Primary Care First - What You Need to Know

Posted on Fri, 05/14/2021 - 16:37
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The Centers for Medicare and Medicaid Services (CMS) Primary Care First (PCF) program is a new alternative payment model designed to support the delivery of advanced primary care. The program began in 2021 and it will examine whether financial risk and performance based payments that reward primary care clinicians will lower Medicare costs and improve health care quality. PCF participants must annually report data on specific quality measures, including the quality measure Advance Care Plan (ACP) which requires a Qualified Registry or QCDR vendor for reporting since it is not an EHR reportable measure. As a CMS Qualified Registry, MDinteractive can support practices participating in the program by reporting this measure on their behalf.

Please note: Cohort 1 practices must report ACP using a Qualified Registry or QCDR for PY 2021; Cohort 1 practices that fail to do so will not be eligible for a positive performance-based adjustment (PBA) in PY 2022.

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2021 MIPS Reporting: Why Planning Ahead Matters

Posted on Wed, 03/31/2021 - 16:35
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You can finally breathe a sigh of relief that the 2020 MIPS reporting season is over! Now it’s time to turn your attention to 2021 MIPS reporting so you don’t get behind the curve.  This year reporting will be more complex and require early planning to meet the new requirements.   Developing a reporting strategy now will ensure you are better prepared for a successful outcome.  

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The APM Performance Pathway - Preparing Your ACO for Success

Posted on Thu, 01/21/2021 - 13:58
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The Centers for Medicare and Medicaid Services (CMS) will delay the requirement that Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) begin reporting all-payer Quality data through the new APM Performance Pathway (APP). ACOs will have the option to continue submitting data via the CMS Web Interface through the 2024 performance year. ACOs will have to report all three APP Quality measures (CQMs or eCQMs) beginning in 2025. In this article, we highlight the implications for ACOs, including the new APP quality measure set and strategies for successful reporting in future years.  

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Understanding Your MIPS Eligibility Status

Posted on Wed, 01/06/2021 - 15:02
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CMS has updated the Quality Payment Program (QPP) Participation Status Tool for the 2020 performance year.  You can now check your final 2020 eligibility status for the Merit-based Incentive Payment Program (MIPS) and the Alternative Payment Model (APM) program by entering your individual National Provider Identifier (NPI) into the tool or checking your MDinteractive account dashboard.  Your initial 2021 MIPS eligibility status is also available.  It's important to understand your eligibility status since MIPS eligible clinicians who do not report MIPS this year could receive a 9% penalty against their Medicare Part B payments in 2022.

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Key Highlights of the 2021 Final MIPS Rule

Posted on Wed, 12/02/2020 - 14:45
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On December 1, 2020 the Centers for Medicare and Medicaid Services (CMS) released its 2021 Final Rule for the Quality Payment Program (QPP) with changes to the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). Here is a look at some key highlights of the QPP changes and how they could impact your practice.

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Changes Ahead for ACO Reporting

Posted on Mon, 11/30/2020 - 16:53
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Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program will have new reporting requirements beginning in 2025. The Centers for Medicare and Medicaid Services (CMS) has established a multi-year transition period to change the data that these organizations must report and how the data gets submitted. The changes are intended to reduce reporting burdens and improve patient outcomes. The provisions will allow ACOs to partner with CMS Qualified Registries like MDinteractive to meet their data reporting needs. 

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The Clock is Ticking on Reporting MIPS: How to Choose Quality Measures

Posted on Thu, 11/12/2020 - 18:05
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The clock is ticking for clinicians and groups who want to report MIPS. MDinteractive can report all available registry and EHR MIPS Quality measures and is here to help, whether you have been collecting data throughout the year or are just getting started. In this article we explain how to choose your Quality measures, and the benefits of using a registry like MDinteractive. With the end of the 2020 performance year getting closer, there’s still time to choose measures to report and start gathering your data.

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MIPS Reporting: Why You Should Consider Reporting As A Group

Posted on Tue, 10/06/2020 - 10:07
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If you have two or more clinicians billing with the same Tax Identification Number (TIN) in your practice, you should consider reporting MIPS as a group to gain some administrative relief and possibly increase your chances for success. According to CMS data, the majority of practices are choosing to report as a group. There are many reasons why group reporting is the preferred option for clinicians. Let’s take a look at what group reporting means, and why it may benefit your practice.

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How Telemedicine is Relevant to Your MIPS Reporting

Posted on Thu, 06/11/2020 - 14:30
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The COVID-19 pandemic has brought many changes to our daily lives, including a surge in the use of telemedicine. During the past few months, more clinicians and their patients have been turning to telehealth appointments so patients can safely receive the care they need. In response, CMS announced many changes to support telehealth, including payments for Medicare telehealth services furnished to patients in broadened circumstances and an expanded list of clinicians who can provide these services. Clinicians offering telehealth services to their patients may want to consider how this is relevant to their MIPS reporting. In this article, we have identified a list of Quality measures and Improvement Activities that can be reported for telemedicine services.

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2020 MIPS Reporting Telehealth Telemedicine

Quality Payment Program Exception Applications Now Available

Posted on Mon, 06/01/2020 - 02:26
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MIPS eligible clinicians, groups and virtual groups can now apply for the 2020 Promoting Interoperability (PI) Hardship Exception or the MIPS Program Extreme and Uncontrollable Circumstances Exception. Applications must be submitted to CMS by December 31, 2020. Exceptions will be available to those who meet certain criteria established by CMS. Those who qualify for automatic reweighting of PI reporting do not need to apply for this exception.

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