Articles by: Gary Pritts
Gary consults in the areas of physician practice management, medical information systems, HIPAA compliance, health and productivity management and general business management. Gary serves on the board of Lakewood Hospital, one of the Cleveland Clinic Regional Hospitals, and is a founder and past president of eHealth Ohio, and is active with numerous professional organizations. He served as product development manager for the EDI clearinghouse division of Quadax, a regional clearinghouse, and understands provider organizations from his 6 years as President and owner of Premier Rehab, a Medicare Certified Rehab agency with two Cleveland locations. His computer background includes 15 years in various computer and computer service organizations. He has a B.S. in Computer Science from Purdue University and an M.B.A. from Harvard Business School.
by Gary Pritts | May 20, 2016 | CMS Quality Payment Programs, General News
As we mentioned in our initial post (What the MIPS?), the payment modifier for MIPS will be determined by a performance threshold (PT) set by CMS and your individual or group Composite Performance Score (CPS). This CPS is a number between 0 and 100 is calculated by...
by Gary Pritts | May 20, 2016 | CMS Quality Payment Programs, General News
The CMS “incentive” programs over the past several years — Meaningful Use, PQRS, ePrescribing, and the Value-modifier — have been used both the “carrot” and “stick” approach. CMS provides both cash bonuses and penalties. The...
by Gary Pritts | May 19, 2016 | CMS Quality Payment Programs, General News
As we mentioned in the last post, both MIPS and Advanced APMs are a part of the Quality Payment Programs. These programs replace the reimbursement structure in place for practices in 2017. So what is the difference between MIPS and Advanced APMs? CMS estimates that...
by Gary Pritts | May 19, 2016 | CMS Quality Payment Programs, General News
The Medicare Access and CHIP Reauthorization Act (MACRA) was passed on April 16, 2015. This legislation was landmark because it repealed the Sustainable Growth Rate (SGR). This legislation also created two new payment systems for Medicare Providers. These two programs...
by Gary Pritts | May 18, 2016 | CMS Quality Payment Programs, General News
Editor’s Note: Subsequent to the publication of this article, CMS has renamed the “Meaningful Use” programs and MIPS “Advancing Care Information” category to “Promoting Interoperability”. Meaningful Use looked to be done for,...
