How is MIPS eligibility determined? Here’s an overview of various factors that might impact your requirements. Remember that eligibility policies have changed for each Performance Year (PY) and will most likely continue to do so. Most of this...
Let’s take a look at Cost Requirements. Cost is an important part of the Merit-based Incentive Payment System (MIPS) because it measures resources clinicians use to care for patients and Medicare payments made for care (items and services) provided to...
We understand that there may be circumstances out of your control that make it difficult for you to meet program requirements. To reduce this burden, you have the opportunity to apply for exceptions to meeting MIPS program requirements. In certain circumstances, these...
What According to cms.gov CMS is required by law to implement a quality payment incentive program which is referred to as the Quality Payment Program. This program rewards value and outcomes in one of two ways: Merit-based Incentive Payment System also know as MIPS...
This performance category promotes patient engagement and electronic exchange of information using certified electronic health record technology (CEHRT). 2019 Promoting Interoperability Requirements 2019 Promoting Interoperability Requirements was formerly Advancing...
This performance category measures participation in activities that improve clinical practice. Requirements may change each Performance Year (PY) due to policy changes, and for 2019 your requirements will be 15% of the final score. This percentage can change due...
Let’s take a look at Quality Measures requirements. This performance category measures health care processes, outcomes, and patient experiences of their care. Remember that requirements have changed and will most likely continue to change each Performance...
Merit-based Incentive Payment System (MIPS) is a hot topic in the medical field right now. These incentives allow clinicians to make more money from their Medicare billing efforts if they can prove that they are giving better care to their patients. MIPS is a program...
In this post, we will go over a theoretical case involving a patient who was moved into a long-term care facility. There are various issues we created for this case; however, the biggest problem was answering the question, “Can you bill Chronic Care Management...
A Brief History of The QPP and Why it Was Created Prior to the Quality Payment Program (QPP), payment increases for Medicare services were set by the Sustainable Growth Rate (SGR) law. SGR put a cap on spending increases in relation to growth in the...
