Podcasts about quality payment program qpp

CMS recently released the CY 2024 Physician Fee Schedule Proposed Rule, which includes proposals related to Medicare physician payment and the Quality Payment Program (QPP). Jeffrey Davis and Rachel Hollander join the Breakroom to explore key takeaways of the proposed rule, including the conversion factor, the new add-on code for complexity and several delayed policies.

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Amy Weiser, lead project coordinator at Quality Insights for the QPP service project. Ms. Weiser explains what a Quality Improvement Organization (QIOs) is and how they support other organizations. Additionally, she explains pressing CMS MIPS updates to help keep listeners up to date.What you'll get out of this episode What is a Quality Improvement Organization (QIOs) and what is their relationship with CMS? What kind of support does a QIO provide? What key areas should medical practices focus on to avoid penalties brought on by changes to the Quality Payment Program (QPP)? What is the MIPS Value Pathway (MVP) Program and what changes will it bring? Where to get more information on the new SAFER annual EMR self assessment? Quotables“We collaborate with providers, communities, and people with Medicare through data driven initiatives.”  “[To improve quality] Selecting measures that are meaningful to your practice is the first thing.”“In a nutshell, the MIPS Value Pathway program, is designed to reduce provider burden.”Recommended Resources“MIPS Value Pathways (MVPs)” https://qpp.cms.gov/mips/mips-value-pathways   Sponsored by: InovalonJoin the ConversationWe want to hear from our RevDivers! Tell us what topics and people you'd like us to cover in future episodes:- Website - Facebook - LinkedIn - Twitter - YouTubeFollow our hosts on LinkedIn:Taya https://www.linkedin.com/in/tayamoheiser/ Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/ 

Host Jim Tate talks to Matthew Fusan the General Manager, Population Health, for SPH Analytics. Matt is an experienced, senior leader with more than 18 years of experience in the health care industry in both the payer and provider markets. For the past five years Matthew has been focused on the transition from fee-for-service to value-based care, providing strategic consulting and developing solutions to help clients succeed with alternative payment models and population health management. He discusses the newly released final policies for the 2021 performance year of the Quality Payment Program (QPP). To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

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.

Listen NowOn November 1st, the Centers for Medicare and Medicaid Services (CMS) published the agency's final 2020 Quality Payment Program (QPP) rule that announced beginning in 2021 CMS will begin instituting MVPs, or Merit-based Incentive Payment System Value Pathways.  These value pathways will be created to financially incent and reward, as CMS states, “high value clinicians.”  This means CMS will begin to measure and financially reward Medicare physician performance based on value or spending efficiency defined as outcomes achieved relative to spending.  MVPs may prove to be a significant Medicare payment policy reform.   This is because while Medicare program officials have implemented numerous "value-based payment" programs and demonstrations since the passage of the 2010 Affordable Care Act, these arrangements financially reward either quality - or - reduced spending growth, they do not reward “value” or spending efficiency.  In addition, as recently noted by Harvard's Ashish Jha and his colleagues in a October 9th JAMA "Viewpoint" essay, these current "value-based payment" programs have not had large effects on quality improvement.   (Listeners may recall I discussed measuring for health care value or spending efficiency with University of Michigan Professor Andrew Ryan this past May 11th and in later May posted on the podcast website a related essay I wrote for Bloomberg Law.)During this 30 minute conversation Dr. Goodrich discusses in sum CMS' proposal to implement beginning in 2021 Merit-based Incentive Payment System Value Pathways (MVPs).  She explains the rationale for using of global and population health measures and patient-reported outcome measures (PROMs) and how the agency will measure or evolve its MVP-related cost measures.  She discusses MVPs potential to increase provider productivity, the potential MVPs have in helping to harmonize Medicare three payment silos: fee for service, Accountable Care Organizations (ACOs); and, the Medicare Advantage (Part C) program, in influencing commercial insurance plans' payment policies through CMS' HCPLAN (the Health Care Payment Learning Action Network), and discusses the relevance or importance of social determinates or measures thereof in driving Medicare value. Dr. Kate Goodrich is currently the Director of the Center for Clinical Standards and Quality (CCSQ) and CMS Chief Medical Officer (CMO).   This Center is responsible for 18 quality measurement and value-based purchasing programs including the Quality Payment Program, quality improvement programs in all 50 states, clinical standards and survey and certification of all providers across the nation, and coverage decisions for treatments and services for CMS.  The Center budget exceeds $1.2 billion annually. Prior to being CCSQ director and CMO, Dr. Goodrich served as the director of the Quality Measurement and Value-based Incentives Group in CCSQ from 2012 through 2015. She graduated from the Robert Wood Johnson Clinical Scholars Program at Yale University in 2010.  From 1998 to 2008, Dr. Goodrich was on the faculty at the George Washington University Medical Center (GWUMC) and served as division director for Hospital Medicine from 2005 to 2008.  She went to medical school at Louisiana State University in Shreveport, Louisiana, and completed her internal medicine residency and chief medical resident year at GWUMC.  She continues to practice clinical medicine as a hospitalist and professor of medicine at GWUMC.The Quality Payment Program final 2020 rule that discusses MVPs is at: https://www.federalregister.gov/documents/2019/11/15/2019-24086/medicare-program-cy-2020-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other. Information on the HCPLAN is at: https://hcp-lan.org/. The Bloomberg Law essay is, again, at: https://news.bloomberglaw.com/health-law-and-business/insight-containing-health-costs-requires-measuring-rewarding-spending-efficiency.  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

