FHIR: A Game-Changer for Healthcare Quality Reporting

Posted on Wed, 12/27/2023 - 15:31
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The U.S. healthcare system has long struggled with establishing an efficient and effective process for storing and sharing patients’ medical information, but the adoption of the Fast Healthcare Interoperability Resources standard, known as FHIR, is now paving the way for transformative change in this area. FHIR is not only a solution for the seamless exchange of health information but also can alleviate the burden on providers who need to adhere to various quality data reporting mandates. In this article, we'll explain what FHIR is, how it can ease quality data reporting compliance in programs like the Merit-based Payment Incentive System (MIPS) and the Alternative Payment Model Performance Pathway (APP), and what healthcare providers can do today to connect with FHIR.

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APM Performance Pathway (APP) FHIR MIPS Quality Reporting

Final 2023 MIPS Eligibility Now Available - Do You Have to Report?

Posted on Fri, 12/15/2023 - 15:02
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The Centers for Medicare and Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2023 performance year. Clinicians can now verify their final 2023 eligibility for the Merit-based Incentive Payment Program (MIPS) by entering their individual National Provider Identifier (NPI) into the tool or checking their MDinteractive account dashboard. Clinicians can also check their eligibility in an Advanced Alternative Payment Model (APM) and preliminary MIPS status for 2024. This blog will guide clinicians through understanding MIPS eligibility and determining their reporting requirements.

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APM Low Volume Threshold MIPS Eligibility MIPS Eligible Clinicians QPP Participation Status Tool

CMS Releases the 2024 Final MIPS Rule - What Now?

Posted on Thu, 11/09/2023 - 17:34
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On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the 2024 Medicare Physician Fee Schedule (PFS) Final Rule, which includes updates to the Quality Payment Program (QPP). This blog summarizes the key policy changes affecting the traditional Merit-based Incentive Payment System (MIPS) program, as well as changes in reporting for Alternative Payment Models (APMs) and Accountable Care Organizations (ACOs), and expansion of MIPS Value Pathways (MVPs). While wrapping up your 2023 MIPS reporting should be a priority, it’s also important to stay informed of the upcoming changes that will impact your reporting during the 2024 performance year. 

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2024 MIPS Final Rule 2024 MIPS Quality Measures 2024 MVPs 2024 Proposed MIPS Rule Medicare CQMs

Mastering MIPS: A Guide to the Promoting Interoperability Category

Posted on Thu, 10/05/2023 - 15:01
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The final blog in our five-part series, Mastering MIPS, reviews the Promoting Interoperability (PI) category. This category promotes patient engagement and the electronic exchange of information using certified electronic health record technology (CEHRT). In this blog, we provide an overview of the PI reporting requirements and share valuable tips to ensure successful reporting.

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2023 MIPS Promoting Interoperability Reporting 2023 MIPS Reporting MIPS PI Category

MIPS Reporting - Key Dates and Deadlines to Remember

Posted on Tue, 10/03/2023 - 11:16
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We understand that keeping track of important dates for MIPS reporting can be a challenge, so we have prepared a list of key dates to mark on your calendars for your 2023 MIPS reporting. Knowing what to do, and when, throughout the calendar year can help you maximize your MIPS reporting.

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2023 MIPS Reporting MIPS Reporting Deadlines MIPS Submission Dates

Mastering MIPS: A Guide to the Improvement Activities Category

Posted on Mon, 09/25/2023 - 16:59
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Part 4 of our Mastering MIPS series covers the Improvement Activities (IA) performance category in the traditional MIPS program. This MIPS category assesses your engagement in various healthcare improvement activities designed to enhance patient care and outcomes. This article outlines the IA reporting requirements, explains the importance of reviewing the IA descriptions and suggested documentation, and offers tips on selecting activities that are right for your practice.

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2023 MIPS 2023 MIPS Improvement Activities Improvement Activities Documentation

Mastering MIPS: Understanding the MIPS Cost Category

Posted on Thu, 08/31/2023 - 18:44
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Trying to decipher how the Centers for Medicare & Medicaid Services (CMS) calculates your Merit-Based Incentive Payment System (MIPS) Cost category score? We understand - the Cost component of MIPS is complicated! Part 3 of our Mastering MIPS series breaks down the Cost category within the traditional MIPS program. In this article, you will learn about the different Cost measures, how Cost scores are calculated, and actionable steps you can take to improve your Cost performance.

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2023 MIPS Reporting MIPS Cost Category MIPS Cost Scores

2022 MIPS Final Scores and Payment Adjustments Are Out. What's Next?

Posted on Mon, 08/14/2023 - 08:13
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The Centers for Medicare & Medicaid Services (CMS) has released the Final Performance Feedback for the 2022 Merit-based Incentive Payment System (MIPS) performance period. It’s essential to check your performance feedback now to view your final MIPS scores and payment adjustment information. If you believe there’s an error in the calculation of your MIPS payment adjustment a targeted review can be requested until 8 p.m. ET on October 9, 2023. This article outlines how to access your performance feedback to determine if you are receiving a positive, negative, or neutral payment adjustment and what steps to take if you have any concerns.

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2022 MIPS Performance Feedback 2022 MIPS Reporting 2022 MIPS Scores

Mastering MIPS: How to Report the Quality Category with Ease

Posted on Tue, 08/08/2023 - 17:18
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Part 2 of our Mastering MIPS series, reviews the Quality performance category in the traditional Merit-Based Incentive Payment System (MIPS). The 2023 MIPS reporting year is now half over, so clinicians should already be proactively collecting and reporting data on their Quality measures. In this blog, we will cover important topics about the Quality category, including an overview of the Quality reporting requirements in 2023, how Quality measures are scored, and tips for clinicians to select the best Quality measures for their practice.

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2023 MIPS Quality Benchmarks 2023 MIPS Quality Measures 2023 MIPS Quality Reporting 2023 MIPS Quality Scoring

2024 CMS Proposed Rule: Introducing Medicare CQMs as a New Reporting Option for ACOs

Posted on Sat, 07/15/2023 - 18:51
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On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) introduced a proposed rule for the 2024 Medicare Physician Fee Schedule (PFS). This proposal delineates changes to the Medicare Shared Savings Program with the aim of helping Accountable Care Organizations (ACOs) transition to a digital quality measurement approach and addressing concerns raised by ACOs and other stakeholders.

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ACO Reporting APP Reporting eCQM/CQM Reporting

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