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HomeInsights Blog

Physician Compare MIPS Performance Numbers Are Open for Your Review

The Centers for Medicare & Medicaid Services (CMS) announced on Friday, November 30, that the Physician Compare profile pages have started the 30-day period to preview your 2017 Quality Payment Program (QPP) performance information. You can access your profile through the QPP website (https://qpp.cms.gov/login). After the 30-day preview period, and once targeted reviews are completed, CMS will provide access to the general public.

It’s Not Too Late to Ask for Help with 2018 MIPS Data Submission

Gathering and submitting data for the Centers for Medicare & Medicaid Services’ Quality Payment Program can be overwhelming – especially to the practice that does not have the luxury of a dedicated resource handling the MIPS (Merit-based Incentive Payment System) performance measures. With the different formats for submission, and differing performance periods (Quality must be submitted for a full year, while Promoting Interoperability must be a minimum of 90 days), the process is complicated.

Episode of Care Models Create Both Risk and Value for Practices

The value-based care initiative has driven public and private payers to redesign reimbursement models that focus on care quality and healthcare costs. Bundled payments represent one form of alternative payment models (APMs) that are designed to move toward value-based care.

Advanced Practice Provider Programs are Essential to Ensure Access to Quality Cancer Care

Successfully managing clinical workloads and maximizing both the quality of care delivered and staff productivity are synonymous with your practice’s operational health. As the demand for oncology services increases, practices need to find a way to improve access to care, engage patients and offer services such as patient education and advance care planning. One of the most successful strategies is the addition of an Advanced Practice Provider (APP) program.

The Evolution of Genetic and Genomic Testing

As early as the 1950s, scientists developed genetic tests for genetic conditions such as Down syndrome, cystic fibrosis, and Duchenne muscular dystrophy.1 Today, genetic testing can be done before and during pregnancy to determine if genetic disorders are able to be passed on or to determine a condition in utero. With other research, scientists are also able to test how certain medications will be processed in treatment, based on an individual’s genetic makeup.

Changes in the MIPS 2019 Proposed Rule: Cost Category

The Centers for Medicare & Medicaid Services (CMS) recently issued its Proposed Rule for 2019 under the Quality Payment Program. In this week’s blog we examine changes in the Cost performance measure category.

Changes in the MIPS 2019 Proposed Rule: Promoting Interoperability

The Centers for Medicare & Medicaid Services (CMS) recently issued its Proposed Rule for 2019 under the Quality Payment Program. In this week’s blog we examine changes in the Promoting Interoperability (formerly Meaningful Use and Advancing Care Information) performance measure category.

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