This Podcast series highlights essential changes proposed for the Quality Payment Program in the 2020 proposed rule. In this series, we hope to inform you of what you can expect for QPP in 2020. Telligen SURS we help small practices in Iowa, Nebraska, North Dakota, and South Dakota understand and be successful in the Quality Payment Program. The 2020 proposed rule was released on July 29th and contained proposed changes for the physician fee schedule and the Quality Payment Program. We encourage you to listen to the entire 4 part related to the 2020 proposed rule. Part one will cover general updates proposed for 2020 QPP. Part two will cover the key changes proposed for the quality category of QPP. Part three focuses on the changes proposed for the improvement activity and promoting interoperability categories. Part four focuses on the cost category. Thanks for tuning in!

This Podcast series highlights essential changes proposed for the Quality Payment Program in the 2020 proposed rule. In this series, we hope to inform you of what you can expect for QPP in 2020. Telligen SURS we help small practices in Iowa, Nebraska, North Dakota, and South Dakota understand and be successful in the Quality Payment Program. The 2020 proposed rule was released on July 29th and contained proposed changes for the physician fee schedule and the Quality Payment Program. We encourage you to listen to the entire 4 part related to the 2020 proposed rule. Part one will cover general updates proposed for 2020 QPP. Part two will cover the key changes proposed for the quality category of QPP. Part three focuses on the changes proposed for the improvement activity and promoting interoperability categories. Part four focuses on the cost category. Thanks for tuning in!

This Podcast series highlights essential changes proposed for the Quality Payment Program in the 2020 proposed rule. In this series, we hope to inform you of what you can expect for QPP in 2020. Telligen SURS we help small practices in Iowa, Nebraska, North Dakota, and South Dakota understand and be successful in the Quality Payment Program. The 2020 proposed rule was released on July 29th and contained proposed changes for the physician fee schedule and the Quality Payment Program. We encourage you to listen to the entire 4 part related to the 2020 proposed rule. Part one will cover general updates proposed for 2020 QPP. Part two will cover the key changes proposed for the quality category of QPP. Part three focuses on the changes proposed for the improvement activity and promoting interoperability categories. Part four focuses on the cost category. Thanks for tuning in!

This Podcast series highlights essential changes proposed for the Quality Payment Program in the 2020 proposed rule. In this series, we hope to inform you of what you can expect for QPP in 2020. Telligen SURS we help small practices in Iowa, Nebraska, North Dakota, and South Dakota understand and be successful in the Quality Payment Program. The 2020 proposed rule was released on July 29th and contained proposed changes for the physician fee schedule and the Quality Payment Program. We encourage you to listen to the entire 4 part related to the 2020 proposed rule. Part one will cover general updates proposed for 2020 QPP. Part two will cover the key changes proposed for the quality category of QPP. Part three focuses on the changes proposed for the improvement activity and promoting interoperability categories. Part four focuses on the cost category. Thanks for tuning in!

