Healthmonix Advisor

MIPS Cost category impacts oncology practice scores in 2022

Posted by Lauren Patrick on August 10, 2023

With 2022 MIPS preliminary scores available, oncology practices are increasingly seeing how the Cost category negatively affects their overall MIPS scores.  

Before CMS added the Cost category to 2022 MIPS scores, research hinted that oncology and other specialties with higher healthcare costs might face more adverse effects than other specialties. Numerous oncology practices opted for an Extreme and Uncontrollable Circumstances (EUC) exemption for the Cost category in 2022, mitigating the impact of cost measures on them.  

Read on to learn more about how MIPS Cost scores are affecting Oncology practices.

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Topics: MACRA & MIPS, MIPS Reporting, MIPS Cost

Unraveling the Cost category’s impact on MIPS provider scores

Posted by Lauren Patrick on August 3, 2023

Discover the game-changing impact of the 2022 MIPS Final Score Preview period as we delve into the long-awaited return of Cost category scores after 3 years. The implications for providers' total MIPS scores are profound, and we have the insights you need to navigate this transformative shift.

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Topics: MIPS Reporting

Surprises in store: Uncovering the Cost category’s unexpected impact on MIPS scores

Posted by Lauren Patrick on July 21, 2023

Last week, CMS confirmed that 2022 MIPS scores for eligible providers will include the Cost performance category. Per CMS: 

“For the 2020 and 2021 performance periods, CMS reweighted the MIPS Cost performance category to 0% as a result of the COVID-19 public health emergency (PHE). For the 2022 performance period/2024 MIPS payment year (hereafter written as “2022 performance period”), CMS conducted an empirical analysis to assess whether any or all cost measures were continually impacted by the COVID-19 PHE and, if so, whether it would be appropriate for CMS to reweight the Cost performance category again under § 414.1380(c)(2) or to exclude any individual cost measures.  

Read on to learn more about how these changes may affect your MIPS participation and payment year.

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Topics: MIPS Reporting

How using a MIPS Reporting Registry boosts revenue potential for billing companies

Posted by Savannah Vasquez on July 10, 2023

In today's evolving healthcare landscape, accurate and efficient reporting is crucial for billing companies. However, the burden of Merit-based Incentive Payment System (MIPS) reporting can be overwhelming. 

That's where Healthmonix comes in. As a leading MIPS Reporting Registry, we specialize in partnering with billing companies to streamline and optimize their clients’ MIPS reporting. 

Let’s explore the numerous benefits of using a MIPS Reporting Registry like Healthmonix. Discover how our partnership can revolutionize billing operations, simplify MIPS reporting, and unlock new opportunities for success. 

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Topics: billing companies, MIPS Reporting

Insights from NAACOS 2023 Spring Conference: navigating challenges and succeeding in eCQM reporting

Posted by Steve Tyson on June 15, 2023

The Healthmonix team joined Accountable Care Organization (ACO) leaders throughout the country at the National Association of ACOs (NAACOS) Spring Conference at the beginning of May in Baltimore. There were many great discussions and presentations during the conference, but the hot button topic was eCQM / MIPS CQM reporting. The overwhelming sentiment from the conference is that eCQM reporting is a challenge that all ACOs are struggling with.

The Centers for Medicare & Medicaid Services (CMS) provided strong language to ACOs saying that the timeline for mandatory eCQM / MIPS CQM reporting is not going to change.  CMS encouraged ACOs to use the program years of 2023 and 2024 for strategic preparation and building their infrastructure in advance of the mandatory transition in 2025

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Topics: ACO, Accountable Care Organization

Improving Patient Outcomes: Exploring New CMS measures for Dermatology, Health Equity, Kidney Health, and More

Posted by Tara Kalra on June 1, 2023

Quality measures are tools used to improve patient care in a standardized way. Each year, the Centers for Medicare & Medicaid Services (CMS) publishes new measures aimed at measuring identified gaps in care in the healthcare sector. 

As we dive into the world of quality measures and their crucial role in enhancing patient care you can also check out our webinar on MIPS Reporting where we give you strategies for measure selection and building better workflows for this years reporting. 

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Topics: Gaps in Care - New Quality Measures

Getting started with MIPS 2023 reporting for large practices

Posted by Savannah Vasquez on May 4, 2023

MIPS reporting can be a daunting task for large practices. With multiple providers, patients, and quality measures to consider, it's essential to have a clear plan for success. Read on for our expert tips, and check out our latest webinars for more information. 

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Topics: 2023 MIPS Reporting for Large Practices

MIPS Value Pathways (MVPs) continue to evolve

Posted by Lauren Patrick on April 19, 2023

Explore the options for 2023 and look forward to 2024! 

In 2023, MIPS Value Pathways (MVPs)present a new and challenging reporting option for many providers. There are twelve available MVPs focused on specialties such as Emergency Medicine, Oncology, Hematology, Cardiology, Internal Medicine, Family Medicine, Rheumatology, Neurology, Neurosurgical, Vascular Surgery, Orthopedic Surgery, Nephrology, Anesthesiology, Preventive Medicine, and Geriatrics. 

While MVPs can be helpful for reporting, they also pose some challenges.

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Topics: MVPs

CMS's proposed Universal Foundation of quality measures: What is it and how will it change my MIPS/APM reporting?

Posted by Lauren Patrick on April 13, 2023

The Centers for Medicare and Medicaid Services (CMS) have initiated the development of a Universal Foundation of quality measures to improve healthcare quality and transform care.

CMS operates more than 20 quality programs, each with its own set of quality measures. The lack of alignment across these programs has contributed to challenges for clinicians, facilities, and health insurers in prioritizing meaningful outcomes for patients.

By identifying CMS's priority areas for measurement and revealing gaps, the Universal Foundation will evolve over time, with the intent of reducing provider burden and improving patient outcomes.

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Topics: universal foundation of quality measures

Getting Started With MIPS 2023 Reporting For Small Practices

Posted by Mike Lewis on April 6, 2023

MIPS, the Merit-Based Incentive Payment System, is evolving. CMS has laid out a plan to increase quality of care while controlling costs, and all Medicare providers are expected to participate in eligible alternative payment models by 2030.  

In this blog post, we'll discuss the changes for 2023 and how small practices can maximize their scores and reimbursement.

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