Podcasts about incentive payment system mips

The Merit-based Incentive Payment System (MIPS) uses a composite performance score to determine if eligible physicians will receive a payment bonus, a payment penalty, or no payment adjustments. So, what's the score for your physicians? Do they know?During the next live edition of the long-running Monitor Mondays, Leigh Poland, vice president of coding services for AGS Health, will report on why it's essential for all eligible clinicians to report their score to prevent a 9-percent downward adjustment for all Medicare Part B claims paid two years from the reporting year.Broadcast segments will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Kate Brantley, state legislative analyst for Zelis, will report on current healthcare legislation.• Lead Story: Leigh Poland, vice president of coding for AGS Health, will report on the importance of physicians reporting their MIPS scores.

Welcome to MattPAC*, a new Accelerators pilot concept!Radiation Oncologist Dr. Matt Spraker aims to introduce important healthcare policy concepts rooted in current events. Each show is designed to be efficient with your time and inspire you to get engaged with advocacy in around 30 minutes. In MattPAC #1, Matt covers quality payment programs (QPP). QPPs aim to incentivize "High Quality Care" by adjusting a portion of physician's pay according to performance on quality indicators, measures of healthcare quality. We'll discuss the rich history of care quality improvement in radiation medicine and examine how Medicare has approached the QPP with Merit-based Incentive Payment System (MIPS). After, we examine practice accreditation, the QPP approach proposed in ASTRO's ROCR and close with a brainstorm of a better QPP. Here are some good resources for further reading on these topics:Albert and Das reviews, Quality Assessment in Oncology and Quality Indicators in Radiation OncologyMedPAC report, Examining MACRA implementation and the road aheadMedPAC report, Moving beyond the MIPsGAO Report, Provider Performance and Experiences under the Merit-based Incentive Payment SystemPatel et al., Oncologist Participation and Performance in the Merit-Based Incentive Payment SystemLuh, Radiation Oncology Alternative Payment Model's Impact on Small and Rural PracticesJones et al., Merit-Based Incentive Payment System (MIPS) Participation in Radiation Oncology Practices — A Simple SurveyChera et al., Improving Quality of Patient Care by Improving Daily Practice of Radiation OncologyCoia and Hanks, Quality Assessment in the USA: How the Patterns of Care Study Has Made a Difference Hanks et al., Patters of Care Studies: Past, Present, and FutureVisit the CMS QPP page for a lot of info: check your participation status, MIPs guides, APMs, and moreASTRO ROCR FAQ pageThe Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.*MattPAC is not a political action committee, it's just a cute name. If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

Healthcare costs are a constant concern for payers, and the CMS is no exception. Quality care mitigates excessive costs, and the Merit-based Incentive Payment System (MIPS) is a CMS initiative designed to increase preventive care efforts by rewarding top performance. By carrying out the prescribed care quality criteria with excellence, providers can earn a bonus payment – falling short of scoring thresholds results in a penalty. But this program is not static, as the CMS will update the program's parameters periodically. Coming changes to MIPS scoring are published at the end of each calendar year in what is called the “final rule.” Another area where the CMS is discretionary is the Extreme and Uncontrollable Circumstances (EUC) hardship provision for impacts related to COVID-19. The final rule is extremely long with a tremendous amount of information to comb through. Want to cut to the chase and hear the most significant changes? We've got you covered. In this episode, hosted by Rebekah Duke, our MIPS Quality Expert Missi Thomas shares the final rule updates every MIPS participant should be aware of, plus more information about the EUC hardship exemption that has been granted for one more year. This podcast is for MIPS participants and those who are considering it in the future. But what is also relevant to such providers is the Accountable Care Organization (ACO). Medical Advantage now offers an ACO to support value-based care providers, including help with the downside risk associated with MIPS. Email us at info@medicaladvantage.com for more information. Thank you for listening to the Medical Advantage Podcast, where each we take time each episode to discuss the ideas and technologies changing healthcare, and the best practices your organization can take to stay productive and profitable. Subscribe wherever you get your podcasts to ensure you never miss an episode.

