<img src="//bat.bing.com/action/0?ti=5203022&amp;Ver=2" height="0" width="0" style="display:none; visibility: hidden;">
GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

Subscribe to Blog Updates

 

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.

Read More

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.

Read More

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.

Read More

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.

Read More

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.

Read More

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.

Read More

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

Subscribe to Updates
Browse by Blog Topic
HIPAA
RCM
SELF PAY
CODING
MARKETING