Posts Tagged ‘PQRS’

5 Ways to Keep Pace with MACRA Momentum

September 15th, 2016 by Patricia Donovan

carecompactsIn a nod to the wide diversity of physician practices, the recent “Pick Your Pace” announcement by the Center for Medicare and Medicaid Services (CMS) clarifies the timing of reporting for year one of the Quality Payment Program and offers eligible physicians and other clinicians multiple options for participation.

But whatever participation level a practice elects for 2017, there are many ways eligible providers can proactively prepare for MACRA’s ultimate impact on physician quality reporting and reimbursement prior to November 1, 2016, the date by which CMS has said it will issue the MACRA final rule.

Eric Levin, director of strategic services, McKesson, offered this advice for physician practices to prepare for Medicare’s Merit-based Incentive Payment System (MIPS), one of two payment paths CMS will offer to practices.

  • First, make certain you are successfully participating in any Medicare Quality and electronic health record (EHR) programs, which would include the Physician Quality Reporting System (PQRS), Meaningful Use, and the Patient-Centered Medical Home.
  • Next, try and factor the alternative payment model (APM) participation bonus into your risk-based payment model adoption strategy to see if that might be something you can qualify for, as the rewards can be significantly higher under the APM track.
  • Third, make sure you know which track your organization is going to seek. Explore APMs; if you can do one, great. If not, then MIPS can still provide a relatively high incentive.
  • Next, start educating providers, employers, nurses, staff members, on what the payment track is going to be, what’s going to be measured, and what the outcomes will be like as well.
  • Finally, stay very close to CMS. Check their Web site, subscribe for e-mail updates and check their Twitter feed for anything that’s changed, for any proposed MACRA rules that might become final, so that you are aware of and can make any changes as needed.
  • Source: MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System

    http://hin.3dcartstores.com/Post-Acute-Care-Trends-Cross-Setting-Collaborations-to-Align-Clinical-Standards-and-Provider-Demands_p_5149.html

    MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System delivers a veritable MACRA toolkit for physician practices, with dozens of tips and strategies that lay the groundwork for reimbursement under Medicare’s Merit-based Incentive Payment System (MIPS), expected to begin in 2017 and one of two payment paths Medicare will offer to practices.

Infographic: 10 Things You Should Know About PQRS for 2015

January 21st, 2015 by Melanie Matthews

CMS’ Physician Compare website has begun listing physician participation in its Physician Quality Reporting System (PQRS), which could potentially mean a loss of new patients based on nonparticipation in the program, according to a new infographic by HealthFusion.

The infographic lists 10 key features of the PQRS program.

Physician Value-Based Reimbursement: Quality Rewards for Population Health With more than a quarter-century of experience with value-based reimbursement models, Humana is ideally positioned to help physician practices navigate the transition from fee for service to fee for value. The payor’s multi-level Accountable Care Continuum rewards physician practices for care coordination of Medicare beneficiaries along the population health spectrum.

Physician Value-Based Reimbursement: Quality Rewards for Population Health describes the four tiers of Humana’s Physician Quality Rewards program as well as the support, training, technologies and outcomes associated with these pay-for-value relationships.

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Infographic: Stay Out of CMS Penalty Box for PQRS and eRX

March 26th, 2013 by Patricia Donovan

Unless healthcare organizations take certain key steps this year, their Medicare reimbursement level in 2015 could be cut 2 percent or more. That’s because among other areas, the CMS Physician Quality Reporting System (PQRS) and ePrescribing (eRX) programs are shifting from bonus to penalty programs to insure compliance.

More than 80 percent of Medicare providers will face penalties for failing to meet quality thresholds if current performance trends continue. This infographic from Medical Billing highlights these changes and what healthcare entitities need to do to protect their practices.

PQRS and eRX penalties

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You may also be interested in this related resource: Avoiding the Readmissions Penalty Zone: Population Health Management for High-Risk Populations.