MaineHealth ACO President Jennifer Moore shares the latest quality and financial results from the ACO's participation in the Medicare Shared Savings Program (MSSP) and the Merit-based Incentive Payment System (MIPS). Plus, the MaineHealth Medical Group's new chief wellness officer, Christine Hein, MD, on current and future efforts to address provider wellness and burnout.

For physician and clinician leaders, this episode provides the latest information on the final MACRA Rule for 2022, including regulatory activities impacting reimbursement. We will discuss the Merit-based Incentive Payment System (MIPS), Alternative Payment Models (APMs), telehealth reimbursement, split visit payment rules and other information crucial to physicians and clinicians.   Guest speakers: Valinda Rutledge, MBA, MSN Senior Advisor, Sg2 Vizient   Madeleine McDowell, MD Principal and Medical Director, Sg2 Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: [01:58] Concerning changes to payments [04:31] Split visits [07:56] Telehealth coverage [09:10] MACRA—details and ramifications   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Maddie McDowell's contact email: madeleine.mcdowell@vizientinc.com Valinda Rutledge's contact email? valinda.rutledge@vizientinc.com Program handout from December 8, 2021 Vizient Medical Leadership Series webcast: Click here Link to December 8 webcast: Click here   Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed

Since its inception in 2017, the Medicare Merit-based Incentive Payment System (MIPS) program has included a plan to impose future harsh monetary penalties on many clinicians. Due to the COVID-19 pandemic, these penalties were delayed in 2020 & 2021 performance years. However, in the 2022 performance year, the MIPS program will likely resume with full implementation. The CEDR team can help your ED navigate to the best possible outcome, avoiding penalties, and potentially securing a financial bonus with a successful submission. Based on 2019 MIPS scoring, 100 percent of our CEDR participants received a financial bonus. CEDR is your long-term partner focused on the success of the EM community. Let CEDR help you navigate your journey through these uncharted waters into 2022 and beyond. Highlights of using CEDR Value of CEDR to individual emergency physicians and how it helped them score well in 2020 include: - Putting $1,000 to $2,000 in the pocket of each of 10,000+ EM clinicians that participated in 2020 MIPS score reporting via CEDR - Helped protect their Professional Credit Score a.k.a. MIPS score which is tied to their individual NPI - Enhanced their professional rating at www.physiciancompare.com and www.hospitalcompare.com and www.carecompare.com - Enabled safe and high-quality care in 1,000+ EDs across the nation For more information, please visit us at www.acep.org/quality.

Participating in value-based incentive programs imposes financial and time costs on physician practices.  Dhruv Khullar of Weill Cornell Medical College and Jason Hockenberry of Yale School of Public Health discuss these burdens, the challenge of quality measurement, and ways increase the “value” of value-based payment programs like Medicare's Merit-based Incentive Payment System (MIPS).  Related Content: Time and Financial Costs for Physician Practices Participating in MIPS Cost of Compliance With CMS Physician Quality Monitoring

In this episode of the MGMA Week in Review podcast, we feature articles on cybersecurity, updates to the Merit-based Incentive Payment System (MIPS), and reengaging patients and staff in a post-Covid-19 world. Sources in this episode: https://www.mgma.com/data/data-stories/with-cyberattacks-on-the-rise,-cyberinsurance-may https://www.mgma.com/advocacy/position-papers/mips https://mgma.com/resources/operations-management/reengaging-healthcare-consumers-in-a-post-covid-19 Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the healthcare discussion, join the MGMA STAT panel by texting “stat” to 33550. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. If you have a story you want to share with us, email us at podcasts@mgma.com. Have a great weekend!

Experts discuss changes physicians need to know about the Merit-based Incentive Payment System (MIPS), made by CMS in response to the pandemic.

