QIN-telligence Blog

QIN-telligence Blog Want to stay on top of the Quality Payment Program (QPP), enacted by MACRA? The New England QIN-QIO's regional team – consisting of boots-on-the ground, state-based team members – offers you monthly musings about the QPP. Along with our team members, we feature articles from subject-matter experts and thought leaders nationwide.

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Click on the titles below to read our most recent blog posts.

It’s the Final Countdown – Don’t Miss Out on MIPS

It’s not too late to start preparing! October 2nd, 2017 is the last day to begin a 90-day reporting period for the 2017 Merit-based Incentive Payment System (MIPS) performance year. For MIPS eligible clinicians (ECs) trying to avoid a 4% penalty on their Medicare Part B claims, it is important to determine what quality measures, … Continue reading It’s the Final Countdown – Don’t Miss Out on MIPS

MIPS Milestone: Begin Data Collection by October 2nd for 90 Consecutive Days of Participation

From the Centers for Medicare & Medicaid Services It’s not too late to participate in the first year of the Merit-based Incentive Payment System (MIPS) — one of the two tracks in the Quality Payment Program. The transition year of MIPS has been underway since January 1, 2017 and runs until December 31, 2017. Transition … Continue reading MIPS Milestone: Begin Data Collection by October 2nd for 90 Consecutive Days of Participation

Making the Most of Quality Measure Selection

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 Quality Payment Program Proposed Rule Has Arrived

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…

5 Ways for Providers to Get Ready for New Medicare Cards

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

MIPS Improvement Activity: Patient-Centered Medical Home

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 for Successful MIPS Reporting

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

What You Need to Know About the Advancing Care Information Performance Category

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

Healthcentric Advisors Chosen to Provide
CMS Quality Payment Program Support for Small Practices throughout New England in Partnership with Qualidigm

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).

Scoring the MIPS Quality Category

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.