Preparing for reporting to the Merit-based Incentive Payment System (MIPS) can be a daunting task for any clinician, but it could feel especially challenging for a specialist. Much of the MIPS program, including measures in the quality and improvement activities categories, is geared toward primary care practices and clinicians, leaveing few options tailored to specialties … Continue reading Making the Most of Quality Measure Selection
The CMS Quality Payment Program (QPP) Year 2 proposed rule was released June 20 and will be open for public comment until August 21. We have dissected the changes to the Merit-based Incentive Payment System and provide an overview with explanation of what these change may mean to eligible clinicians (ECs) and groups. As a reminder, these are currently proposed changes and may not become part of the Quality Payment Program Year 2 Final Rule. Continue Reading…
Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare & Medicaid Services (CMS) will prevent fraud, fight identity theft and protect essential program funding and the private healthcare and financial information of our Medicare beneficiaries. CMS will issue new Medicare cards with a new unique, … Continue reading 5 Ways for Providers to Get Ready for New Medicare Cards
Is your practice a recognized Patient-Centered Medical Home (PCMH) or considering the transformation process? Currently, over 1,300 practices in New England are recognized as PCMHs or comparable specialty practice programs by the National Committee for Quality Assurance (NCQA). Further, PCMH recognition is aligned with the Merit-Based Incentive Program (MIPS) and provides an opportunity to receive … Continue reading MIPS Improvement Activity: Patient-Centered Medical Home
SWOT Analysis is a strategic tool widely used by many industries, including healthcare. SWOT stands for Strengths, Weaknesses, Opportunities, and Threats. This analysis technique was developed by Albert Humphrey, a senior researcher at Stanford University in 1960s. He analyzed data from top companies with the goal of figuring out the reasons why corporate planning failed … Continue reading SWOT Analysis for Successful MIPS Reporting
As part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the EHR Incentive Program (also known as Meaningful Use) will sunset and be replaced with the Advancing Care Information (ACI) performance category under the new Quality Payment Program. The Advancing Care Information category is weighted as 25% of the final score. Eligible … Continue reading What You Need to Know About the Advancing Care Information Performance Category
PROVIDENCE, RI (March 9, 2017) – The Centers for Medicare & Medicaid Services (CMS) awarded a five-year federal contract to Healthcentric Advisors and its partner organization, Qualidigm, to assist New England-based small physician and other eligible clinical practices to prepare for and participate in the new Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
To understand your potential Merit-based Incentive Payment System (MIPS) payment adjustment, you’ll want to be familiar with the essential elements of the scoring methodology. If you choose to fully participate in the Quality Payment Program (QPP) under the MIPS payment model, you’ll be reporting on a minimum of six quality measures for the entire year. Each quality measure percentage is converted to a decile which then corresponds to a range of possible points.
Are you scratching your head trying to figure out where you should start with the Quality Payment Program? Look no further, the New England Quality Innovation Network-Quality Improvement Organization (NE QIN-QIO) has tools and resources available for you or your practice. Do you have more in-depth questions about program requirements, inclusion/exclusion criteria or how to report? Learn about a new feature on our website where you can receive direct assistance from the NE QIN-QIO QPP Expert in your state or review some popular questions.