Evidence based medicine (EBM) has become the mainstay for insurance denials; i.e., the evidence that standard deviations should not be normative and the foundation for why doctors should be automatons in how care is provided before ever thinking about the uniqueness of the patient. This philosophy is now upon us. Well, the entire Quality Payment Program (QPP) is driving payment…
Decide how you are going to report NOW for 2017. Start collecting data now! If you know the measures now, it doesn’t matter what system you are on, you can build easy ways to track measures if you know what they are.
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Registries are in high gear now reviewing boatloads of data as providers finalize their 2016 PQRS submissions. What is the best way to honor the supposed Center for Medicare & Medicaid Services (CMS) “spirit” and intention of the program (to improve quality and patient care) and still receive the maximum reimbursements to which the provider believes s/he is entitled to receive for services rendered? As a qualified registry, that has been vetted by CMS, we walk the fine line everyday of providing a balanced response to this question.
2017 is almost upon us! Are you freaking out because we’re in the last few weeks of 2016 PQRS reporting and you haven’t actually participated in the program yet? Have you just received a letter from CMS telling you that you were penalized from last year, and you’re not sure what to do about any of it? Fear not, there’s…
While it may seem daunting to consider all the 2017 changes while in the midst of the current 2016 PQRS reporting period, consider it we must. The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) ended the sustainable growth rate (SGR) averting annual congressional action necessary to stop negative adjustments to the Medicare Physician Fee Schedule (PFS). As part of…
It’s that time of year again where everyone eagerly awaits their “Report Cards” from CMS; in other words, the Quality & Resource Use Reports (QRUR) are coming! Most folks don’t even know the reports come directly from CMS via their EIDM account, NOT from their registry or EMR vendor. So, let’s start by getting everyone to understand where to get…