Healthmonix Advisor

How To Survive Year One of MIPS

Posted by Christina Zink on July 14, 2017

We are now in the seventh month of the new Merit-Based Incentive Payment System (MIPS), and the majority of MIPS-eligible clinicians still feel completely unprepared for success. With complicated and changing regulations, ensuring compliance can be a long and arduous process. Like most sizable goals, MIPS is best digested in small pieces, but it is hard to tell where to start sometimes. That is why we are going give you an order of operations to follow to ensure MIPS survival.

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Topics: PRO Tips, MACRA & MIPS, CMS, Eligibility

What You Need To Know About Physician Compare

Posted by Lauren Patrick on July 7, 2017

Transparency is a vital aspect of the transition to quality care because it allows patients to make more informed healthcare choices. To this end, CMS has increased accessibility of physician information with the Physician Compare website, which publicly reports provider data including some quality measures. If you are a provider and want to assess or even optimize how you appear compared to your peers, you may have questions about how the Physician Compare website works and how to make sure it represents you accurately.

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Topics: MACRA & MIPS, CMS, Physician Compare, Policy

CMS Releases Additional Tools for MIPS

Posted by Christina Zink on May 12, 2017

The first performance year of the Merit-based Incentive Payment System (MIPS) is well underway. One of the most marked differences between MIPS and previous CMS initiatives is the quality of educational resources available to eligible clinicians. However, wading through all the different documents can be confusing if you are just starting out. This article will walk you through the available resources for each step of your MIPS educational journey.

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Topics: MACRA & MIPS, CMS

MIPSPRO by Healthmonix Awarded 2017 Qualified MIPS Registry Status by CMS

Posted by Christina Zink on March 21, 2017

Malvern, PA – March 16, 2017 – Healthmonix was first-to-market with an all-inclusive solution for MIPS reporting, MIPSPROTM. This Qualified MIPS Registry is an end-to-end reporting solution, supporting the Quality, Advancing Care Information, and Improvement Activity Performance Categories of the Merit-Based Incentive Payment System (MIPS). The MIPSPRO engine also provides sophisticated real-time performance analytics, critical to competing for top MIPS incentives and improving patient outcomes.

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Topics: MACRA & MIPS, CMS, Healthmonix

Meet the Upcoming Administrator for CMS, Seema Verma

Posted by Christina Zink on February 24, 2017

Compared to the commotion surrounding other Trump administration nominees, Seema Verma's confirmation hearing passed by last Thursday with relatively little controversy. Despite the low level of coverage, understanding the contents of this hearing is imperative for predicting the next few years in American health care. As the Administrator for the Centers for Medicare and Medicaid Services (CMS), Seema Verma will shape the future of health care for 34% of Americans. [1]

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Topics: MACRA & MIPS, CMS

The future of MACRA with Tom Price as the Secretary of HHS

Posted by Lauren Patrick on February 16, 2017

Early on the morning of February 10th, the Senate approved the nomination of now-former Rep. Tom Price to be the Secretary of Health and Human Services.  While some say his chief priority is “dismantling of the Affordable Care Act”  (Sen. Maria Cantwell of Washington), the tasks that will be put in front of him also include five major health IT initiatives:  appointments to ONC and other agencies, the future of MACRA and Meaningful Use, the enforcement of interoperability, telemedicine, and cybersecurity. 

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Topics: MACRA & MIPS, CMS, Industry insights

CMS ICD-10 Addendum - You still have to report PQRS!

Posted by Lauren Patrick on January 26, 2017

In December we posted about a CMS announcement related to ICD-10 diagnosis and procedure code changes, and how this might affect payment adjustments in 2018. At the time CMS had not yet issued their addendum detailing specific code updates for measures being used in the Merit-Based Incentive Payment System (MIPS), but now that they have, here’s an update:

CMS and the National Library of Medicine (NLM) have published the addendum to the 2016 eCQM specifications which affects ICD-10 Clinical Modification (CM) and Procedure Coding System (PCS) value sets for 2017. Health Quality Measure Format (HQMF) specifications, value set object identifiers (OIDs), and measure version numbers for 2017 were not changed. The eCQM value set addendum for 2017 is published to the
eCQM Library and the eCQI Resource Center. The NLM’s Value Set Authority Center also provides a complete list of revisions to the eCQM value sets.

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Topics: PQRS, CMS, Policy

CMS Announces Pacing Options for MIPS in 2017

Posted by Christina Zink on September 13, 2016
ALERT: This post was published before the release of the MACRA final rule on 10/14/2016. Please view our finalized summary of the Pacing Options for MIPS for up to date regulations.

The proposed rule for the implementation of MACRA and its underlying Quality Payment Program has inspired many clinicians to voice their opinions about how excessive reporting leads to a reduction in the quality of patient care, and how the rule disadvantages small and rural practices. Two months ago, in response to this feedback, Andy Slavitt announced to senate that there was a possibility of a MACRA delay, or some restructuring of the proposed rule to reduce the burden of compliance. On Thursday, September 8, CMS announced that providers will be able to choose the level and pace at which they will comply with MACRA.

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Topics: MACRA & MIPS, CMS