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HomeInsights Blog

What Will Patients See on Physician Compare and What Practices Need to Check Immediately

2018 will be the first year that the Centers for Medicare & Medicaid Services (CMS) is adding star ratings to the Physician Compare website. In the past, patients could go on the website to find a physician in their area dealing with their specific disease state or issue. They would see some general information about gender, education, affiliations and office locations, along with limited information about participation in CMS Quality Programs. 

With this year’s website, CMS has published a small number of group measures from PQRS data submitted for 2016.

How is Your Practice Tackling Payer’s Evolving Approach to Reimbursement?

With the new healthcare environment of bundles and episodic payments, providers need to prepare their practice for change – consider the patient’s total episode of care, including what happens after discharge; discuss the best approach to value-based care, and strengthen your revenue cycle management capabilities to manage both patient responsibility and payer denials.

Understanding How Data Can Affect Your Practice Reputation

Your practice should be reviewing its CMS submission information as well as any additional performance data you collect through the year. Why is that important? It is possible you have a clinician who is not “buying into” the MIPS reporting process. Maybe they are hoping that CMS will change its mind or they think that their data won’t make a significant impact on the practice.

Two New Opportunities for Bonus Points Under MIPS

As your practice continues collecting data for the Merit-based Incentive Payment System (MIPS), you should understand that, in addition to bonus points offered under different performance categories, there are two new opportunities to earn bonus points: Complex Patients and Small Practices. The bonus points apply to the Total Composite Score for the 2018 Performance Year only.

Maximizing the Return on an APP Program

With the costs involved in running a specialty practice, do you feel you are capturing all potential revenue from your Advanced Practice Provider (APP) program? And how do you know what to look for?

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