Archive for: MIPS

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Payment Innovation: MIPS

93% of MIPS Eligible Clinicians Will Receive a Positive MIPS Payment Adjustment in 2019

CMS has announced that 93 percent of MIPS eligible clinicians will receive a positive MIPS payment adjustment in 2019 based on their performance in 2017. Overall, 95 percent of eligible clinicians avoided a negative payment adjustment. The chart below summarizes the results.

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Payment Innovation: MIPS

CMS Extends Cost Measure Field Testing to Nov. 5

CMS is extending the timeframe for submitting feedback on the 2018 field testing of cost measures until Monday, November 5, 2018, at 12:00 pm EDT.

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Payment Innovation: MIPS

CMS Releases Guidance on How 2019 Payment Adjustments Will Be Indicated on Claims

CMS has released guidance to help MIPS eligible clinicians understand how to identify and interpret the application of positive, neutral and/or negative MIPS payment adjustments to be applied to payments for certain claims submitted for services furnished in calendar year 2019 based on clinicians’ 2017 MIPS final scores.

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Payment Innovation: MIPS

QPP Website Update: 2018 Performance Feedback for MIPS Quality Data Submitted via Claims Now Available

CMS has updated the QPP website so individual eligible clinicians who choose to submit their Quality performance category data via claims can access performance feedback for the 2018 performance year on an ongoing basis.

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Payment Innovation: MIPS

CMS Announces Field Testing of 13 Cost Measures through October 31, 2018

CMSis conducting field testing for 13 cost measures before consideration of their potential use in the MIPS cost performance category in 2020 or beyond. Note: These are not the same measures currently in use for the 2017 and 2018 MIPS performance periods.

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Payment Innovation: MIPS

CMS Hosts Webinar on Patient Relationship Categories and Codes

CMS to host webinar on patient relationship categories and codes on Wednesday, October 17, 2018.

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Payment Innovation: MIPS

CMS Opens Virtual Groups Election Period for MIPS 2019 Performance Year

CMS recently opened the annual virtual group election period for the MIPS 2019 Performance Year.

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Payment Innovation: MIPS

Save the Date: Physician Compare National Provider Call

Save the Date: Physician Compare National Provider Call October 3, 2018 1:30 – 3:00 PM ET

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Payment Innovation: MIPS

QPP Developer Resource: CMS Open Sources Code for Developers that Calculates QPP Quality Measures from Claims Data

CMS open-sources QPP code responsible for calculating quality measures from Medicare claims data submitted by eligible clinicians via Quality Data Codes. This code is intended for developers interested in the calculation mechanism supporting QPP Claims to Quality.

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Payment Innovation: MIPS

CMS Announces Field Testing of Cost Measures

CMS and its contractor, Acumen, will conduct field testing in October 2018 for 13 cost measures. These measures will be considered for use in the MIPS Cost Performance Category in 2020 or beyond.

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Payment Innovation: MIPS

Representative DelBene Circulates Dear Colleague Letter on MIPS Low Volume Threshold

Rep. DelBene (D-WA) requests support in asking CMS to adjust the MIPS low-volume threshold in order to include more providers in MIPS as part of the final 2019 physician fee schedule.

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Payment Innovation: MIPS

CMS Awards Funding for Quality Measure Development

CMS announces the selection of seven applicants to receive cooperative agreement awards through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program (QPP).

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Payment Innovation: MIPS

MIPS Resource: CMS Posts Infographic on 2019 Payment Adjustments

CMS recently posted an infographic on 2019 MIPS adjustments for the 2017 Performance Year.

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Payment Innovation: MIPS

UPDATED: CMS Announces “Slight” Adjustments to 2017 Final MIPS Scores

CMS announces “slight” adjustments to some 2017 MIPS final scores.

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Payment Innovation: MIPS

MIPS Resource: CMS Posts Details on Beneficiary Assignment Methodology for Groups and Virtual Groups

CMS recently posted a report that describes the process used by CMS for assigning beneficiaries to a group or a virtual group participating in the Merit-based Incentive Payment System.

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Payment Innovation: MIPS

CMS Hosts Virtual Office Hours on the 2019 MIPS Performance Period Self-Nomination Process

On September 20, 2018, CMS is hosting a virtual office hours session on the 2019 MIPS self-nomination process.