For physician and clinician leaders, this episode provides the latest information on regulatory activities, including the final MACRA Rule for 2021, that will impact reimbursement. We will discuss changes to the Quality Payment Program, E&M Codes and the Merit-based Incentive Payment System (MIPS), along with the MIPS Value Pathways (MVPs). This is information crucial to physicians and clinicians. Guest speakers:Valinda Rutledge, MBA, MSNFellowSg2 Madeleine McDowell, MDPrincipal, IntelligenceSg2 Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice PresidentClinical ResourcesVizient Show Notes:[01:58] E&M Code changes: background, rationale, details—after years of development[06:56] Virtual health changes[10:38] Expanding scope of practice and team-based care[12:21] The MACRA Rule—details and ramifications[16:16] Uncontrollable circumstances – applying for adjustments[16:45] Merit-based Incentive Payment System (MIPS) update[20:47] MIPS Value Pathways (MVPs) Links | Resources:Program handout from December 9, 2020 Vizient Medical Leadership Series webcast: Click hereLink to December 9 webcast: Click hereCMS website on MACRA and QPP Click here Subscribe Today!Apple PodcastsSpotifyAndroidGoogle PodcastsStitcherRSS Feed 

Justin Chamblee, Alex Kirkland, and Amit Vaishampayan join Mark Reiboldt to discuss the proposed changes to the Medicare Physician Fee Schedule (MPFS). There are three noteworthy changes proposed, including evaluation and management (E/M) coding and payment changes, permanent telehealth changes implemented in response to the pandemic, and updates to the Quality Payment Program (QPP). Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.  Please email us: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis E/M Coding and Payment Changes Due to increasing RVU amounts, the statutory budget neutrality mandate comes into play to reduce the conversion factor by $3.83 to $32.2605 to prevent an increase in healthcare costs. The Budget Neutrality Act requires that increases or decreases in RVUs may not cause the value of expenditures for the year to change more than $20 million in the absence of changes. If this threshold is exceeded, adjustments are made to preserve budget neutrality.   Telehealth Changes The Centers for Medicare and Medicaid Services (CMS) are adding several telehealth CPT codes that are similar to existing consultations and office visits. They also added temporary codes during the pandemic that will continue to be evaluated. CMS is seeking comments to determine future usage as well as additional temporary codes.   QPP Updates We see ACO scoring and policy changes to acknowledge that providers will not immediately recover from COVID-19, and they will need support throughout their recovery. The Merit-based Incentive Payment System (MIPS) category weightings will shift to reduce the quality weight by five percent (to a total weight of 40 percent) and increase cost by five percent (to a total weight of 20 percent).   Extras Three Quick Tips to Get You Started with the New E/M Guidelines Is Telehealth Past the Tipping Point? Episode 71: The Ongoing Battle of Site Neutral Payments Episode 70: Major E/M Coding Changes Coming in 2021: Here’s What You Need to Know

In this week’s episode, Limo Cherian, Carla Dewberry and Steven Pine discuss recent changes to value-based health care payment arrangements triggered by the current COVID-19 emergency. In particular, the presenters discuss changes implemented by CMS to the Quality Payment Program (QPP), the Merit-based Incentive Payment System (MIPS), and the Medicare Shared Savings Program (MSSP), as well as additional considerations for commercial value-based arrangements.

Patrick Hamilton of CMS explains changes to the 2020 Merit-based Incentive Payment System (MIPS) and how this impacts reporting. Additionally, he answers questions from the audience highlighting issues important to urologic practices.

In this week’s episode, Limo Cherian presents the first segment of a three part series addressing the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) updates in the CY2020 Physician Fee Schedule (PFS) Proposed Rule.  Ms. Cherian presents an overview of the QPP and discusses CMS’ newly proposed framework for Merit-based Incentive Payment System (MIPS) participation, the MIPS Value Pathways. Presenters: Limo T. Cherian Download Presentation Materials

Let’s Talk Integration! On this week’s episode of Let’s Talk Integration!, your host Teresa Fallico is joined by Marketing Associate, Cherisse Ebanks as they discuss the crucial role that interoperability plays when achieving value-based incentives. In this podcast, Teresa and Cherisse touch upon the performance measures established under the Merit-based Incentive Payment System (MIPS) and […]

In this podcast, Lance A. Manning, MD and Marina Boruk, MD, with planning from Lawrence M. Simon, MD, discuss data collection, reporting, and the Merit-based Incentive Payment System (MIPS).

