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Showing posts with the label MIPS Quality Measures

Want Leverage MIPS 2020 Consulting Services in USA? Start Planning Today

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Coronavirus has struck all, but the healthcare industry is under its wrath the most. With double the power, physicians, medical billing outsourcing companies, and  MIPS Qualified Registries   are working together to undermine the effect. MIPS 2019 performance year is behind our back, and now it’s time for 2020. Although given circumstances are tough, the planning for  MIPS 2020  will get fruitful results in terms of revenue. Physicians! Bear in mind that with each performance year, requirements change. • Payment adjustment will be 9% in 2020. • 45 MIPS points are required to stay penalty-free. • An exceptional performance bonus will be awarded at 85 points. The reporting burden is great, but, we can’t afford to stay idle. You are busy dealing with COVID cases and risking your life. We suggest don’t risk your future revenue with the current situation. Here is a guide to get you through the MIPS 2020 details. MIPS reporting services can take notes and get started. Check Your Eligibili

Promoting Interoperability Requirements in QPP MIPS 2020 Reporting Services

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Promoting Interoperability (PI) in  QPP MIPS  is all about technology incorporation in the healthcare industry to empower patients and making information transmission easy. Certified electronic health record technology (CEHRT) is the most appreciated medium to achieve this. Each year, CMS changes some of its requirements and policies to better facilitate physicians. In the performance year 2020, some of the requirements are also changed.  General Surgery Billing Services Here is an overview of everything related to promoting interoperability in MIPS 2020. Final Score Percentage This category has a total of 25 points in the final MIPS score. Changes can be expected due to hardship exceptional applications and other special statuses, reweighting other categories. What Data is to be submitted for this Category? Eligible physicians are required to submit data and measures that translate the 2015 version of CEHRT. PI has the following four objectives and the submitted data should translate

Physicians Guide: Briefing QPP MIPS Cost Category and Managed in Finance Program

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  Under MACRA (Medicare Access and CHIP Reauthorization Act), clinicians can participate in either two payment models, a Merit-based Incentive Payment System (MIPS), or an Advanced Alternative Payment Model (AAPM), defined as Quality Payment Program (QPP). In  MIPs Reporting , eligible physicians are required to submit yearly data to CMS to receive a total score. There are four performance categories, Quality, Improvement Activities (IA), Promoting Interoperability (PI), and Cost, for which data is recorded and analyzed. Today, we are discussing the Cost category and its reporting. Let’s keep going. Cost Performance Category The cost category weighs 15% of the total MIPS score for the performance year 2020. Reporting Requirements CMS doesn’t expect any data submission for the cost category. They analyze the performance by reviewing claims data. The following factors impact the analysis of this performance. Medicare Spending per Beneficiary (MSPB) Total per Capita Cost Eight episode-bas

HHS Released Guidelines HIPAA Compliance Amidst Pandemic for Reporting Patient’s Authorization

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  Medical billing services, healthcare professionals, and other stakeholders are bound by HIPAA Law or “HITECH Law of 2009” to protect and restrain the misuse of sensitive healthcare information.  When we join a  medical billing company , the first thing that medical billers, coders, auditors, and physicians learn is to safeguard the Protected Health Information (PHI). Moreover, there are proper guidelines to avoid the misinterpretation of the confidentiality of patients' data. The relaxations subjected to the privacy rules of HIPAA compliance don’t imply any loose ends for security measures. The parties associated with the information, such as covered entities, billing services,  MIPS Qualified Registries , and clinicians, must adopt all means to protect information from falling into the wrong hands. Medical Practices are Sharing Data with Authorities for Research   Healthcare IT experts have decided that we can find ways to restrict virus exposure and even prevent another health

New Drug Prescription Cost Rule Allows Negotiation Patient Outcomes MIPS Reporting

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How the New Drug Prescription Rule Facilitates Physicians? As the new proposed rules will come into action, drug manufacturers will have more say in the payment arrangements. In addition, the patients' outcomes will make clinicians accountable for their services, and they can invest in opportunities to earn more revenue, particularly via  MIPs Reporting . Right now, the payment arrangements are made on the quantity of the product rather than the quality of the product.  In such circumstances, it is impossible to move towards innovation; consequently, medical billing companies can't drive value to the claims nor can payers promote access to innovative therapies or drugs due to cost prohibitions. CMS promised to address rising healthcare expenses, administrative burden, and the lack of quality systems, and they are gradually settling every concern that is restricting progression. In the same context, recently, we heard the great news, especially for medical billing and QPP MIPS r

MIPS Reporting IA Requirements That Every Eligible Clinician Must Know Patients

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  CMS (Centers for Medicare and Medicaid Services) highly regards the improvements activities in clinical practices. It adds value to the quality of healthcare services and eventually increases the performance of your revenue cycle. QPP MIPS, therefore, incentivizes all those MIPS eligible clinicians who pay attention to minor quality details while treating patients. Today, we will review Improvement Activities (IA) reporting requirements in  MIPS Reporting  to CMS. In today's evolving healthcare landscape, quality reporting is more critical than ever, especially when it comes to the Merit-based Incentive Payment System (MIPS) . For clinicians aiming to avoid penalties and maximize their performance scores, understanding the Improvement Activities (IA) requirements is essential. Whether you're new to MIPS or looking to refine your strategy, this article will cover everything you need to know about IA in MIPS reporting. What is MIPS? MIPS stands for Merit-based Incentive Payment