Recent shifts in healthcare reimbursement models have trended away from a fee-for-service payment system, and instead tied payments to the quality of care provided. These shifts provide opportunities for HIM professionals to help physicians code more completely and precisely.
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By Jim Tate – Last week I documented yet another reason that the achievement of a high MIPS score should be Priority One for Eligible Clinicians. 2017 has been defined as the “Transition Year” for MACRA/MIPS and minimum standards have been put in place to allow minimal effort to avoid 2019 Part B adjustments.
By Bruce Leff & Christine Ritchie – Home-based medical care offers older homebound adults with multiple chronic conditions and functional limitations access to care — while enabling them to avoid living in an institution.
By John Halamka MD – I’m in China this week, meeting with government, academia, and industry leaders in Guangzhou, Shenzhen, Beijing, Shanghai, and Suzhou. The twelve hour time difference means that I can work a day in China, followed by a day in Boston. For the next 7 days, I’ll truly be living on both sides of the planet.
MACRA promises to reshape how Medicare pays physicians under the QPP. Yet, a survey of 1,000 practicing physicians who have been involved in practice decision-making related to it shows that fewer than one in four physicians feel well prepared to meet its requirements in 2017.
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula and established the Quality Payment Program, improving Medicare by helping doctors and other clinicians focus on care quality and making patients healthier.
By Anshu Jindal – The onset of MACRA in 2017 marks the big shift to value-based-care. It is a big and bold step towards providing best possible quality at the lowest possible cost. An initiative of such proportion inherently has a lot of moving parts.
CMS’ Annual Call for Measures and Activities for the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP) is accepting Quality and Advancing Care Information measure proposals through June 30, 2017 for the 2018 program year; measures submitted beginning July 1, 2017 will be considered for the 2019 program year.
CMS issued a proposed rule that would make changes in the second year of the Quality Payment Program as required by MACRA. CMS’s goal is to simplify the program, especially for small, independent, and rural practices, while ensuring fiscal sustainability and high-quality care within Medicare.