Act now to score positive payment adjustments under MIPS. This year, the Cost performance category in the Merit-based Incentive Program (MIPS) is worth 10 percent of an eligible clinician’s or group’s final score. Next year, it goes up to 15 percent — and Cost will continue to gain weight until it accounts for 30 percent ...
In Billing
Sep 7th, 2018
Bundled payments seem to be cutting healthcare costs. One of the salient goals of the Affordable Care Act was to bring down the cost of care. As a result, the federal government attempted to assist in reducing the cost of care by implementing a program called Bundled Payments for procedures that are frequently performed for ...
In Coding
Aug 9th, 2018
Follow both ICD-10 Official Guidelines and AHA Coding Clinic guidance to meet MACRA performance requirements. Diagnostic coding accuracy is a lot more important than it used to be. Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Centers for Medicare & Medicaid Services (CMS) has increased physician accountability for reporting a patient’s ...
Jul 27th, 2018
Want to earn some Brownie points with your clinicians? Let them in on a little-known opportunity to earn bonus points in the Improvement Activities performance category under the Merit-based Incentive Program (MIPS). First, Some Background The Improvement Activities performance category is one of four performance categories in MIPS. Out of a final score of 100, ...
In Billing
Jul 19th, 2018
Clinicians have until October 1 to review their 2017 Merit-based Incentive Payment System (MIPS) final score and performance feedback and, if applicable, request a targeted review by the Centers for Medicare & Medicaid Services (CMS). Immediate Action Required Eligible clinicians who participated in MIPS should review their MIPS final score and performance feedback, available on ...