Healthmonix Advisor

The end of leniency: Preparing for QPP and MIPS participation in 2024

Posted by Lauren Patrick on March 7, 2024

2024 stands as a pivotal year for healthcare providers, marking the end of leniency granted since the COVID-19 Public Health Emergency began. Participation in the Quality Payment Program (QPP) and the Merit-based Incentive Payment System (MIPS) is no longer optional — if providers fail to engage, they’ll face penalties.  

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Topics: Healthmonix

2024 quality measure selection and scoring: A critical turn for MIPS participants

Posted by Lauren Patrick on February 22, 2024

For the first time since the COVID-19 Public Health Emergency (PHE), all eligible clinicians must engage with the MIPS program or face a stark 9% cut in Medicare Part B claim reimbursements. With the stakes raised this year, scores have become pivotal. Additionally, the threshold for avoiding penalties has jumped in recent years, making high scores a coveted achievement. 

Within MIPS, the quality component demands each clinician or group to report on 6 quality measures. The scoring landscape, however, has shifted: 

  • Bonus points for eCQM and additional high-priority measures have been eliminated. 
  • The baseline score for measures has been reduced from 3 points to 0 for non-small practices, adding to the competitive tension. 
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Topics: Healthmonix

Elevating healthcare excellence: Healthmonix achieves HITRUST certification

Posted by Lauren Patrick on February 6, 2024

In the dynamic landscape of healthcare technology, data security and compliance are paramount. As we witness the rapid evolution of digital health solutions, patients and healthcare providers alike demand robust safeguards to ensure the confidentiality, integrity, and availability of sensitive information.

We're thrilled to announce that Healthmonix, a leading value-base care organization in healthcare technology, has achieved the prestigious HITRUST certification, reinforcing our commitment to excellence in data security. 

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Topics: Healthmonix

Healthmonix's journey to a new look and expanded focus on value-based care

Posted by Savannah Vasquez on December 7, 2023

Were thrilled to offer you a sneak peek atHealthmonixs upcoming rebrand,which will launch this month. Get ready to bid farewell to our current look and embrace the new Healthmonixas we embark on a transformative journey. 

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Topics: Healthmonix

Why MIPS 2020 Will Be More Difficult Than Keeping a New Year’s Resolution

Posted by Joy Rios of Chirpy Bird Health IT Consulting on January 23, 2020
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Topics: PRO Tips, MACRA & MIPS, Policy, Healthmonix, Eligibility

Last Minute Hacks for Small Group MIPS 2019 Reporting

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Topics: PRO Tips, Policy, Healthmonix, Eligibility

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.

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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.

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Topics: Healthmonix

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).

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

Streamlining MIPS Reporting When Using Data from Multiple Sources

Posted by Christina Zink on May 10, 2019

Health systems face a unique challenge when navigating the CMS Quality Payment Program (QPP). All currently available options to comply with the QPP require the submission of some form of clinical quality measures. With multiple specialties and often multiple sources for tracking billing and clinical data, aggregating all available data in a coherent, efficient, and centralized way can seem nearly impossible for the average health system. This case study demonstrates how MIPSPRO assisted one of their health system clients by streamlining their quality reporting process.

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Topics: PRO Tips, MACRA & MIPS, Interoperability, Healthmonix, Health IT, Hospitals & Health Systems