CMS Quality Payment Programs are a key element of CMS’ effort to transform the Medicare system from a “Pay for Volume” model to “Pay for Value”. The Quality Payment Programs include Alternative Payment Models (APMs) such as ACOs and Patient Centered Medical Homes (PCMH). For physician practices not participating in an APM, the Merit-Based Incentive Payment System (MIPS) will apply. MIPS, which will be effective 1/1/2017, incorporates the legacy Meaningful Use, PQRS and Value Modifier programs.
CMS relaxes reimbursement rules and HIPAA enforcement for telehealth amid COVID-19; Medicare will pay E&M encounters at same rate as in-person visits.
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On November 1, the Centers for Medicare and Medicaid Services released the 2020 final MIPS rule.
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MIPS results for Eagle clients from 2017 and 2018 performance years. We are pleased to share the financial benefits of our consulting work.
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The MIPS rules are complex and this complexity creates many opportunities to make mistakes. Make sure that you avoid these top 5 mistakes that we have seen!
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During 2018, CMS has classified six of the MIPS quality measures “topped out” which makes achieving a high final score a bit tougher. In subsequent years, more measures will become topped out so providers will need to identify new measures in order to achieve the same MIPS final score.
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