earn bonus points in all four categories. Today we will review three more ways your practice can improve your score.   Earning Bonus Points: In Part …

Eligible Clinicians Can Make Money from MIPS

Eligible Clinicians Can Make Money from MIPS: Part 1

There’s an unseen benefit to the MIPS track for eligible clinicians.  Despite the dreaded burden of increased reporting, there is good to be had.  Ultimately, participants who do well can boost the financial standing of their practice by up to 10% or more through bonus payments.   Bonus Payment Add Up! In Part 1 of this series, we will explain …

MACRA: Advancing Care Information Category Simplified for 2018

Due to expected requirements of the Quality Payment Program (QPP) in 2018, many vendors of Electronic Health Records (EHRs) have been scrambling to achieve the Office of the National Coordinator (ONC) 2015 Certification Edition.  However, the Centers for Medicare and Medicaid Services (CMS) has just released the proposed rule for the 2018 performance year causing clinicians and vendors alike to …

MACRA: 2018 Brings New Improvement Activities

To date, we know that the 2018 performance year for the Quality Payment Program (QPP) will bring some relief to eligible clinicians in small practices and rural areas in the way of a higher low-volume performance threshold, Virtual Groups and allowing for additional submission mechanisms.  The Centers for Medicare and Medicaid Services (CMS) has also proposed that additional Improvement Activities …

Virtual Groups Clear the Way for 2018 MIPS Participation

In the first performance year of the Quality Payment Program (QPP), small practices carried the heaviest load as they found it difficult to get ready and perform well under the MIPS payment track.  Simply put, they didn’t have as much data to collect as did the larger practices who saw many more Medicare Beneficiaries.  With patient compliance playing a key …

Tighter Guidelines for MIPS Quality and Cost Category to Come

As eligible clinicians make their way towards the final quarter of the 2017 Performance Year for MIPS, the Centers for Medicare and Medicaid Services (CMS) has already proposed changes for the 2018 performance year.  While they are working towards making life easier for smaller and rural practices through virtual groups and an increased low-volume threshold, they are also tightening the …

MIPS Low-Volume Threshold Tripled in 2018

The Centers for Medicare and Medicaid Services (CMS) has released the Proposed Rule for the 2018 Performance Year under the Quality Payment Program (QPP).  For those in the MIPS payment track, there are some surprising changes that could make you feel a little more jubilant about the upcoming 2018 Performance Year.  More specifically, the change to the low-volume performance threshold …

A Clinicians Quick Review of MACRA for 2017

INTRODUCTION 2017 is the first Performance Year for MACRA. If you are an eligible clinician, participating in the MIPS track, what does mean for you? Here’s a quick overview of what you need to do this year to avoid a negative payment adjustment in 2019. Choose Your Option The first step is to decide which reporting option is best for …

APMS: Understanding Comprehensive ESRD Care Healthcare Management Services

INTRODUCTION The Comprehensive ESRD Care (also called the CEC) is an Accountable Care Organization (ACO) developed by the CMS Innovation Center to test innovative payment and service delivery models to reduce program expenditures while preserving or enhancing the quality of care. It is interesting to note that this is the first ACO developed with a specific focus on a disease …

APMS: An In-Depth Look At Comprehensive Primary Care Plus

INTRODUCTION It is well-known that delivering patient-centered, comprehensive primary care is hard work. However, if you’re a primary caregiver, and your care team is ready to enhance the care you deliver for all of your patients, particularly those with complex needs, then the Comprehensive Primary Care Plus (CPC+) might be the right APMs model for your practice to join. The …

MIPS: An In-Depth look at the Quality Category

The Quality Category of the MIPS Payment Track is the most important category overall. It counts for 60% of your Total Composite Performance Score, which is more than the other two categories combined. Because of this, it is imperative that you choose your measures carefully and understand how the category is scored so that you can perform to the best …

MIPS: An Overview of Reporting and Scoring for the Performance Year

INTRODUCTION In 2017, approximately 600,000 eligible clinicians across the United States will be affected by MACRA. If you’re one of them, the information you have been provided about the new legislation is more than likely a bit distressing. Whether you’re in the MIPS payment track or participating in APMs, there is more than enough information to wrap your head around. …

MIPS: Breaking Down the Improvement Activities Category

INTRODUCTION The Improvement Activities category of MIPS is the category that counts the least for the performance year 2017. It contributes only 15% to your total composite performance score. It’s the new category that does not replace any previous quality program but rather is meant to enhance the Quality Payment Program overall with regards to turning the focus towards quality …

MIPS: Advancing Care Information Category vs. Meaningful Use

If you are a MIPS eligible clinician, then you will no longer be reporting for Meaningful Use. Instead, the Advancing Care Information category is the new program that exists in the MIPS track under the Quality Payment Program. The first thing you want to know about the Advancing Care Information Category for the MIPS performance year 2017 is that you …