Speaking Out on The Quality Payment Program’s fourth episode explores the cost category as a part of the Merit-based Incentive Payment System otherwise known as (MIPS). The Cost category is an important part of the Merit-based Incentive Payment System (MIPS) because it measures resources clinicians use to care for patients and Medicare payments made for care (items and services) provided to beneficiaries.

Speaking Out on The Quality Payment Program’s fourth episode explores the cost category as a part of the Merit-based Incentive Payment System otherwise known as (MIPS). The Cost category is an important part of the Merit-based Incentive Payment System (MIPS) because it measures resources clinicians use to care for patients and Medicare payments made for care (items and services) provided to beneficiaries. Our Host, Temaka Wiliams and featured guest, MGMA Consultant Pamela Ballou-Nelson, RN, MSPH, CMPE, PhD discuss what should be reported and how measures are scored. Be sure to join us in the future as we continue to speak out on the complex inner workings of the Quality Payment Program and provide guidance on how to navigate it efficiently. New Episodes are available on the second Wednesday of each month. For more information about the Quality Payment Program, you can visit Telligen’s Quality Payment Program (QPP) Page & Resources. You can also stay up to date on health-related news, workshops and webinars by following Telligen QIN on Facebook, Twitter and LinkedIn. Listen on Mobile: Apple Podcasts, Google Play, Anchor and Spotify

Speaking Out on The Quality Payment Program’s fourth episode explores the cost category as a part of the Merit-based Incentive Payment System otherwise known as (MIPS). The Cost category is an important part of the Merit-based Incentive Payment System (MIPS) because it measures resources clinicians use to care for patients and Medicare payments made for care (items and services) provided to beneficiaries. Our Host, Temaka Wiliams and featured guest, MGMA Consultant Pamela Ballou-Nelson, RN, MSPH, CMPE, PhD discuss what should be reported and how measures are scored.Be sure to join us in the future as we continue to speak out on the complex inner workings of the Quality Payment Program and provide guidance on how to navigate it efficiently. New Episodes are available on the second Wednesday of each month. For more information about the Quality Payment Program, you can visit Telligen’s Quality Payment Program (QPP) Page & Resources. You can also stay up to date on health-related news, workshops and webinars by following Telligen QIN on Facebook, Twitter and LinkedIn.

Speaking Out on The Quality Payment Program’s second episode discusses Merit-based Incentive Payment System (MIPS) reporting tips for using a registry. Our Host, Temaka Wiliams and featured guest, Dr.Paulo Andre, CEO and founder of MDinteractive a top-rated Qualified Registry to report MIPS data to CMS, give a concise discussion on several topic areas that providers should be aware of such as eligibility, submission, important deadlines and more. Be sure to join us in the future as we continue to speak out on the complex inner workings of the Quality Payment Program and provide guidance on how to navigate it efficiently. New Episodes are available on the second Wednesday of each month. For more information about the Quality Payment Program, you can visit Telligen’s Quality Payment Program (QPP) Page & Resources. You can also stay up to date on health-related news, workshops and webinars by following Telligen QIN on Facebook, Twitter and LinkedIn.

Speaking Out on The Quality Payment Program’s second episode discusses Merit-based Incentive Payment System (MIPS) reporting tips for using a registry. Our Host, Temaka Wiliams and featured guest, Dr.Paulo Andre, CEO and founder of MDinteractive a top-rated Qualified Registry to report MIPS data to CMS, give a concise discussion on several topic areas that providers should be aware of such as eligibility, submission, important deadlines and more.Be sure to join us in the future as we continue to speak out on the complex inner workings of the Quality Payment Program and provide guidance on how to navigate it efficiently. New Episodes are available on the second Wednesday of each month. For more information about the Quality Payment Program, you can visit Telligen’s Quality Payment Program (QPP) Page & Resources. You can also stay up to date on health-related news, workshops and webinars by following Telligen QIN on Facebook, Twitter and LinkedIn.

