The Healthmonix Advisor

Diving into the 2020 MIPS Final Rule - Game On!

Posted by Lauren Patrick on December 10, 2019

Over the last month, there’s been a lot of discussion around the 2020 Medicare Final Rule updates for the QPP and MIPS here at Healthmonix and with our partners and clients. While the last three years of the program were about getting healthcare providers up-to-speed with the program, now the focus is on challenging providers to adhere to tougher rules.  High performers will reap significant rewards, others will see increasing downside.

Read More

Healthmonix Announces Partnership Agreement with ChartSpan

Posted by Lauren Patrick on November 25, 2019

 

(Malvern, Pennsylvania) - Healthmonix, the country’s largest provider of quality and MIPS reporting and healthcare data analytics, has announced a national distribution partnership with ChartSpan, the market-leading vendor in chronic care management (CCM) services.

Read More

Topics: Healthmonix

Are You An Only?

Posted by Lauren Patrick on November 11, 2019

When I was in graduate school, I was the only woman in the department of Computer and Electrical Engineering. At my first job, at an engineering company, out of perhaps 300 engineers, there were 3 women. We became close and were recruited to the company volleyball team because it needed to be co-ed in order to compete in the league. I can go on about the myriad of times I was the only woman in a meeting, group, or department.

Read More

Topics: Healthmonix

MIPS 2020 – the good, the bad, and the ugly

Posted by Lauren Patrick on November 2, 2019

The 2020 final rule dropped yesterday and at first glance, there are some interesting highlights.  

Read More

Top Takeaways From The MGMA Annual Conference

Posted by Lauren Patrick on October 29, 2019

 

It felt as if the Medical Group Management Association (MGMA) Annual Conference, which we have attended for years, was smaller this year. The hall was down 10 percent, and the foot traffic was slower. Regardless, we left with plenty of insights into the state of the industry. Here are some of the highlights of what we learned:

Read More

Topics: MACRA & MIPS, Industry insights, ROI

Reporting MIPS as Individuals or as a Group: Why Not Both?

Posted by Mike Lewis on September 26, 2019

The Merit-based Incentive Payment System (MIPS) can be rewarding for those who optimize their scores, and devastating for those who fall behind. 2019 is no longer considered a transition year, which means that the program is doing away with much of the leniency that made reporting easier in the past. The financial risk is now as high as 7%, while the performance threshold has increased to 30 points.

As the stakes continue to rise, it’s more important now than ever before that organizations strategize about their MIPS reporting process for 2019 and beyond. And in the course of that effort, one major decision they will need to weigh carefully is whether to report as individuals (at the NPI level) or as a group (at the TIN level).

Read More

Topics: PRO Tips, MACRA & MIPS, Healthmonix, Administrative Burden, Hospitals & Health Systems, ROI

MIPS: It's Time For Your Practice To Level Up.

Posted by Lauren Patrick on September 17, 2019

For many years now, Healthmonix has supported clients who engage with the Merit-based Incentive Payment System (MIPS) on a variety of levels, in terms of the maturity of their process. At the lowest level—let’s call it Level 0—we have clients that come to us because they just want to report and avoid a penalty. Just beyond that, at Level 1, are those clients that seek an incentive.

Now, as we continue to settle into the brave new world of value based payments, we have noticed that our clients at Level 1 are starting to get comfortable. Clearly they are investing time and effort into the process, but with incentives still relatively small, MIPS can unfortunately seem more like an annoyance than an opportunity, and it can be hard to see beyond the immediate requirements.

But we’re thinking bigger, and we want you to do the same.

Read More

MIPS 2019 Free Resource Round-Up

Posted by Christina Zink on August 22, 2019

There's a lot to learn about Merit-Based Incentive Payment System compliance in 2019. Luckily, we've produced many resources over the past few months that break down the essentials in a way that is more quickly understood than reading hundreds of pages of federal policy. We've rounded them up for you this week in one convenient list!

Read More

Healthmonix Achieves Quasi-QE status, Adds Functionality to Address Cost

Posted by Christina Zink on August 15, 2019

Malvern PA, August 7 2019 – Healthmonix, an industry leader in healthcare performance analytics, has been approved as a certified quasi-Qualified Entity (quasi-QE) by the Centers for Medicare & Medicaid Services (CMS). This status allows Healthmonix to use QCDR clinical data, combined with CMS Medicare data, to publicly report provider performance across the US.

Healthmonix is also launching the CostPROTM platform, integrated with the industry-leading (as published by KLAS) MIPSPRO platform. CostPRO is an unprecedented solution for Cost performance tracking and optimization that supports the Cost component of MIPS reporting, allowing providers and their staff to be proactive in analyzing the cost of care for their patients, and to determine how to control spending and provide better value throughout their ongoing care.

Read More

MIPS Scores Impact More Than Medicare Revenue, Commercial Payers Are Following Suit

Posted by Shannon Scott on August 8, 2019

Since 2017, the Centers for Medicaid and Medicare Services (CMS) Merit-Based Incentive Payment System (MIPS) has provided eligible clinicians a score of zero -100 annually based on the clinician’s efforts and data collection in four program categories: Quality, Improvement Activities, Promoting Interoperability, and Cost. A clinician’s final score for each year’s MIPS performance ultimately dictates a payment adjustment that is applied to his or her Medicare Part B reimbursement rate two years later. In practical terms, this means that a clinician’s 2017 performance impacts all of his or her Medicare claims that are filed in the 2019 calendar year.

Read More

Topics: PRO Tips, MACRA & MIPS, Industry insights, VBC, ROI