In the 2024 Proposed PFS Rule released in July 2023, CMS outlined a new option for MSSP participants to report quality measures called the Medicare CQM option. CMS created this reporting option to address concerns raised by ACOs and others, while still transitioning ACOs toward digital quality measure reporting.
Read on to learn more about the new proposed option for MSSP participants.
Topics: MACRA & MIPS, MIPS CQMs, MIPS Reporting
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.
Topics: MACRA & MIPS, MIPS Reporting, MIPS Cost
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.
Topics: MIPS Reporting
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.
Topics: MIPS Reporting
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.
Topics: billing companies, MIPS Reporting
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.
Topics: ACO, Accountable Care Organization
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.
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.
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.
Topics: MVPs
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.
