Medical groups and health systems that are members of the American Medical Group Association (AMGA) estimate that 60 percent of their Medicare revenues will be risk-based in 2019, pointing to a greater need for risk-assessment coders. Fierce Healthcare reports respondents to the organization’s annual risk survey said they expect revenues from Medicare Advantage to equal ...
In Billing
Dec 11th, 2017
It’s essential for applicable providers to know how the definition of an attribution-eligible Medicare beneficiary for the Advanced Alternate Payment Model (APM) track of the Comprehensive Care for Joint Replacement (CJR) Model for the purposes of making Qualifying APM Participant determinations in the Quality Payment Program (QPP). In a fact sheet, posted Dec. 6 on ...
Learn how MIPS scoring works in 2017, and make it a money-saving game with better patient outcomes. To fulfill requirements of the federally-regulated Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP), you need to know what data to report; how to report; how long to report; and on which providers to report. Then, ...
In MACRA
Nov 22nd, 2017
CMS resources can help eligible clinicians earn a positive payment adjustment in 2019. The initial performance year of the Quality Payment Program (QPP), and its two tracks – the Merit-based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs), is quickly coming to an end, Dec. 31. Eligible clinicians who report a full year of 2017 ...
Electronic health records (EHRs) are supposed to allow for the sharing of health information. If a patient, for example, is found to have an allergy to penicillin at the family doctor’s office, then emergency room and other medical providers should be able to see the allergy in their EHR systems. Unfortunately, EHR systems do not ...