Blog Archives

Getting the Most out of MIPS Part 3: What you need to know about Improvement Activities in 2017

In the final part of this series, we will explore the Improvement Activities and how to get the maximum score. To learn how to optimize the score for Quality and Advancing Care Information, read my previous blogs.  Improvement Activities (IA)


Posted in MACRA Tagged with: , , , , , , , ,

Getting the Most out of MIPS Part 2: How to achieve 100% Score in Advancing Care Information Performance Category

In part 1 of this series, we saw how to maximize your score in Quality Performance Category. In this blog, we’ll talk about Advancing care Information and tips for achieving 100% performance in this Category. Advancing Care Information (ACI) is


Posted in MACRA Tagged with: , , , ,

Getting the Most out of MIPS Part 1: Maximizing your Quality Performance Category Score

MIPS (Merit-based Incentive Payment) is one of the pathways under MACRA Quality Payment Program  which streamlines multiple quality reporting programs and provides payment adjustments to eligible clinicians based on their performance across four performance categories – Quality, Cost, Improvement Activities


Posted in MACRA Tagged with: , , ,

MACRA Proposed Rule – Year 2 Key Takeaways

On 21st June 2017, Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would make changes in the second year of the Quality Payment Program as required by the Medicare Access and CHIP Reauthorization Act of 2015


Posted in MACRA Tagged with:

MIPS Participation: To Group or Not to Group – That is the Question

MIPS (Merit-based Incentive Payment) is one of the pathway under MACRA Quality Payment Program  which streamlines multiple quality reporting programs and provides payment adjustments to eligible clinicians based on their performance. Under MIPS, you can report as an Individual or


Posted in MACRA Tagged with: , ,

MIPS Participation- Part-2 – What I need to do now?

Review the letter to know the eligibility status of your group and each individual NPI within your TIN. If I am included in MIPS: You must participate by submitting your performance data by 31st March 2018 to avoid negative payment


Posted in MACRA Tagged with: , ,

MIPS Participation- Part-1 – Decoding Eligibility Criteria

CMS has come up with a tool (https://qpp.cms.gov/learn/eligibility) to check your MIPS eligibility status. They are also sending out letters to clinicians informing them about the MIPS Participation Status. What is this all about?


Posted in MACRA Tagged with: , , , ,

Estimating your Revenues under MIPS

With MIPS replacing the PQRS and EHR Meaningful Use Incentives, what healthcare providers want to know is “How is my today’s performance going to affect my cash flow beginning 2019?” Unlike PQRS and EHR incentive program, MIPS does not award


Posted in MACRA, Quality Improvement Consulting Tagged with: ,

MACRA Simplifications for Small Practices

MACRA is finally here and Clinicians are overwhelmed by the changes and complexities in the New Payment Model. CMS has been working with GAO (Government Accountability Office) to understand the unique needs and challenges faced by clinicians in small practices


Posted in MACRA Tagged with: ,

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