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BILLING AND COLLECTIONS

CMS to launch new MIPS Participation Framework in 2021 Performance Period

CMS is implementing a new participation framework for the Merit-based Incentive Payment System (MIPS), called the MIPS Value Pathways (MVPs), starting with the 2021 performance period. The goal of this new framework is to move away from siloed performance category measures and activities, and move toward an aligned set of measures and activities that are more meaningful to clinicians and patient care. With the MVPs framework, CMS is aiming to connect measures and activities across the Quality, Cost, Promoting Interoperability, and Improvement Activities performance categories of MIPS for different specialties and conditions. The new framework is designed to: Simplify MIPS and reduce clinician burden; Improve value and create a more cohesive and meaningful participation experience; and Better align with Alternative Payment Models (APMs) to help ease the transition from MIPS… . . . read more.

QUALITY PAYMENT PROGRAM

MIPS 2020 payment adjustments in effect based on 2018 performance

In July 2019, each Merit-based Incentive Payment System (MIPS) eligible clinician received a 2018 MIPS Final Score and associated payment adjustment factor(s) as part of their 2018 MIPS performance feedback, available on the Quality Payment Program website. 2020 MIPS payment adjustments, based on each MIPS eligible clinician’s 2018 MIPS final score, will now be applied to payments made for Part B covered professional services payable under the Physician Fee Schedule. Payment adjustments are determined by the final score associated with your Taxpayer Identification Number (TIN)/National Provider Identifier (NPI) combination. MIPS eligible clinicians, identified by TIN/NPI combination for the 2018 performance period, will receive a positive, neutral, or negative MIPS payment adjustment in 2020 if they: Were a clinician type that was included in MIPS; Enrolled in Medicare prior to Jan…. . . . read more.

MEDICARE REIMBURSEMENT

MIPS bonuses are easy to earn—IF you can get into the program

The Centres for Medicare and Medicaid Services (CMS) has announced the results of…


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INCREASING PROFITS

Deadline to submit a MIPS Targeted Review Request is this month

If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes…


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CMS DATA

2017 QPP performance information is now available on Physician Compare

Medicare patients and caregivers are able to use the Physician Compare website to search for and compare…


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MIPS

CMS releases preliminary data on 2018 Quality Payment Program participation

The Centers for Medicare & Medicaid Services (CMS) has published a blog post and released an infographic to share…


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INNOVATION

New CMS competition seeks innovative AI solutions to better predict healthcare outcomes

The Centers for Medicare & Medicaid Services (CMS) has announced a new competition that aims to accelerate innovative solutions to better predict health outcomes and…


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MIPS

You have less than one month to submit MIPS Year 2 (2018) Data for the Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) has officially opened the data submission period for…


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MIPS DATA SUBMISSION

The MIPS 2018 data submission period is now open

The Centers for Medicare & Medicaid Services (CMS) has officially opened the data submission period for Merit-based Incentive Payment System…


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2019 PHYSICIAN FEE SCHEDULE AND QPP

CMS finalizes changes to the Medicare Physician Fee Schedule and Quality Payment Program

Last week, the Centers for Medicare & Medicaid Services (CMS) finalized proposals that it says will address provider burnout and provide clinicians immediate relief from…


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