Speaking Out on The Quality Payment Program’s second episode discusses Merit-based Incentive Payment System (MIPS) reporting tips for using a registry. Our Host, Temaka Wiliams and featured guest, Dr.Paulo Andre,  CEO and founder of MDinteractive a top-rated Qualified Registry to report MIPS data to CMS,  give a concise discussion on several topic areas that providers should be aware of such as … Continue reading "The Who, What and Why of MIPS Registry Reporting"

Roz Cordini, Brandt Jewell, and Alex Kirkland join Mark for a webinar to discuss the Medicare Quality Payment Program (QPP). The discussion was recorded live during its presentation on January 24, 2019. Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on topics for future episodes. Email us: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Webinar Description As part of the Medicare Access and CHIP Reauthorization Act (MACRA), the Medicare Quality Payment Program (QPP) was established and consists of two participation pathways for clinicians: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). CMS has been gradually implementing the full scope of MACRA over the past three years, and January 1, 2019, marks the beginning of MIPS adjustments to Medicare Part B fee-for-service revenue. The panel discussion will focus on identifying potential pain points for healthcare organizations as a result of MACRA and review key changes for CY 2019 as outlined in the final rule. Learning Objectives Identify the potential pain points of full MACRA implementation and outline the first steps organizations should take to alleviate issues. Review the final rule for the quality payment program and how these changes impact APMs and MIPS. Discuss the impact E/M changes will have on reimbursement and physician compensation. Extras Webinar Recording Handout - Presentation Slides

Craig Hunter, Jeannie Cagle, Kay Stanley, and Max Reiboldt join Mark to share the history of Coker Group and how the firm was founded. The discussion was recorded live during its presentation to the company as part of the 2018 Coker Group annual meeting. Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on topics for future episodes.  Email us: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup The History Established by Jackson C. Coker in 1987, Coker Group began as a physician relations firm whose purpose was to develop and enhance the relationships between hospitals and their medical staffs. The newly founded company moved into its first offices in 1988 with a small team from Atlanta and California. With extraordinary success and a growing list of hospital clients, Coker strengthened its footing through a focus on building hospital and physician relations through educating physicians and their staffs to improve their operational processes and enhance their business models. Delivering educational programs and assistance with medical practice management became the business model for this young company. Coker began to memorialize its expertise in the mid-‘90s through the publication of materials to enhance practice operations and financial management. Through the years, Coker has worked with national associations and other healthcare societies and entities to complement the work of its consultants with hospitals and physicians. Under the strong leadership of Max Reiboldt, upon Jack Coker’s retirement in the mid-1990s, Coker Group continued to respond to the needs of hospitals and physicians as healthcare transitioned from one reimbursement paradigm to another through the late 1990s and beyond. During this period, the firm shifted its emphasis from the original physician relations’ services to become a full-fledged healthcare advisory firm. Through its history, the firm has met the complexity and expansion in healthcare that has occurred into the 21st Century. Coker Group holds a notable position as leading business advisors to the healthcare industry, assisting with complex negotiations between hospitals and physicians. Through five main services areas--strategy, operations, finance, technology, and compliance--the firm’s mission is still to provide healthcare organizations with innovative, principled solutions to achieve their optimum level of productivity. Join us on January 24, 2019, at 2:00 pm, for the live panel discussion, One Month into MACRA! As part of the Medicare Access and CHIP Reauthorization Act (MACRA), the Medicare Quality Payment Program (QPP) was established and consists of two participation pathways for clinicians: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). CMS has gradually implemented the full scope of MACRA over the past three years, and January 1, 2019, marks the beginning of MIPS adjustments to Medicare Part B fee-for-service revenue. The panel discussion will focus on identifying potential pain points for healthcare organizations as a result of MACRA and review key changes for CY2019 as outlined in the final rule. Learning Objectives Identify the potential pain points of full MACRA implementation and outline the first steps organizations should take to alleviate issues. Review the final rule for the quality payment program and how these changes impact APMs and MIPS. Discuss the impact E/M changes will have on reimbursement and physician compensation. Sign-Up for the Live Event today! Extras Pictures and Tweets from #CokerLive2018 Follow Craig on Twitter Follow Max on Twitter Connect with Craig on LinkedIn Connect with Jeannie on LinkedIn Connect with Kay on LinkedIn Connect with Max on LinkedIn

