Effective Immediately, CMS renames MIPS ACI to PI

April 27th, 2018 By
CMS continues to refine and streamline incentive programs, this time focusing on Meaningful Use of Electronic Health Record (EHR) for hospitals and the Advancing Care Information (ACI) category for the Merit-based Incentive Payment System (MIPS). As stated by CMS, effective immediately EHR...
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Hello spring! Goodbye 2017 MIPS submission season!

April 24th, 2018 By
Now that the first MIPS submission is over, and that other regulatory hurdle (tax-day) is behind us, we can finally enjoy spring and get ready to ease into summer, right? Before we do, it’s a good idea to take stock in what worked and what didn’t work for MIPS while it’s still fresh in your...
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Modifications to MIPS by the “Bipartisan Budget Act of 2018”

February 15th, 2018 By
Overview The Further Extension of Continuing Appropriations Act, 2018 (HR1892) (officially renamed the “Bipartisan Budget Act of 2018”) enacted by the United States Congress and President Trump on February 9, 2018 extends the transition years for MIPS to include 2019, 2020 and 2021. This goes...
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Reflections on the 2017 Quality Payment Performance Year

January 4th, 2018 By
With the first year of the Quality Payment Program (QPP) having officially concluded, our team has spent time reflecting on 2017, including what we have learned and the impact the QPP has had on the healthcare community. Here are our top 3 reflections on 2017. 1. Clinicians lack the QPP knowledge...
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The 2018 QPP Final Rule – Insights into the Future

November 13th, 2017 By
On November 2nd, CMS released the much anticipated 2018 Quality Payment Program (QPP) final rule. While most of what was in the proposed rule ultimately made it into the final rule there was one surprise along with many indicators of what to expect as the QPP continues to mature over the next...
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The Risk of EHR Reliance for QPP Performance

November 2nd, 2017 By
Relying on the EHR to manage performance in MIPS and Alternative Payment Models (APMs) in the QPP is like relying on an emergency medical technician (EMT) to conduct major surgery. While both the EHR and EMT deliver essential life-saving functions in their own regard, neither are specifically...
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3 Takeaways from the MACRA MIPS/APM Summit

October 20th, 2017 By
The Second National MACRA MIPS/APM Summit was held in Washington, DC last week and included an impressive list of speakers representing CMS, providers, payers, medical organizations, advocacy groups, and vendors. Most sessions were panel discussions that included a mix of stakeholders that lead to...
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Finding the Legos in Your Value-based Care Programs

October 5th, 2017 By
Like many kids (and some adults), my kids loved to play with Legos.  So, when a customer began talking about quality measures from different payment programs as “Lego pieces,” the wheels started turning: Legos are the perfect metaphor for both the varied components of these commercial and...
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