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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Aligning APP Reporting with ACO Strategic Priorities: Best Practices

Aligning APP (APM Performance Pathway) reporting with ACO (Accountable Care Organization) strategic goals is essential for success. Proper alignment ensures compliance, improves patient outcomes, and optimizes reimbursement.  A structured approach can help ACOs manage data aggregation, meet reporting requirements, and improve overall performance. Key Takeaways Integrating APP reporting with ACO goals improves efficiency and accuracy. Data aggregation ensures complete reporting…

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5 Common MIPS Reporting Challenges and How to Solve Them

MIPS (Merit-based Incentive Payment System) reporting plays a big role in how healthcare providers are reimbursed. Mistakes in data entry, missed deadlines, and inaccurate reporting can all lead to lower scores and reduced payments. Addressing common challenges early can improve performance and prevent penalties. Key Takeaways Inaccurate data entry can lead to scoring errors and penalties. Missing deadlines may result…

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The Future of Quality Measurement: Trends in eCQM and MIPS CQM Adoption

Quality measurement in healthcare is evolving rapidly, especially with the rise of electronic Clinical Quality Measures (eCQMs) and the MIPS Clinical Quality Measures (CQM). These trends are reshaping how providers assess and improve care. As technology advances, we're seeing a shift from traditional methods to more efficient, digital processes. This article explores the future of quality measurement, focusing on trends…

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