Healthmonix Advisor

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

Three Steps Organizations Can Take to Foster a Patient-Centric Experience

Posted by Christina Zink on December 21, 2018

Patients want to be treated with dignity and respect. And when they are, as the American College of Physicians (ACP) points out in a recent position paper on patient engagement, they are more likely to interpret their experience as a quality care encounter. Organizations can improve outcomes and adherence to care plans by helping patients and families feel central to their own care experience, and research even suggests that patient experience is a more important factor in patient loyalty than standard marketing efforts.

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Topics: PRO Tips, Hospitals & Health Systems, VBC

Wait Time: The Secret Saboteur of Patient Satisfaction

Posted by Christina Zink on July 12, 2018

In today’s quality-focused healthcare environment, patient satisfaction is commonly used as a metric for success—which means that it can affect your bottom line. But what if a patient becomes dissatisfied before the appointment even begins? Unfortunately, this happens daily in practices across the nation, as patients grow frustrated from long and unpredictable wait times.

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Topics: PRO Tips, Hospitals & Health Systems

The Philadelphia Take Steps Walk: How Health Systems can make a Difference to Patients and Families

Posted by Christopher Jayne on May 24, 2018

This past Sunday, I was fortunate enough to attend the Philadelphia Take Steps Walk. Sponsored by the Crohn’s and Colitis Foundation and organized by members of the local community, this event raised $388,000 to fight inflammatory bowel diseases (IBD). Hundred of patients, providers, and organizations met at Citizen’s Bank Park here in Philadelphia to enjoy an educational festival, celebrate loved ones fighting IBD, and walk through the stadium and field as a show of solidarity to anyone suffering from these diseases.

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Topics: Healthmonix, Hospitals & Health Systems

4 Tips To Reduce Hospital Readmission Rates

Posted by Lauren Patrick on January 25, 2018


Hospital readmissions can be bad news for patients, but they can also be bad news for a hospital’s bottom line. Readmissions cost $41.3 billion overall, a majority of whichabout $26 billion annuallyis paid by Medicare. Moreover, as much as $17 billion of Medicare-paid readmissions are considered to be avoidable.

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Topics: PRO Tips, Hospitals & Health Systems, VBC

Experiences in Transitioning from PQRS to MIPS

Posted by Christina Zink on June 8, 2017

With the beginning of June came the half-way point for the first year of MIPS reporting. While many providers haven't started reporting yet, a good number of clinicians have started early. We interviewed clinicians and practice administrators who have reported PQRS in the past via registry, are currently reporting through the MIPSPRO registry, and that represent a diverse demographic of MIPS eligible clinicians. 

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Topics: PQRS, MACRA & MIPS, Industry insights, Small Practice, Hospitals & Health Systems