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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

5 MIPS Myths Debunked!

by Kaitlyn Houseman on September 8, 2017

 As we near October 2nd, the last day to start participating in MIPS and satisfy the 90-day minimum performance period, it's important to separate fact from fiction. According to CMS, nearly 600,000 clinicians will participate in MIPS under the Quality Payment Program but there's still some confusion surrounding participation options, eligibility, and the program in general. Here we'll clear up some common misconceptions about the MIPS program to help you better understand what MIPS is and how it affects your practice.

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Topics: Revenue Cycle Management, Merit Based Incentive Payment System, MACRA, Alternative Payment Models

CMS Proposes Quality Payment Program Rule for 2018: Here's What You Need to Know

by Kaitlyn Houseman on June 23, 2017

On Tuesday, CMS issued a proposed rule that would make changes in the second year of the Quality Payment Program. The proposed rule includes changes that would not only simplify the program, but also ensure high-quality care within Medicare is at the forefront of the Quality Payment Programs. Here's what you need to know about the proposed rule for the 2018 performance period.

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Topics: Revenue Cycle Management, Practice Management, Merit Based Incentive Payment System, Value-Based Reimbursement, MACRA

Are You Exempt from the Merit-Based Incentive Payment System?

by Kaitlyn Houseman on May 11, 2017

Still wondering if you need to participate in the Merit-based Incentive Payment System? You're not alone. The transition from Meaningful Use, PQRS, and VBM programs all seemed to happen rather quickly and the MIPS scoring methodology has a number of healthcare professionals wondering if participating is even worth the headache. Fortunately, CMS announced that the official Quality Payment Program participation letters will be sent to eligible clinicians in late April through May to inform clinicians if they are required to participate.

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Topics: MACRA

A Cheat Sheet to the Merit-Based Incentive Payment System [Infographic]

by Jeff Jones, CPHP on February 17, 2017

Are you eligible for MIPS? With 2017 being the first performance year, it's imperative that you know how the Merit-based Incentive Payment System could affect your revenue cycle management.  We put together a cheat sheet to help you understand your participation options with MIPS in 2017 and the financial impact it could have on your revenue cycle in the coming years.

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Topics: Merit Based Incentive Payment System, Incentive Programs, MACRA

A Beginners Guide to the Merit Based Incentive Payment System (MIPS)

by Jeff Jones, CPHP on January 16, 2017

As of January 1, 2017, the first performance period for the new Merit-based Incentive Payment System (MIPS) is officially underway for eligible physicians. The new payment system aims to change how physician services are paid by moving away from fee-for-service payments to performance-based payment adjustments. Depending on the data you submit by March 31, 2018, your 2019 Medicare payments could be adjusted up, down, or not at all.

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Topics: Merit Based Incentive Payment System, MACRA

New CMS Study Helps EPs Receive Full Credit in MIPS CPIA Category

by Jeff Jones, CPHP on January 5, 2017

Worried about participating in the Merit-based Incentive Payment System? CMS is conducting a Clinical Practice Improvement Activities (CPIA) Study that can help you meet the CPIA requirement. Individual clinicians and groups who are eligible for MIPS that participate successfully in the study will receive full credit for the Improvement Activities performance category. Applications for the study will be accepted from January 1 – 31, 2017.

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Topics: CMS, Merit Based Incentive Payment System, MACRA

4 Ways Small Practices Can Best Prepare for Value-Based Care

by Jeff Jones, CPHP on January 3, 2017

When it comes to government regulations and health care, change is inevitable. In contrast to the current fee-for-service care, the value-based care model aims to compensate physicians for high-quality service, clinical performance, and patient satisfaction. It's an exciting time for the future of healthcare, and small practices are uniquely situated to thrive in the transition to value-based care.

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Topics: Revenue Cycle Management, Value-Based Reimbursement, MACRA

How to Pick Your Pace for the Quality Payment Program

by Jeff Jones, CPHP on December 28, 2016

With 2017 upon us, many practices are scrambling to understand the Quality Payment Program final rule. The final rule was published on October 14, 2016 with CMS making significant revisions to the proposed rule. In the final rule, CMS increased the flexibility of the Medicare Access and CHIP Reauthorization Act (MACRA) by introducing an option-based implementation plan, titled “Pick Your Pace,” which allows providers to ease into MACRA for the 2017 reporting year.

