The Healthmonix Advisor

How To Start With MIPS (If You've Been Avoiding It)

Posted by Mike Lewis on November 8, 2018

CMS reports that for 2017, just over 90% of eligible clinicians participated in the Quality Payment Program (QPP). That number is impressive, but what about the nearly 10% who declined to participate? Many adopted a “wait-and-see” approach, or were concerned that the required investment of time, money, and effort wasn’t worth the reward. But the QPP is here to stay, and some physicians may only now be wondering where to start, or even whether they can succeed at all after avoiding it for so long.

If you find yourself among that number, don’t worry, because it’s not too late! This week we’re laying out the first things you should know, and the first steps to take.

Read More

2019 QPP Final Rule Now Available

Posted by Christina Zink on November 2, 2018

Note: This article will update as we learn more, and to reflect any changes that may happen before the rule is officially published to the Federal Register on November 23, 2018. To view the entirety of the final rule, view the unpublished pdf version.

Read More

Topics: MIPS, QPP

Lawmakers Push Back on Proposed Changes to MSSP

Posted by Christina Zink on October 31, 2018

In August, the Centers for Medicare and Medicaid Services (CMS) released their proposed rule titled “Pathways to Success,” which outlined significant changes to the Medicare Shared Savings Program (MSSP) that encourage ACOs to move more quickly from one-sided to two-sided risk models. The proposed participation options for the MSSP--the largest ACO model with 561 participants--no longer include an “upside-only” risk model; instead, ACOs would be required to select one of two tracks, both of which ultimately include some downside risk.

Read More

Topics: ACO

How To Improve EHR User Experience

Posted by Christina Zink on October 24, 2018

EHRs have undoubtedly already changed the way healthcare works in America, and many of these changes have been for the better. Improved workflows and care delivery, enabled through EHR technology, are in many cases key to improving both patient and public health outcomes. But in the face of increasing requirements for providers, and the ever-looming need for health systems to justify their investment, EHRs must recognize that demand is high for a product that continues to improve and keep up with the changing times.

Read More

Specialists: The Secret Key to CMS Success

Posted by Mike Lewis on October 18, 2018

 

  • I’m seeing a patient for dermatitis – Why do I need their BMI?
  • I’m seeing a patient for a colorectal screening – How is it going to help me if they got their flu shot?
  • I’m a Specialist. Why is it my job to ask these questions?

I encountered these questions all the time as a MIPS consultant within the specialty market. I spent the past 6 years working with providers who just want to provide better care to their patients. They didn’t mind participating in the programs, but they were not convinced there was much value.

Read More

The Problem of Patient Matching: New Pew Report Details Recommendations

Posted by Christina Zink on October 11, 2018

In the pursuit of value based care, interoperability is key. But is it achievable in the current healthcare landscape? And if not, what would we have to do to bridge that gap?

Read More

Topics: Interoperability

Net Health Partners with Healthmonix to Provide Streamlined MIPS Reporting for Wound Care Providers

Posted by Christie Hicks on October 11, 2018

Net Health, the leader in software solutions for specialized outpatient care, has partnered with Healthmonix to provide streamlined Merit-Based Incentive Payment System (MIPS) reporting for its WoundExpert customers.  The companies will collaborate to simplify the reporting process, improve patient health outcomes and maximize revenue. 

Read More

You Should Care About MIPS. Here's Why.

Posted by Usman Safdar on October 3, 2018

There’s no doubt that MIPS involves a learning curve. The program’s rules can be complex and can require cumbersome initial investments of time and money, leading many doctors to try to avoid it altogether. But MIPS matters, and the most successful doctors in coming years will be those who invested wholeheartedly in the reporting process. Here’s why.

Read More

Topics: MIPS

CMS Admits to MIPS Scoring Errors, Extends Deadline

Posted by Christina Zink on September 26, 2018

In a recent update on 2017 MIPS Performance Feedback, CMS announced that they have identified errors in their scoring logic. CMS wrote that their targeted review process “worked exactly as intended, as the incoming requests quickly alerted us to these issues and allowed us to take immediate action.”

Read More

4 Things Clinicians Should Consider When It Comes To 2015 CEHRT

Posted by Phillip Spence on September 20, 2018

According to the proposed rule for 2019, use of 2015 Certified EHR Technology (CEHRT) will be required in the 2019 performance year. Many EHRs have already become 2015 CEHRT or plan to do so before next year, but not all have.

If you are a clinician trying to stay compliant and meet MIPS reporting requirements, there are a few things you should keep in mind to make sure that this new change won’t negatively affect you.

Read More