Clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) have until March 31 to submit their 2017 performance data. Don’t risk losing -4 percent in Medicare Part B revenue in fiscal year 2020 — submit your quality data to the Centers for Medicare & Medicaid Services today! Click here for MACRA training on how to do submit […]
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Tag Archives: MIPS
Reporting Patient Relationship Category Modifiers for MIPS
Beginning Jan. 1, 2018, clinicians may report on Medicare Part B claims submitted for items and services the applicable HCPCS Level II modifiers established for patient relationship categories. Although the use and selection of these modifiers are not be a condition of payment, yet, clinicians should prepare for the likelihood of them becoming applicable components […]
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Repeal of MIPS – Recommendation to Congress, MedPAC 12 to 4 Vote
A top Congressional advisory body has voted to recommend that Congress repeal the Merit-based Incentive Payment System (MIPS) and replace it with a simpler quality reporting system that would not be mandatory in the way that MIPS is.
The 14-2 vote by members of the Medicare Payment Advisory Committee (MedPAC) was criticized by some provider stakeholder groups on the grounds that MIPS was well underway, that many providers had invested significant time and resources into participation, and that MedPAC’s alternative program would not be consistent with the legislative intention of the MACRA law that created MIPS.
Anders Gilberg, vice president of government affairs for the Medical Group Management Association (MGMA), issued a statement opposing the move by MedPAC.
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MIPS for anesthesiologists
Does anyone have any experience submitting data for anesthesia providers other than via QCDRs? How are you submitting the data? What measures are you using? Our providers are newly eligible for Medicare, but we want to start gathering data and reporting as soon as possible. We have been told that there are no applicable quality measures to report via claims submission. Thank you!
Optimize MIPS Scoring for Your Practice
Learn how MIPS scoring works in 2017, and make it a money-saving game with better patient outcomes. To fulfill requirements of the federally-regulated Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP), you need to know what data to report; how to report; how long to report; and on which providers to report. Then, […]
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MACRA, MIPS, APM, … Can I Buy a Vowel?
AAPC will help you navigate the sea of acronyms flooding your healthcare organization — for free. If you love acronyms, healthcare is the perfect industry for you; however, even those with a deep appreciation of these terms can get confused when a flood of new acronyms is released, potentially transforming the very structure of healthcare […]
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Participate in MIPS Cost Category Field Test
The Centers for Medicare & Medicaid Services (CMS) is conducting a field test before implementing the Cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP). The Medicare Access and CHIP Reauthorization Act (MACRA) allows CMS to waive the Cost measure for two years, but reminiscent of the sustainable growth rate fiasco, […]
AAPC Knowledge Center
MIPS “Pick Your Pace” Has a Catch
Here’s something to think about while picking your pace for participation in the Merit-based Incentive Payment System (MIPS): 90-day and full-year submissions will be assessed for submission completeness and scored accordingly. Clinicians and clinician groups eligible to participate in MIPS were given a reprieve in this first performance year: Just do the best you can, […]
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It’s Not Too Early to Prepare for a MIPS Performance Data Audit
Beginning in 2019 the level of reimbursement from Medicare to many physicians will be determined in part by their performance in the Merit-based Incentive Payment System (MIPS). Medicare will award a higher level of payment to those eligible clinicians and groups who report that they have successfully met certain criteria for Quality, Advancing Care Information, and clinical practice Improvement Activities. MIPS is the successor program to the Physician Quality Reporting System (PQRS) and Meaningful Use of Electronic Health Records (MU-EHR) incentive programs, and CMS (the Centers for Medicare and Medicaid Services) has indicated that it will continue its practice of auditing the data submitted by practices just as they did under the earlier programs. As this article in Healthcare IT News illustrates, the result of failing an audit will be non-payment of expected incentives (in the case of a pre-payment audit) or returning of funds already paid and possibly even federal sanctions depending on the severity of the infraction.
It’s Not Too Early to Prepare for a MIPS Performance Data Audit
Beginning in 2019 the level of reimbursement from Medicare to many physicians will be determined in part by their performance in the Merit-based Incentive Payment System (MIPS). Medicare will award a higher level of payment to those eligible clinicians and groups who report that they have successfully met certain criteria for Quality, Advancing Care Information, and clinical practice Improvement Activities. MIPS is the successor program to the Physician Quality Reporting System (PQRS) and Meaningful Use of Electronic Health Records (MU-EHR) incentive programs, and CMS (the Centers for Medicare and Medicaid Services) has indicated that it will continue its practice of auditing the data submitted by practices just as they did under the earlier programs. As this article in Healthcare IT News illustrates, the result of failing an audit will be non-payment of expected incentives (in the case of a pre-payment audit) or returning of funds already paid and possibly even federal sanctions depending on the severity of the infraction.