When it comes to defining sepsis, who wins? Is it providers, who rely on the current definition of sepsis as “life-threatening organ dysfunction caused by a dysregulated host response to infection?” Or do payers prevail – the ones who control the reimbursement? And under what circumstances would you ever side with a carrier that has denied a claim of sepsis?Reporting our lead story during this edition of Talk Ten Tuesdays will be Roland Dale, responsible for denials prevention, for Hardin Medical Center, who shares his experience in these situations while offering important and timely advice.Other segments to be featured on the broadcast include:News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.Dateline Washington: Talk Ten Tuesdays legislative analyst Rhonda Taller has the latest news coming out of Washington, D.C. Rhonda is a member of the HIMSS professional development committee.Tuesday Focus: The Centers for Medicaid & Medicare Services (CMS) last week released the final rule on the 2019 Medicare Physician Fee Schedule (MPFS) and the Quality Payment Program (QPP). Reporting this developing story is Dheeraj Mahajan, MD, president and CEO of Chicago Internal Medicine Practice and Research (CIMPAR, SC), who leads its affiliated group of companies.TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., will report on the Global Leadership Initiative on Malnutrition (GLIM) during her popular TalkBack segment.

The tragic events that shocked the nation’s collective conscience on an otherwise peaceful recent Saturday morning call to mind the intersection of physician burnout and post-traumatic stress syndrome.With physician burnout reported to be widespread and suicides among physicians escalating at an alarming rate, do disasters – both natural and manmade – disproportionately impact the profession? Or are there other conflicts endemic to healthcare that tear at the emotional and mental health of physicians, thus creating a sense of helplessness?Reporting on our lead story during this edition of Talk Ten Tuesdays will be Dr. Tracy Sanson, a practicing emergency physician, consultant, and educator on leadership development and medical education. A national and international speaker, Dr. Sanson also serves as a core faculty member for the American College of Emergency Physicians.Other segments to be featured on the broadcast include:CDI Report: What does the future of clinical documentation integrity (CDI) look like? Mel Tully, vice president of clinical services and education for the healthcare division of Nuance Communication, reports on the evolution of CDI as an integrated, interdisciplinary function impacting patient care.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesday News Desk.Tuesday Focus: Julie Dooling, a director at the American Health Information Management Association (AHIMA), reports on health information management challenges and tips for hospitals and other healthcare organizations in the aftermath of a hurricane, specifically in light of the devastation recently brought by Hurricane Michael.RegWatch: Leading healthcare technology consultant Stanley Nachimson returns to the broadcast to report on the final rules for the Medicare Physician Fee Schedule and the Quality Payment Program (QPP) that were released by the Centers for Medicare & Medicaid Services (CMS) on Thursday. TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., reports on an issue that recently caught her attention during her popular TalkBack segment.

Quality is the most important element of the CMS Quality Payment Program. This podcast summarizes the process for tracking quality outcomes during the year. It gives examples of quality measures for family physicians and how they are calculated and reported. The podcast also explains how population health can be used to improve outcomes and simplify identifying those patients who need care interventions to improve outcomes and reduce cost to the healthcare system. Presented by: Debbie Sarason, ACOFP Manager of Practice Enhancement and Quality Reporting

In a new ASCO in Action Podcast, ASCO Vice President of Clinical Affairs Stephen Grubbs, MD, FASCO, joins ASCO CEO Dr. Clifford A. Hudis, FACP, FASCO, to break down the Quality Payment Program (QPP) and discuss the reimbursement changes coming to oncology practices in the United States.

The first in the series of Quality Payment Program (QPP) podcast episodes explains what is new for 2018. It also provides a brief overview of the four categories that determine your performance score – and your incentive or penalty adjustment – Quality, Resource Use, Advancing Care Information and Clinical Practice Improvement Activities. Future podcasts will present a deeper dive into understanding each category of the QPP individually. Presented by: Debbie Sarason, ACOFP Manager of Practice Enhancement and Quality Reporting

Featuring Jeff Giullian, MD and Adam Weinstein, MD

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 ®.

This webinar provides an overview of MACRA’s Quality Payment Program (QPP), eligibility requirements, and impacts on payment, quality and cost. Small and rural hospitals play a key role in improving patient and community health, avoiding readmissions, and keeping patients healthy. Participants will learn how a Value Based Care system can leverage patient and provider engagement This webinar provides a basis for working with staff and providers affected by the QPP within and outside your organization. · Speaker: Lisa Gall, DNP, FNP, LHIT-HP, Clinical Program Manager, Stratis Health

  This webinar provides an overview of MACRA’s Quality Payment Program (QPP), eligibility requirements, and impacts on payment, quality and cost. Small and rural hospitals play a key role in improving patient and community health, avoiding readmissions, and keeping patients healthy. Participants will learn how a Value Based Care system can leverage patient and provider engagement This webinar provides a basis for working with staff and providers affected by the QPP within and outside your organization. Speakers: Lisa Gall, DNP, FNP, LHIT-HP, Clinical Program Manager, Stratis Health