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Topics: Merit Based Incentive Payment System, MACRA

2015 Performance Scores Released on Physician Compare Website

by Jeff Jones, CPHP on December 21, 2016

The Centers for Medicare and Medicaid Services (CMS) has recently released new quality data on the Physician Compare website, which includes 2015 Physician Quality Reporting System (PQRS) performance scores for group practices, individual physicians and other clinicians, and Accountable Care Organizations (ACOs), as well as non-PQRS Qualified Clinical Data Registry (QCDR) data for individual clinicians. Here's what this means to your practice.

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Topics: PQRS, MACRA

4 of the Best MACRA Resources for Your Practice

by Jeff Jones, CPHP on November 2, 2016

The final rule on MACRA was released by the Department of Health and Human Services on October 14th, 2016. Since the final rule weighs in at a staggering 2,171 pages, we here at GroupOne thought it would be helpful to provide you with a list of resources that offer detailed information about the final rule.

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Topics: MACRA

HHS Finalizes Medicare Payment System-MACRA Final Rule Released

by Jeff Jones, CPHP on October 18, 2016

The Department of Health & Human Services (HHS) finalized a landmark new payment system for Medicare clinicians that will continue the Administration’s progress in reforming how the health care system pays for care. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program, which replaces the flawed Sustainable Growth Rate (SGR), will equip clinicians with the tools and flexibility to provide high-quality, patient-centered care.

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Topics: Merit Based Incentive Payment System, Incentive Programs, MACRA, Alternative Payment Models

An Explanation of the Merit-Based Incentive Payment System (MIPS)

by Jeff Jones, CPHP on October 13, 2016

The Merit-based Incentive Payment System (MIPS) is coming in 2019, and this new physician payment policy is undoubtedly going to be a game-changer. Although it's still a few years out, it's important for healthcare professionals to develop a thorough understanding of how the Merit Based Incentive Payment System and MACRA in general will impact physician reimbursement and medical practice operations.

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Topics: Merit Based Incentive Payment System, Incentive Programs, MACRA

Four New MACRA Tracks Allow Flexible Attestation for Providers

by Jeff Jones, CPHP on September 12, 2016

On September 8th, Acting Administrator of CMS Andy Slavitt announced four MACRA implementation tracks that will allow eligible clinicians to pace their own transition and participation in the program. Eligible clinicians will be able to select their own pace for MACRA attestation to ensure all participants can succeed under new value-based reimbursement programs, CMS announced.

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Topics: Merit Based Incentive Payment System, Incentive Programs, MACRA

The Impact of MACRA on Your Practice

by Jeff Jones, CPHP on July 28, 2016

Encouraging physicians to switch to electronic health records (EHR) has been a long term effort from CMS ever since the January 2009 passage of the HITECH act. Over three-quarters of physicians and nearly all hospitals are using an EHR but the incentivizing structure has been hard to wade through, at best. Now healthcare professionals and physicians alike must focus their efforts on understanding the end of the SGR formula and the beginning of The Merit Based Incentive Payment System and Alternative Payment Models.

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Topics: Revenue Cycle Management, Incentive Programs, MACRA

What is an Advanced Alternative Payment Model?

by Jeff Jones, CPHP on June 7, 2016

The MACRA final rule details how Alternative Payment Models (APM) will enhance or replace some of the current fee-for-service payments. While the criterion may seem simple in theory, additional details help clarigy the difference between an Advanced Alternative Payment Model and an Alternative Payment Model.

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Topics: Revenue Cycle Management, CMS, Incentive Programs, MACRA

MACRA: New Opportunites for Medicare Providers with Alternative Payment Models

by Jeff Jones, CPHP on May 26, 2016

With the repeal of Medicare's sustainable growth rate formula also came the opportunity for physicians to eventually leave the traditional Medicare fee-for-service system behind. The shift from fee-for-service to value based reimbursement is a new opportunity for physicians but with it comes some challenges in understanding how it will work. The final rule, released on Oct. 14th, details how Alternative Payment Models (APM) will enhance or replace some of the current fee-for-service payments with a patient-level payment not related to volume or intensity.

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Topics: Value-Based Reimbursement, Incentive Programs, MACRA, Alternative Payment Models