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I am an unabashed believer in outcome-based reimbursement for medical services and I believe that all payers will soon be adopting something similar to what Medicare is currently doing. While I don’t believe that methodology being used is necessarily the best way, I believe it will get better over time. It is the playing field […]

As a kid we used to play pickup games of baseball in our street. We would use trash can lids and sewer covers for bases, a bat if someone had one, a broom if we needed to, and of course a tennis ball so we didn’t break any windows. Everyone was invited and whoever showed […]

CMS has responded to numerous requests to update and expand the MIPS eligibility look up tool. In the past, providers were able to look up their individual MIPS eligibility via the QPP page. Though this tool would only allow you to view individual eligibility. The most recent update now allows you to view MIPS eligibility […]

What a difference a year makes! An adage that could be applied to anything and in the case of MACRA, the QPP, and MIPS it means everything. Twelve months ago, Medicare providers were just learning about their eligibility and had months to figure out what they wanted to do about it MIPS. Fast forward to […]

CMS has released the updated 2018 MIPS Eligibility Tool. Clinicians are now able to look up their MIPS status for year two using their NPI. Eligibility requirements were increased from $30K in Medicare payments and 100 beneficiaries in 2017 to $90K in Medicare payments and 200 beneficiaries in 2018. This has left many providers who […]

The 2018 MIPS final rule has been published.  After months of accepting feedback from various stakeholders CMS has unveiled the second iteration of the Quality Payment Program.  There was a lot of feedback from small providers that the MIPS program was too much of a burden.  Participation requirements were too complex and added too much […]

There has been much debate about what changes would be made to the MIPS program for the second reporting period after the 2018 Proposed Rule came out earlier this year.  The Final Rule for the 2018 Quality Payment Program was announced on Thursday, November 2nd.  Many of the proposed rule changes were upheld by CMS.  […]

We’ve entered the final quarter of 2017 and with it the final chance to record 90 days of MIPS data. Clinicians looking to fully participate in the MIPS 2017 reporting period must submit at least 90 days worth of data to receive full credit. So what does this mean if you haven’t started? There are […]