Electronic Health Records

Merit Based Incentive Payment System

CMS Aiding Small, Rural Practices Can Improve MIPS Participation

July 6, 2018 - Small and rural practices are more likely to struggle with Merit-based Incentive Payment System (MIPS) participation, the Government Accountability Office (GAO) explained in a recent report. Legacy program requirements, lacking financial and staff resources, and technology issues can all contribute to the MIPS participation challenges. Physician practices with 15 or fewer providers...


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MIPS Requirements Could Be Waived for Certain Clinicians

by Elizabeth Snell

The Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration is being advanced, which would waive Merit-Based Incentive Payment System (MIPS) requirements for some clinicians, CMS announced last week. The MIPS requir...

CMS Updates 2018 MIPS Participation Status Lookup Tool

by Kate Monica

Clinicians can now look up their Merit-Based Incentive Payment System (MIPS) participation status through a simplified online lookup tool, CMS officials announced today during a webinar on participation criteria for the second year of the Q...

MGMA Urges CMS Release 2018 MIPS Eligibility Information

by Kate Monica

The Medical Group Management Association (MGMA) recently submitted a letter to CMS Administrator Seema Verma, requesting CMS release 2018 Merit-Based Incentive Payment System (MIPS) eligibility information. The association also urged CMS to...

CMS Approves ASCP for Qualified Clinical Data Registry Status

by Kate Monica

The American Society for Clinical Pathology (ASCP) recently announced its National Pathology Quality Registry (NPQR) is now a CMS-approved Qualified Clinical Data Registry (QCDR) status for 2018. Achieving QCDR status means NPQR now offers ...

Handful of EHR Systems Achieve 2015 ONC Health IT Certification

by Kate Monica

All three Greenway EHR and practice management solutions have achieved 2015 edition ONC health IT certification to help providers meet federal reporting requirements as the healthcare industry transitions to the value-based care system. The...

MIPS Changes in the 2018 Quality Payment Program Final Rule

by Kate Monica

The recently released CMS 2018 Quality Payment Program (QPP) final rule includes policies to reduce administrative burden for eligible clinicians participating in the Merit-based Incentive Payment System (MIPS). Specifically, the final rule...These modified rules from the transition year are intended to offer clinicians more ways to successfully participate in the program. For small practices including 15 or fewer physicians, the QPP final rule will add 5 bonus points to their f...

Why Are Physicians Hesitant to Invest in Value-Based Care?

by Kyle Murphy, PhD

Federal quality reporting programs aim to improve the patient experience and health of populations and reduce the cost of care, goals their participants are clearly in favor. However, the latter take umbrage with the expense required of phy...Beyond quality measures, the tools necessary for reporting this data to CMS and federal agencies fall woefully short of AMA’s expectations and those of providers. “Some of it is related to EHR vendors and AMA’s belief that...Debating an investment in value-based care Early in 2015, CMS announced a plan to shift half of all Medicare payments from fee-for-service to value-based care in the form of accountable care organizations and bundled payments by 2018. As pa...“Loosening the restrictions and making it easier for physicians to participate in APMs is the way we should go,” Barbe argued. “APMs are probably a better model ultimately for these quality-based programs. They d...

AMA Calls for Stability, Simplicity in Future MIPS Scoring

by Kyle Murphy, PhD

Atop its voluminous list of recommendations for the Quality Payment Program, the American Medical Association (AMA) has advised CMS to simplify the scoring of physician performance in Merit-based Incentive Payment System (MIPS). In a letter...AMA offered two reasons for setting the low performance threshold at six points. First, this MIPS scoring change would reduce the likelihood of penalties being assessed to participants and increase participation in this part of the Quality ...This line of reasoning also holds true for the organization’s recommendations for 2019 MIPS scoring, which AMA called to be based on data and analysis of previous MIPS performance thresholds. Also on the subject of MIPS scoring, the o...

CHIME Testimony Seeks Increasing Meaningful Use Flexibility

by Kyle Murphy, PhD

In hearing before the House Energy and Commerce Subcommittee on Health this morning, the College of Healthcare Information Management Executives will voice its support for a House bill to improve the EHR Incentive Programs by reducing the n...

