Healthmonix Advisor

No CMS Updates on COVID-19's Impact on MIPS reporting - What it means

Posted by Robert Stoudt on June 18, 2020

In the last couple of weeks, some major changes have been made to the immediate future of Value-Based Care payment models.

Some of these updates include:

  • The extension of the Oncology Care Model (OCM) until June of 2022. The Centers for Medicare & Medicaid Services (CMS) is also giving practices the ability to abdicate downside and upside risk performance during the COVID-19 outbreak.
  • The delay of starting the new Direct Contracting model to April 1st, 2021.
  • The extension of the Next-Gen ACO model until December 2021.
  • The option for participating entities in the Bundled Payments for Care Improvement Advanced (BPCI) payment model  to eliminate upside or downside risk.
  • The removal of COVID-19 episodes of care for certain Medicare ACO models.
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Topics: MACRA & MIPS, CMS, COVID-19

The Increasing Importance of the MIPS Cost Performance Category

Posted by Matt Major on June 2, 2020

Blog - MIPS Cost Performance

Quality and Cost are two fundamental focus areas in the Volume to Value-Based Care transition.  The Centers for Medicare & Medicaid Services (CMS), seeks to incentivize higher quality care at a lower cost through programs like MIPS.  In recent years, the primary focus of MIPS has been Quality reporting, however Quality and Cost will be equally weighted in 2022.  Mandated increases and lack of insight into current MIPS scores make it a top priority for practices to learn how Cost impacts their revenue.

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Topics: MACRA & MIPS, Cost Performance Category

How will the QPP MIPS program be affected by the COVID-19 pandemic?

Posted by Lauren Patrick on May 18, 2020

We know the current regulatory updates for the Quality Payment Program (QPP) program. To date,  the Centers for Medicare & Medicaid Services (CMS) has issued many changes. The 2019 MIPS reporting requirement had an extended deadline and options for hardship exemptions. The 2020 MSSP program reporting period had many changes in both of the interim final rule with comment periods (IFCs) issued by  CMS, at the end of March and the end of April. CMS has also added a COVID-19 improvement activity to the 2020 program, that provides full credit for the Improvement Activity category for MIPS, if an individual or 50% of a group (TIN) participates in clinical trial reporting. No changes to the reporting window or other parameters of the program have been issued.

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Topics: MACRA & MIPS, COVID-19

MIPS 2020 – Why and how to get started

Posted by Lauren Patrick on May 12, 2020

Are you wondering how MIPS reporting in 2020 will be affected by the COVID-19 pandemic?  Are you holding off reporting because you are uncertain as to the requirements for 2020?  Has the responsibility of MIPS reporting shifted with the impact of the pandemic on your organization?

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Reopening Your Medical Practice with Confidence

Posted by Lauren Patrick on May 11, 2020

Practice Recovery

As public health experts determine that it is safe to see patients, and governments lift stay-at-home restrictions, physician practices are challenged to strategically plan when and how best to reopen.  As the AMA points out, there are many components of reopening. 

When the time is right, it will be critical to be prepared to reopen, ready to communicate and live a new practice “normal”. In these uncertain times, making sure physical practice changes, staff training, workflow and supplies align, will be important for a successful reopening. Filling your schedule in safe and meaningful ways will help the practice sustain itself and your team. Marketing and communication to patients will help restore confidence and build trust.

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Topics: COVID-19, Practice Reopening

The Importance of Strategic Health IT Partnerships During COVID-19

Posted by Matt Major on May 5, 2020

COVID-19 has presented clinicians with many new challenges that are transforming the entire care delivery model.  It is crucial for health IT companies to do everything possible to support clients with navigating these rapid changes and keeping patients healthy.  Strategic integration partnerships are an extremely effective method to provide clinicians with a reliable network that is packed with the resources needed to provide quality care.  By working together, health IT organizations will play a vital role in overcoming the challenges and adjustments brought forth by the COVID-19 pandemic. 

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Topics: COVID-19, Strategic Health IT Partnerships

Practice Sustainability in the time of COVID-19

Posted by Lauren Patrick on April 19, 2020

Physician practices are confronting new operational and business challenges as a result of the COVID-19 pandemic. There is a mounting financial and administrative toll this pandemic has placed on practices, forcing all to adapt in a variety of areas.  Much of the conversation around COVID-19 has appropriately focused on addressing the pandemic and treatment of COVID-19 patients, however, we are also keenly aware of the other impacts on practices. 

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Topics: Cost Performance Category, ROI, COVID-19

CMS relaxes more rules around telehealth, allowing healthcare across state lines

Posted by Lauren Patrick on April 14, 2020

The Centers for Medicare & Medicaid Services (CMS) continues to relax regulations to enable hospitals, clinics and other providers to boost their front-line medical staff during the COVID-19  pandemic. This pandemic has created an urgency for expansion of the use of virtual healthcare to reduce the risk of spreading the virus. It has also created a need to relax practice restrictions and allow more flexible care practices to meet the needs of patients.

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Topics: CMS, Interoperability, Industry insights, Policy, Health IT, VBC, COVID-19

Quality Payment Program COVID-19 Response - Update April 6

Posted by Lauren Patrick on April 6, 2020

The Centers for Medicare & Medicaid (CMS) is working rapidly to update policies and allow healthcare providers to flexibly apply best practices in response to the COVID-19 pandemic.  Programs such as Hospitals without Walls and the existing Patients over Paperwork have been deployed.  Removal of barriers have resulted in exponential growth of telehealth and remote patient monitoring.   Advanced payments to healthcare providers are being provided to counter the effects of changing patterns of healthcare use,  reduction in elective procedure, increase in ICU utilization and other ongoing unanticipated changes.

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Topics: MACRA & MIPS, Quality Performance Category, COVID-19, submission

LEVERAGING TELEHEALTH UNDER NEW CMS RULES

Posted by Lauren Patrick on April 1, 2020

The Center for Medicare & Medicaid Services (CMS) is paying for a wider range of telemedicine services during the coronavirus pandemic as of March 6, 2020. These remote medical services are available for all patients, not just those receiving coronavirus treatment. Telehealth services now include remote patient monitoring for both chronic and acute conditions, and allow doctors to collect Medicare payments for making phone calls to patients.

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