Understanding the Latest CMS Proposed Rule and How It Impacts You

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…

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Overcoming Common MIPS Challenges: Best Practices

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…

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Key Concepts in the Recently Released CMS Proposed Rule

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…

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Key MIPS Performance Categories: What Matters Most

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…

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The 3 Most Effective Ways to Improve Your MIPS Score This Year

Your MIPS (Merit-based Incentive Payment System) score determines your Medicare payment adjustments. A higher score means better reimbursement, while a lower one can result in penalties.  Key Takeaways Accurate data entry and tracking are essential for a higher MIPS score. Choosing the right performance measures improves reporting efficiency. Regularly reviewing feedback helps identify and fix problem areas. Leveraging technology streamlines…

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Preparing Your ACO for MIPS Audits: Compliance and Risk Management Tips

Preparing your ACO for MIPS audits can feel overwhelming. With all the rules and regulations, it’s easy to lose sight of what really matters. But don’t worry! This guide breaks down the essentials into manageable steps. We’ll cover everything from understanding MIPS/APP requirements to establishing a solid compliance framework and using technology to your advantage. By the end, you’ll have…

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