Tag Archives | MIPS

MACRA: A Quick Study Guideline

The importance of learning and researching the details of MACRA cannot be overstated, especially since the topic is unknown to many healthcare entities. EDITOR’S NOTE: At the American Health Information Management Association (AHIMA) 2017 Convention and Exhibit, significant attention was given to the Medicare Access and CHIP Reauthorization Act (MACRA). The following is a summary […]

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From Bundled Payment Reform to MACRA: Pick Your Poison

MACRA continues to be a subject that perplexes providers even as the program evolves. It has been recently confirmed that the Comprehensive Care for Joint Replacement (CJR) bundled payment has been cut from 67 to 34 percent in the program, and the carding rehabilitation incentive with bundled payments has been cancelled. The new political leadership […]

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Elimination of LCDs Proposed

This is the year of many Centers for Medicare & Medicaid Services (CMS) regulatory requirement changes. This includes the Merit-Based Incentive Program (MIPS), the next steps toward mandatory Authorized Use Criteria (AUC) implementation for advanced imaging, defining more explicitly what is and what is not “quality” care, etc. It is important to understand that all […]

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CMS Exempts Two Thirds of Clinicians From MIPS

The Centers for Medicare & Medicaid Services (CMS) has exempted about two thirds of physicians and other clinicians who provide care to Medicare beneficiaries from the Merit-based Incentive Payment System (MIPS), a pay-for-performance scheme that will determine part of physicians’ Medicare payments, starting in 2019. A CMS spokesman told Medscape Medical News, “CMS mailed approximately […]

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Episodes of Care: The Future of Healthcare Payment?

The financing of healthcare is rapidly changing in this country. The Centers for Medicare and Medicaid Services (CMS) has introduced a wide array of value-based alternative payment models including bundled payments and shared savings through Accountable Care Organizations and Pay for Performance programs. The passage of the Medicare Access and CHIP Reauthorization Act (MACRA) includes […]

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Why It’s Essential That MACRA’s Start Be Delayed

This week at a hearing before the Senate Finance Committee, providers heard some comforting statements from Senate leaders and a key official from the Centers for Medicare and Medicaid Services. At the hearing, Andy Slavitt, acting administrator for CMS, said his agency was looking for ways to be flexible with the approach for enacting the […]

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6 Strategies for Physicians to Successfully Navigate MIPS

CMS’ Medicare Access & CHIP Reauthorization Act of 2015 replaced the current Meaningful Use, Physician Quality Reporting System and Value-Based Payment Modifier this year.

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