Jessica Combs joins Mark to in a Q&A style discussion to address recent questions on healthcare trends. Mark addresses each question on various topics including private equity interest in healthcare, the opioid crisis, neutral site payments, healthcare technology, and revenue cycle management. Questions We have heard much discussion in the media and throughout this election season on the opioid crisis, but I’m curious if this is something of a significant impact yet on physicians and medical groups or hospitals. Have you observed any specific instances where the talk in the media and Washington has resulted in major changes – positive or negative – for healthcare entities?  We have been monitoring the issue of “neutral site payments” all year, as this could have a significant impact on hospital payments for those entities that have spent a lot of time and dollars investing in outpatient services. Can you comment on what has happened with this matter and perhaps make any predictions for how the results of the midterm elections could influence the outcome on this issue? In listening to your episode on what hospital boards should be thinking about concerning healthcare technology, we have been paying a lot of attention to the frequent stories that emerge about fines and legal issues (not to mention PR concerns) that many hospitals are dealing with in protecting records, maintaining security in the information systems, and lacking appropriate documentation. However, there are so many facets of protecting data that an organization like a hospital – even a relatively small, rural community hospital – must consider that it’s challenging to think about where to start. How would you suggest a leadership team begin to confront this issue to ensure we have as much protection as possible from some of those risks? Our organization has been struggling from revenue stagnation (and even drops in some cases) that we know are not tied to negative changes in payer contracts, fee schedule changes, expense management, or even the billing and collections component of the revenue cycle. So, we think the issue could be related to coding; however, in the past, our focus on coding has mainly been to ensure our providers are not up-coding. How could coding issues play into the broader revenue cycle management procedures? As it has become commonplace to see hospitals buying physician groups, some local markets have seen significant shifts as a result of larger groups selling to hospitals. Meanwhile, new players, such as large corporate systems or groups backed by private equity investors are entering markets and competing with the hospitals for acquiring major physician groups, which can significantly shake up the dynamic between the physicians within those groups and the hospitals they interact with on a regular basis at a local level. My question is twofold: 1) Have you seen this take place; and, 2) how might this trend potentially shake up local healthcare markets more in the future? Can hospitals compete with outside players that bring significant financial resources to invest in such deals?  Extras The Next Stage of Evolution in Physician Practice Transactions Coffee with Coker Episode 17: Executives Beware: Five Questions Astute Boards are Asking about Healthcare IT Follow Mark on Twitter Connect with Mark on LinkedIn Connect with Jessica on LinkedIn   Join us on January 24, 2019, at 2:00 pm for the live panel discussion One Month into MACRA! As part of the Medicare Access and CHIP Reauthorization Act (MACRA), the Medicare Quality Payment Program (QPP) was established and consists of two participation pathways for clinicians: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). CMS has been gradually implementing the full scope of MACRA over the past three years, and January 1, 2019, marks the beginning of MIPS adjustments to Medicare Part B fee-for-service revenue. The panel discussion will focus on identifying potential pain points for healthcare organizations as a result of MACRA and review key changes for CY 2019 as outlined in the final rule. Learning Objectives Identify the potential pain points of full MACRA implementation and outline the first steps organizations should take to alleviate issues. Review the final rule for the quality payment program and how these changes impact APMs and MIPS. Discuss the impact E/M changes will have on reimbursement and physician compensation. Sign-Up for the Live Event today!   Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on topics for future episodes.  Email us: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup

