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Quality

Quality

MIPS vs. APM

Free Tool: MIPS vs. APM Decision Tree for 2017 MACRA

The first, and potentially most important, decision you’ll make as you start your 2017 MACRA compliance journey is to determine which program you fall under — MIPS or Advanced APMs. Make the wrong decision, and you can be hit by reductions in your future Medicare payments. Make the right decision, and you could qualify for […]
Published Date: January 31, 2017
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MIPSMACRA Quality Measures

Where Can I Find the MIPS/MACRA Quality Measures

MACRA’s new Merit-Based Incentive Payment System (MIPS) changes the way Medicare pays you. And unless you fully understand how to report your quality data under MIPS, your future Medicare payments will be significantly reduced (decreasing up to 4% initially, then later up to 9%). The bottom line is that your future Medicare payments will be […]
Published Date: January 13, 2017
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CMS and MACRA

OIG Report Says CMS Still Has Work to Do on MACRA

Although you are expected to begin gathering data for the Medicare Access and CHIP Reauthorization Act (MACRA) in 2017, a recent report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) indicated that there’s still more work to be done to ensure everyone has the tools and guidance necessary to […]
Published Date: January 3, 2017
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MIPS Quality Measures

5 Strategies Help You Select Your MIPS Quality Measures

As you’re gearing up for 2017, selecting the best Quality measures to report under MIPS is essential for you to be able to achieve the highest possible Final Score. This is the only way to improve your chances to receive a positive Medicare payment adjustment rather than a reduction to your future revenues. Use these […]
Published Date: December 27, 2016
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MACRA Final Rule Deadline

MACRA Final Rule Deadline: Submit Your Comments by Dec. 19

Although the Centers for Medicare and Medicaid Services (CMS) released the final rule under the Medicare Access and CHIP Reauthorization Act (MACRA) back in October, it’s still looking for feedback in certain areas affected by the regulation. You can still provide feedback and suggestions, but your time if running out. You must submit your comments […]
Published Date: December 7, 2016
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Physician Fee Schedule Final Rule

2017 Medicare Physician Fee Schedule Final Rule Released

The Medicare Physician Fee Schedule (MPFS) 2017 Final Rule offers some big updates related to global periods, non-face-to-face services, telehealth, and moderate sedation coding, among others, according to the Centers for Medicare and Medicaid Services (CMS) when it released the rule Nov. 2. For instance, the MPFS rule addresses the agency’s efforts to collect data […]
Published Date: November 3, 2016
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Group or Individual Reporting

MIPS Payments: Group or Individual Reporting?

Although reporting under the Medicare Access and CHIP Reauthorization Act (MACRA) is supposedly optional, not adhering to this new rule gets you a guaranteed Medicare reimbursement cut. The only way to head it off is to report at least some data in 2017. The question is, how should you report it? This is no small […]
Published Date: November 1, 2016
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CMS Gives You More APM Options Under MACRA

You now have one more Advanced Alternative Payment Model (APM) for which you can qualify in 2017 and two more for 2018, according to an Oct. 25 press release from the Centers for Medicare and Medicaid Services (CMS). In particular, the CMS Innovation Center’s Oncology Care Model with two-sided risk will be available in 2017, […]
Published Date: October 25, 2016
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MACRA Final Rule

MACRA Final Rule Dissection – What it Really Means to You

Oct. 17, 2016 — On Friday, Oct. 14, the Centers for Medicare and Medicaid Services (CMS) announced the final reporting requirements for its new MACRA rule going into effect Jan. 2017. This new program is about to turn how you are paid completely upside down.   Based on MACRA, your Medicare reimbursement will be increased or […]
Published Date: October 17, 2016
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CMS Releases Final MACRA Rule

CMS Releases Final MACRA Rule, Better Defines First Year Options

Oct. 14, 2016 — There can be no more speculation as to whether the Centers for Medicare and Medicaid Services (CMS) will go live with its Medicare Access and CHIP Reauthorization Act (MACRA) regulations on Jan. 1. Earlier today, CMS released the final MACRA rule after considering more than 4,000 comments and having 100,000 attendees […]
Published Date: October 14, 2016
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