CMS to Inform Clinicians of MIPS Participation Status in May

by Kate Monica

All clinicians who will be required to participate in the Merit-based Incentive Payment System (MIPS) will receive notification of their participation status by the end of May, CMS recently announced. The federal agency is in the proce...The Quality Payment Program is designed to promote a shift in the focus of healthcare delivery from a volume-based system to a value-based system in an effort to improve patient health outcomes and the overall quality of patient care. &ldqu...

CMS Issues Merit-based Incentive Payment Systems Guidance

by Kate Monica

CMS published three informative resources to guide eligible clinicians participating in Merit-based Incentive Payment System (MIPS) in 2017: a factsheet on MIPS participation, another on MIPS data reporting for clinical improvement activiti...This CMS factsheet lists which improvement activities eligible clinicians can choose from, how to submit information for this performance category, and what the reporting criteria are for receiving credit. The factsheet also lays out the sc...

HIMSS Seeks Delay in Use of 2015 Edition Certified Technology

by Kyle Murphy, PhD

HIMSS is calling for a six-month delay to the federal requirements for healthcare organizations and providers to use 2015 Edition certified EHR technology in the EHR Incentive Programs and Quality Payment Program. In an April 11 letter to H...As part of the letter, HIMSS is recommending changes to both the EHR Incentive Programs and Quality Payment Program, which includes the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) to “focus on ...

Texas HIE Gains CMS Approval as a MACRA Qualified Registry

by Kate Monica

Healthcare Access San Antonio (HASA), a Texas health information exchange, has recently received approval from by CMS to serve as a qualified registry capable of helping physicians and eligible healthcare providers with fulfilling reporting...

Former Rep. Fleming Named to HHS Health Technology Post

by Kyle Murphy, PhD

A former Louisiana congressman has accepted a position within the Department of Health & Human Services (HHS) that could impact the Office of the National Coordinator for Health Information Technology (ONC). According to NOLA.com, John ...

CHIME Advises HHS Improve Interoperability, Standardization

by Kate Monica

The College of Healthcare Information Management Executives (CHIME) recently submitted a list of recommendations to Department of Health & Human Services (HHS) Secretary Thomas Price, MD, on ways to improve patient care delivery in seve...

CMS Funds to Help Rural Practices in Quality Payment Program

by Kyle Murphy, PhD

As part of a five-year program to support individual physician and small practices participating in the Quality Payment Program, the Centers for Medicare & Medicaid Services awarded $20 million to 11 organizations. Over the remaining fo...According to the announcement, the training and education resources will come at no cost to eligible clinicians and their practices and be available immediately throughout the US. Enacted in 2015, MACRA empowered CMS to establish the Qualit...

Value-based Care to Test Small, Rural Provider HIT in 2017

by Joncé Smith

While healthcare providers are reaping major benefits from technology such as EHR systems, the new year is also bringing significant attention to the technology-related challenges faced by smaller, rural and often more isolated, healthcare ...

CMS Sets New Deadline for 2016 Meaningful Use Attestation

by Kyle Murphy, PhD

In line with reporting deadlines for the Physician Quality Reporting System and electronic clinical quality measures for hospitals, the Centers for Medicare & Medicaid Services set a new deadline for meaningful use attestation for the 2...Previously, eligible professionals and hospitals had until February 28 to complete their meaningful use attestations for the 2016 reporting period. Late last year, CMS officially released the final rule for the Quality Payment Program&...

CMS Extends EHR Reporting Deadline for PQRS to March 13

by Kyle Murphy, PhD

On Friday, the Centers for Medicare & Medicaid Services (CMS) announced an extension for EHR data reporting for the 2016  2016 Physician Quality Reporting System (PQRS). Eligible professionals, PQRS group practices, qualified clini...Last month, the federal agency extended the deadline for electronic clinical quality measure (eCQM) reporting for eligible hospitals and critical access hospitals participating in the Hospital Inpatient Quality Reporting and EHR Incentive P...

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