Dr. Ellis “Mac” Knight joins Mark to discuss value-based healthcare and its impact on the healthcare industry. They cover financing as a driving force in the healthcare landscape and why it continues to become more complex with the shift from pay for service to value-based care. Episode Synopsis With budgetary pressures on Medicare and Medicaid, pay for performance and federal expectations for investment in technology without regard to costs, executives must continuously monitor the financing landscape. The most significant factor in healthcare reimbursement today is the industry-wide shift to value-based care. So, what is value-based care? One of the more common buzz phrases in the healthcare industry, value-based care, is a shift in focus. For the past two decades, healthcare providers have focused their efforts on the volume of services they are providing, not on the quality of services they are delivering. The reason is simple: physicians were paid only for the volume of professional services. In 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) was passed and ushered in a dramatic change in the way CMS will pay healthcare professionals. MACRA consolidated multiple pay-for-performance initiatives (PQRS, VPM, and MU) into two quality payment programs (QPPs), the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).  Dr. Knight and Mark provide their views on the move toward value-based reimbursement and the reality of healthcare for the past 15 years. Extras MACRA, what IS it? White Paper on Value-Based Reimbursement White Paper on MACRA Connect with Dr. Knight on LinkedIn Follow Dr. Knight on Twitter Contact Information Subscribe to our feed in Apple Podcasts, Google Play, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes.  Email us: feedback@cokergroup.com Follow us on Twitter: https://twitter.com/cokergroup Connect with us on LinkedIn: https://www.linkedin.com/company/coker-group/

Dr. Scott Speelziek interviews Dr. Pushpa Narayanaswami and Dr. Lyell K Jones about the article, The Value Transformation of Heath Care: Impact on Neuromuscular and Electrodiagnostic Medicine. Beginning in 2017, most physicians who participate in Medicare are subject to the Medicare Access and CHIP Reauthorization Act (MACRA), the milestone legislation that signals the US health care system's transition from volume-based to value-based care. Here we review emerging trends in development of value-based healthcare systems in the US. MACRA and the resulting Quality Payment Program create 2 participation pathways, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (AAPM) pathway. Although there are several program incentives for AAPM participation, to date there have been few AAPM options for specialists. MIPS and its widening bonus and penalty window will likely be the primary participation pathway in the early years of the program. Value-based payment has the potential to reshape health care delivery in the United States, with implications for neuromuscular and electrodiagnostic (EDX) specialists. Meaningful quality measures are required for neuromuscular and EDX specialists. Muscle Nerve 56: 679-683, 2017.

Dr. Scott Speelziek interviews Dr. Pushpa Narayanaswami and Dr. Lyell K Jones about the article, The Value Transformation of Heath Care: Impact on Neuromuscular and Electrodiagnostic Medicine. Beginning in 2017, most physicians who participate in Medicare are subject to the Medicare Access and CHIP Reauthorization Act (MACRA), the milestone legislation that signals the US health care system's transition from volume-based to value-based care. Here we review emerging trends in development of value-based healthcare systems in the US. MACRA and the resulting Quality Payment Program create 2 participation pathways, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (AAPM) pathway. Although there are several program incentives for AAPM participation, to date there have been few AAPM options for specialists. MIPS and its widening bonus and penalty window will likely be the primary participation pathway in the early years of the program. Value-based payment has the potential to reshape health care delivery in the United States, with implications for neuromuscular and electrodiagnostic (EDX) specialists. Meaningful quality measures are required for neuromuscular and EDX specialists. Muscle Nerve 56: 679-683, 2017.

Dr. Scott Speelziek interviews Dr. Pushpa Narayanaswami and Dr. Lyell K Jones about the article, The Value Transformation of Heath Care: Impact on Neuromuscular and Electrodiagnostic Medicine. Beginning in 2017, most physicians who participate in Medicare are subject to the Medicare Access and CHIP Reauthorization Act (MACRA), the milestone legislation that signals the US health care system's transition from volume-based to value-based care. Here we review emerging trends in development of value-based healthcare systems in the US. MACRA and the resulting Quality Payment Program create 2 participation pathways, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (AAPM) pathway. Although there are several program incentives for AAPM participation, to date there have been few AAPM options for specialists. MIPS and its widening bonus and penalty window will likely be the primary participation pathway in the early years of the program. Value-based payment has the potential to reshape health care delivery in the United States, with implications for neuromuscular and electrodiagnostic (EDX) specialists. Meaningful quality measures are required for neuromuscular and EDX specialists. Muscle Nerve 56: 679-683, 2017.

