Industry Expertise

Access a Team of Regulatory Experts

SA Ignite is an acknowledged leader with long standing expertise in value-based care programs, including most recently the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP). We directly engage with CMS to clarify and validate the complex MIPS rules, and we help healthcare providers across the nation to optimize performance in the program with our IgniteMIPS software and services. 

To access our popular FAQs and informational material, explore our Resources section.

Quality Payment Program

The Quality Payment Program (QPP) was designed by CMS to bring multiple quality measurement and reimbursement programs together into a single, competitive program that will move healthcare providers toward a value-based payment system away from fee-for-service. The program is meant to simplify the reporting process, however the distinct rules are complex and ever evolving.

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Merit-based Incentive Payment System (MIPS)

The Merit-based Incentive Payment System (MIPS) is a competitive value-based program that merges Meaningful Use and PQRS, delivering a single annual score that is determined by multiple categories. MIPS will impact both revenue and reputation: providers’ annual MIPS score will determine Medicaid reimbursement adjustments and will also be reported publicly.

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Advanced Alternative Payment Models

Advanced Alternative Payment Models (APMs) are value-based program models operated by CMS. Qualifying participants in Advanced APMs can earn an annual 5% Part B incentive (paid 2019–2024) and potentially are exempt from MIPS. Minimum requirements include the use of certified EHR technology, quality measurement, and the level of financial risk placed upon clinicians.

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Now that MIPS is here, healthcare organizations that receive reimbursement from both Medicare and Medicaid will have to report for multiple value-based programs, as Medicaid providers still need to report for Promoting Interoperability (PI) through 2021. Non-compliance means leaving money on the table.

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