Implementing electronic clinical quality measures (eCQMs) can be a tough road for Accountable Care Organizations (ACOs). With new reporting requirements from CMS, ACOs face several hurdles that can complicate the transition from traditional methods. Understanding these challenges and finding effective solutions is crucial for success. Let's break down the main issues and explore how ACOs can tackle them head-on. Key…
The healthcare landscape is shifting towards digital quality measurement, particularly for Accountable Care Organizations (ACOs). The Centers for Medicare & Medicaid Services (CMS) is implementing electronic Clinical Quality Measures (eCQMs) to improve performance and streamline reporting processes. This article explores digital quality measurement goals, ACO engagement efforts, and best practices for success. Digital Quality Measurement Goals Transitioning to Electronic Quality…
You’ve probably heard about the 2026 Medicare Physician Fee Schedule Proposed Rule and are wondering what it means for you. It’s packed with proposed updates on MIPS, six new MVPs, easier ACO reporting, a new program model, and a chance to shape the final rule via multiple RFIs. We’ll walk you through the highlights and show you how a QCDR…
MIPS (Merit-based Incentive Payment System) reporting comes with challenges that can impact your reimbursements. Many providers face data accuracy issues, reporting delays, and eligibility confusion, which lower scores. To improve performance, you need a structured approach to reporting and compliance. Common issues include selecting incorrect measures, missing deadlines, and not reviewing feedback reports. Addressing these problems can help you maximize…
Narrative: Are you dreading thousands of pages of regulatory statute only to find that a few small sections relate to your ACO and/or practice? Let Patient360 clear the noise for you during this informative session which will cover the major proposed changes for MIPS, MVPs, and MSSP ACOs. We’ll break down what matters most, translating complex policy language into actionable…
MIPS (Merit-based Incentive Payment System) is a critical part of Medicare’s payment model, affecting how healthcare providers are reimbursed. Your MIPS score determines whether you receive positive, neutral, or negative payment adjustments. Key Takeaways Quality measures account for the largest portion of your MIPS score. Promoting interoperability focuses on EHR use and data sharing. Improvement activities reward efforts to enhance…