In this episode on the Medicare Access and CHIP Reauthorization Act, American Society of Ophthalmic Administrators president Bill Koch, COE, CPC, COA, interviews Nancey McCann, director of government relations for the American Society of Cataract and Refractive Surgery to get a better understanding of the Merit-based Incentive Payment System (MIPS) and learn how practices and physicians will be evaluated and scored in 2017 which will effect 2019 payments.

This is the third segment in a three-part series about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Speaker: Steven G. Pine

Final MACRA Rules On October 14, CMS issued the final MACRA rule. This new Medicare reimbursement system is known as the Quality Payment Program (QPP). It offers two reimbursement options for physicians, including the Advanced Alternative Payment Model (APM) and the Merit-based Incentive Payment System (MIPS). CMS says 2017 will be a transition year and […] The post Final MACRA Rules appeared first on Business RadioX ®.

Robert Lorenz, MD and Jane Dillon, MD, Co-chairs of the Physician Policy Payment Workgroup (3P) provide details on the reporting requirements for the new Merit-based Incentive Payment System (MIPS) and provide tips and resources to help Academy members as they prepare to report under MIPS in 2017.   The views and opinions expressed in this podcast are those of the authors and do not necessarily represent the positions, policies, or thoughts of the American Academy of Otolaryngology-Head and Neck Surgery, its leadership, or its employees.

Transition to MIPS On this week’s MAG episode, I hosted Dr. Adrienne Mims, Vice President and Chief Medical Officer, Medicare Quality Improvement for Alliant Quality, to talk about the transition to the Merit-based Incentive Payment System (MIPS). Adrienne Mims, M.D., MPH, is the vice president and chief medical officer for Alliant GMCF. Board certified in […] The post Transition to MIPS – Top Docs Radio appeared first on Business RadioX ®.

Listen NowIn an extremely busy year for Medicare delivery and payment reform,  regulatory implementation of the 2015 Medicare Access and CHIP Reauthorization Act (MACRA) stands out.   This past April CMS published the agency's 960-page proposed rule to implement the law.  The proposed rule, that will go final this fall, will change the way Medicare physician payments (Medicare Part B) are annually updated beginning in payment year 2019.   Payment updates, either at the individual provider or at the group level, will be calculated either by the Merit-based Incentive Payment System (MIPS), a composite score based on four, differently weighted, component scores, or via provider participation in what CMS defines as an "advanced" Alternative Payment Model (APM) pathway, e.g., Track 2 and 3 ACOS and Patient Centered Medical Homes that meet certain financial risk criteria.During this 22-minute discussion Ms. Mara McDermott evaluates how CMS proposes to define APM nominal risk, how the agency has defined the MIPS composite score, the effect MACRA will have on small practices, how Medicare Advantage plans and physicians can be included in MACRA, and several inter-related issues.   (While the introduction to this discussion provides some brief explanatory information, our conversation assumes the listener has some familiarity with Title I of the MACRA law.)    Mara McDermott is the Vice President of CAPG (formerly the California Association of Physician Groups) where she leads the organization's federal legislative and regulatory activities in Washington, D.C.  Prior to joining CAPG, Mara was Counsel in the health industry practice of Akin Gump Strauss Hauer and Field.  Mara received her JD with high honors and her MPH from George Washington University School of Law in 2007.  She received her BA in 2003 from the University of California, Davis.The CMS MACRA proposed rule is at: https://www.federalregister.gov/articles/2016/05/09/2016-10032/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm Information concerning CAPG is at: http://www.capg.org/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

Medicare’s Merit-based Incentive Payment System (MIPS) On this week’s episode we continue our series with Medical Association of Georgia, talking about the changing reimbursement picture for physician practices by the Centers for Medicare and Medicaid Services. Medicare's new Merit-based Incentive Payment System (MIPS) will change, yet again, physician reimbursement over the next couple of years […] The post Medicare’s Merit-based Incentive Payment System (MIPS) – Top Docs Radio appeared first on Business RadioX ®.