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Payment Innovation: MIPS

2018 MIPS Resources for Anesthesiologists, Cardiologists and Radiologists Posted on QPP Resource Center

CMS has posted resource documents on the Merit-based Incentive Payment System (MIPS) for anesthesiologists, cardiologists and radiologists.

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Payment Innovation: MIPS

CMS Posts 2018 MIPS Data Validation Criteria

CMS posts validation criteria for the 2018 Merit-based Incentive Payment System (MIPS) program.

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Payment Innovation: MIPS

CMS Hosts 2019 Performance Period MIPS Self-Nomination JIRA Demonstration Webinar on August 30th

CMS is hosting a webinar at 2:00 PM ET on August 30, 2018, on the 2019 Performance Period MIPS self-nomination process.

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Payment Innovation: MIPS

Call for Nomination: Improvement Activities TEP

CMS has issued a call for nominations for its MIPS Improvement Activities Technical Expert Panel (TEP). CMS is seeking feedback from a group of stakeholders, consumers, patients and experts who can contribute direction and thoughtful input on the improvement activities during development and maintenance.

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Payment Innovation: MIPS

ONC Releases Request for Information

The Office of the National Coordinator for Health IT released a request for information on criteria to measure the performance of certified electronic health record technology, as required by the 21st Century Cures Act.

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Payment Innovation: MIPS

CMS Posts Virtual Groups Toolkit for 2019 MIPS Performance Year

CMS hosts virtual group webinar on August 27, 2018 at 2pm ET

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Payment Innovation: MIPS

CMS Hosting Several MIPS-related Conference Calls

The Centers for Medicare & Medicaid Services (CMS) has announced they are hosting several Merit-based Incentive Payment System (MIPS)-related conference calls.

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Payment Innovation: MIPS

CMS Launches MAQI Demonstration Website

The Centers for Medicare and Medicaid Services (CMS) posted a webpage dedicated to the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) demonstration.

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Payment Innovation: MIPS

CMS Extends Deadline for MIPS Targeted Review to October 1, 2018

MIPS 2017 Performance Feedback Users Guide now available

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Payment Innovation: MIPS

GOP Doctors Caucus Asks CMS to Reduce MIPS Exemptions

On July 3, 2018, five members of the House Republican Doctors Caucus asked CMS Administrator Seema Verma to reduce the number of clinicians excluded from the Merit-Based Incentive Payment System (MIPS) in 2019.

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Payment Innovation: MIPS

GAO Report Considers Small and Rural Practices’ Experiences in MIPS

The Government Accountability Office (GAO) was asked to review certain aspects of small and rural practices participation in legacy incentive programs and the Merit-based Incentive Payment System (MIPS).

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Payment Innovation: MIPS

QPP Year 1 Update: CMS Informs MIPS Participants of their 2019 Payment Adjustments

The Centers for Medicare & Medicaid Services (CMS) released 2017 Merit-based Incentive Payment System (MIPS) performance feedback.

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Payment Innovation: MIPS

CMS Posts Report on MIPS Improvement Activities for Year 1 of the QPP

The Centers for Medicare and Medicaid Services (CMS) released a report on the Improvement Activities (IAs) Performance Category of the Merit-based Incentive Payment System (MIPS) for Year 1 of the Quality Payment Program (QPP).

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Payment Innovation: MIPS

MIPS Preliminary Performance Feedback Data Is Available

Eligible clinicians that submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, can review their preliminary performance feedback. MIPS final scores and feedback will be available in July.

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Payment Innovation: MIPS

CMS Announces 91% Participation for Year 1 of MIPS

The Centers for Medicare and Medicaid Services (CMS) announced that 91 percent of all clinicians eligible for the Merit-based Incentive Payment System (MIPS) participated in the first year of the Quality Payment Program (QPP). 

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Payment Innovation: MIPS

CMS Releases Predictive Analysis on Eligible Clinician QP Status

Based on historical Part B claims analysis, CMS predicts that nearly 100% of eligible clinicians in Advanced APMs will be QPs in performance year 2017

ORIGINAL ANALYSIS

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