QPP MIPS Reporting Services

  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

  CMS revises MIPS reporting requirements every year. There is a high chance that the measures you reported last year may have been obsoleted this year. 2020 is particularly important as it is the year of some important updates.   You can rely on QPPMIPS.com to know about any MIPS update and get a solution to your reporting problem. We have gathered all information about the topped-out measures and the updated measures for this year, so you submit data without any ambiguity. What are the New Quality Measures? A new update for  MIPS Quality measures  is that CMS (Centers for Medicare and Medicaid Services) requires at least 70% of the eligible cases (for both Medicare and non-Medicaid patients) for the whole performance year. Groups with sixteen or more eligible clinicians will receive no points for this category, if they fail to meet the data completeness constraint. However, eligible clinicians from small practices with groups of participants less than 16 can receive three points even

  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

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

  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

  QPP MIPS 2020 is officially over, and  MIPS eligible clinicians  such as Anesthesiologist, Cardiologists, Dermatologists, and others, can get started on the MIPS 2021. There is no hurry in this matter, but it is better to comprehend the program. It will help MIPS Qualified Registries to see what they can offer to their clients. Moreover, clinicians can align their efforts as per the value-based incentive program requirements.  General Surgery Billing Services What does the Final Rule MIPS 2021 Says? The  QPP MIPS 2021  holds many levels, and to perform well as per the criteria, we should know about all the aspects. MIPS Score Threshold Performance categories weights Minimum performance thresholds APM scoring requirements Hierarchy of MIPS 2021 scores In this article, we would briefly go through each aspect to get grip on our MIPS 2021 strategies. Let’s get into it. MIPS Score 2021 We have observed four significant changes for MIPS 2021 reporting. The performance threshold and categor