Quality Measures GAO Report

CMS Falls Short Monitoring Quality Measures, Finds GAO Report

For an agency that embraces values-based care, CMS is missing the mark when it comes to monitoring its own quality measures, finds a recent watchdog report. The U.S. Government Accountability Office (GAO) published their September 2019 Health Care Quality report: “CMS Could More Effectively Ensure Its Quality Measurement Activities Promote Its Objectives.” The report indicates […]
MIPS Promoting Interoperability 2019 deadline

Ace Changes for MIPS Promoting Interoperability 2019 with 11 Tips

Did you receive a perfect score in the MIPS Promoting Interoperability category in 2017 or 2018? Most practices did in those first two years, but this year, it will be much more difficult to achieve even a high score let alone a perfect one with the changes for MIPS Promoting Interoperability 2019. The worst case […]
MACRA Proposed Rule

MACRA Proposed Rule Could Make MACRA Compliance Easier for Small Practices

If the pending proposed Quality Payment Program (QPP) rule released Jun 20th is finalized later this year, it will be easier for small physician practices (defined at 15 or few eligible clinicians) to earn automatic bonus points and earn hardship exemptions due to electronic health record (EHR) requirements. The currently approved plan states that practices […]

CMS Makes Qualified APM Provider Lookup Available

Even though 2017 is the first year you’re required to collect and report your MACRA quality data, the question of whether you qualify for an Alternative Payment Model (APM) was still open for most providers. The benefit of qualifying to report under APM guidelines is that you don’t have to worry about getting your future […]
MIPS Participation Status Letter

Look for Your MIPS Participation Status Letter Soon

You should learn soon whether you meet the 2017 MIPS participation threshold, CMS announced in an April 25 press release. This means you may know sooner — rather than later — if you have to comply with MACRA for the 2017 reporting period. During the month of May, you will receive a letter from the […]
MIPS Reporting Mean Pay Increase

First Year MIPS Reporting Decision Could Mean Pay Increase

MACRA is not going anywhere. So whether you like it or not, you have an important decision to make. For the first year, you have to weigh your compliance options and pick the right one for your practice. Choose wrong, and you could be faced with a significant decrease in your future Medicare reimbursement. For […]
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 […]

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 […]
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 […]