Your Complete 2018 MIPS Data Submission Guide

MIPS QPP 2018 submissions period has begun and we know that this process can be quite daunting, but do not worry. We, at PrognoCIS will accompany you throughout this journey and here is a step by step guide to support you right from the beginning till the very end. Let’s get started right away. Submission … Read more

MIPS Performance Feedback and Final Scores

Now Available: MIPS 2017 Performance Feedback and Final Score; Process for Targeted Review; EIDM Account Creation CMS is out with MIPS 2017 Performance Feedback and Final Score. All Medicare practitioners and groups who had submitted MIPS 2017data can check their MIPS 2017 Performance Score released by CMS recently. MIPS 2017 Performance Score is available to … Read more

Do You Know Your MACRA Participation Status?

Summer is almost gone, and we’re getting closer to the Oct. 2nd deadline to collect quality reporting data under the Medicare Access and CHIP Reauthorization Act (MACRA). The level to which you participate this year determines what your payment adjustment will be in 2018. Our number one piece of MACRA advice: avoid negative payment adjustments. … Read more

CMS Provides MACRA Support for Clinicians In Need

The Quality Payment Program (QPP) reporting period, a part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), officially began on January 1st, 2017. Providers have between now and October 1st to begin their quality reporting for MACRA in order to ensure they won’t receive negative payment adjustments in 2019. Though MACRA has … Read more

Avoid MACRA Penalties Based on New Guidance

Andy Slavitt, acting administrator of the Center’s for Medicaid and Medicaid Services (CMS) has written a blog post on the implementation of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Slavitt’s post titled, “Plans for the Quality Payment Program in 2017: Pick Your Pace”, shows a way providers can participate in MACRA in a slower and potentially … Read more

Reputational Impact of Providers’ MIPS Composite Scores

The Merit-Based Incentive Payment System quality reporting period begins at the start of 2017, with the payment adjustment period following two years after. The Merit-Based Incentive Payment System is a component of the biggest overhaul of the Medicare payment system in recent history, the Medicare Access & CHIP Reauthorization Act. I believe it’s important to … Read more

Universal Benefits of Value Based Care

Value-based care is a potentially viable payment model for practices, regardless of MACRA participation The Healthcare Information and Management Systems Society (HIMSS) and the Department of Health and Human Services (HHS) are focusing on small and rural practices in preparation for MACRA HIMSS submitted a Comment Letter detailing their concerns and recommendations for MACRA The HHS … Read more

ACI Program from MACRA to Overhaul Meaningful Use

We’ve recently looked at the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its overhaul of Medicare, specifically with the revamping of quality reporting systems (Meaningful Use and PQRS). The Centers for Medicare & Medicaid Services (CMS) has just released new important information on MACRA that directly affects how providers use electronic health … Read more

Capitation vs. Fee-for-Service Healthcare Payment Models

Key Points Comparing Fee-for-service vs. Capitation The Fee-For-Service (FFS) payment model has increasingly been seen as costly and cumbersome overall to providers. Medicare programs highlighted the need to transition to a quality-based payment model, which is Capitation. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) legislation improves Medicare by helping providers focus on care … Read more

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