December 5, 2024

CMS 2025 Quality Payment Program: Important Dates, Deadlines, and Reminders

As healthcare practices prepare for the 2025 performance year under CMS's Quality Payment Program (QPP), staying informed on key dates and deadlines is crucial for maximizing your success.
2 min read
November 11, 2024

2025 CMS Final Rule: Key Updates for the Quality Payment Program (QPP)

CMS recently released its Calendar Year 2025 Medicare Physician Fee Schedule Final Rule, bringing important changes for healthcare providers participating in the Quality Payment Program (QPP). This update affects the Merit-based Incentive Payment System (MIPS), the Medicare Shared Savings Program (MSSP), and Alternative Payment Models (APMs).
3 min read
September 25, 2024

QPP Exception Applications: What MIPS Participants Need to Know in 2024

Learn the key exceptions, their deadlines, and why an eligible clinician might apply for them.
3 min read
September 6, 2024

The APM Performance Pathway (APP): A Quick Guide for ACO’s

The APM Performance Pathway is a vital performance measurement and reporting framework designed for ACOs participating in Advanced Alternative Payment Models (APMs) such as the Medicare Shared Savings Program (MSSP). The APP serves to simplify and streamline quality reporting for ACOs, aligning performance metrics across various APMs, and improving patient care.
2 min read
July 24, 2024

Get to Know the 2025 Proposed Physician Fee Schedule Rule

On July 10, 2024, CMS released the Calendar Year (CY) 2025 Physician Fee Schedule (PFS) proposed rule outlining proposed changes for Medicare payments under the PFS and other Medicare Part B payment policies.
2 min read
June 18, 2024

ACO Reporting Requirements - Without the Web Interface

After the 2024 performance year, CMS will retire the Web Interface, marking a significant shift in reporting requirements for ACOs.
3 min read
May 28, 2024

Understanding 2024 MIPS Promoting Interoperability (PI) Updates

Promoting Interoperability (PI) is a MIPS reporting category that measures how well clinicians and healthcare workers use certified electronic health records (EHRs) technology.
2 min read
May 9, 2024

Key 2024 MIPS Deadlines and Dates

Staying on track with the many key dates and deadlines for the 2024 MIPS reporting year ahead can be challenging if it is not all in one place.
1 min read
April 25, 2024

Submit Your Quality and Cost Measures: CMS Open Call for MIPS 2024

CMS is now accepting submissions for quality and cost measures for future MIPS years.
1 min read
April 11, 2024

Insight into the 2024 Small Practice MIPS Reporting Guidelines

With the 2024 performance year here, it is crucial for small practices to understand each guideline and optimize scores before it is too late.
2 min read
March 28, 2024

The 2023 MIPS Data Submission Extension

On March 11th, CMS made the announcement that the deadline for submitting 2023 MIPS data has been extended.
2 min read
March 14, 2024

2024 MIPS Reporting Options

With the potential financial impact to your practice, it is critical that the 2024 MIPS reporting options are understood.
2 min read
February 29, 2024

2024 MIPS Quality Measures: Key Updates

Dedicating time to create a quality measure selection strategy is critical to achieving a high MIPS score in the future.
2 min read
February 16, 2024

Understanding the Improving Care for Lower Extremity Joint Repair MVP

The Improving Care for Lower Extremity Joint Repair MVP is comprised of measures most often completed by doctors in the orthopedic specialty.
3 min read
February 1, 2024

Avoiding the MIPS Penalty in 2024

As we know, Medicare is always moving the target when it comes to quality reporting requirements. One such challenge with MIPS is the penalty avoidance threshold, the minimum amount of points clinicians need to achieve in order to prevent them from receiving a negative payment adjustment on Medicare Part B claims.
2 min read
January 19, 2024

Improving the Prior Authorization Process: A Breakdown for Key Changes

Recently, the Centers for Medicare and Medicaid Services (CMS) has finalized a rule focusing on streamlining the prior authorization process.
2 min read
January 4, 2024

What's New in MIPS

With the 2024 Final Rule, we have seen many changes and additions to MIPS for the 2024 performance year that are critical to take note of.
4 min read
December 21, 2023

Understand Your MIPS Eligibility

As you navigate changes in your professional journey, it's crucial to stay informed about your MIPS Eligibility status. Checking the Quality Payment Program (QPP) Status Tool for the 2023 performance year and your initial 2024 status can provide valuable insights into any modifications to your eligibility.
2 min read
December 7, 2023

Understanding ACO Reporting Transformations in 2024

The CY 2024 Medicare Physician Fee Schedule final rule introduces transformative changes for ACOs, ushering in new reporting requirements that demand strategic adaptation.
1 min read
November 22, 2023

Decisions on the 2024 Medicare Physician Fee Schedule Final Rule

The 2024 Medicare Physician Fee Schedule Final Rule has been released and sparked a variety of responses in its wake.
2 min read
November 10, 2023

Navigating Reporting Requirements for MIPS CQMs and eCQMs

It is essential to understand the differences between MIPS Clinical Quality Measures (MIPS CQMs) and Electronic Clinical Quality Measures (eCQMs).
2 min read
October 12, 2023

Preparing for the MIPS Changes to Come in 2024

The final 2024 Medicare Physician Fee Schedule Rule will be out soon and there is little reason to believe it will be much different from the proposed rule, based on past years.
2 min read
September 30, 2023

Small Practice MIPS Reporting Incentives

As the countdown continues toward the final 90 days for reporting MIPS there are some specific advantages for small practices worth noting.
2 min read
September 16, 2023

The Last 90 Day Reporting Period for 2023 to Begin October 1

Has your practice performed for at least 90 days on Promoting Interoperability and Improvement Activities’ measures? If not, the clock is ticking!
3 min read
September 1, 2023

Understanding How MIPS Can Affect Your Practice Bottom Line

MIPS scores directly affect your Medicare reimbursement payments. According to the Centers for Medicare & Medicaid Services (CMS), Medicare's reimbursement rate is roughly 80% of the total bill.
2 min read
August 17, 2023

MIPS Exemption 2023 FAQ

Who is required to report MIPS? All eligible clinicians are required to report MIPS data. Eligibility status is based on two things, NPI and associated TIN.
3 min read
August 9, 2023

EUC (Extreme and Uncontrollable Circumstances) Hardship Exception for 2023

MIPS eligible clinicians, groups, and virtual groups are all eligible to submit an application to reweight any or all of the MIPS performance categories if they are/have been affected by rare events entirely outside of their control and the control of the facility where they practice that would
2 min read
July 26, 2023

Digital Quality Measures

CMS is moving toward the goal of a Learning Health System (LHS) which will measure care quality using standardized, interoperable data from multiple sources and create a digital environment with rapid access to data on a global level.
2 min read
April 14, 2023

Cost Category

Breakdown of the total costs of care measure.
2 min read
March 21, 2023

Changes to 2023 Traditional MIPS

Updates to MIPS in 2023.
6 min read
January 5, 2021

2021 MIPS Value Pathways Update

The anticipated launch of the MIPS value pathways (MVPs) framework by the CMS in 2021 has been delayed by a year due to the acknowledgment of the challenging situations within the healthcare sector as a result of Covid-19. While the MVPs framework had been finalized and ready for release, CMS acknowledged the concerns of the stakeholders regarding the timeline and decided to postpone its implementation to 2022. The organization also recognizes the fact that clinicians are very busy at the moment to address Covid-19.
5 min read
December 31, 2020

How the Advance Care Plan measure can help you

Making sure that each patient’s goals are incorporated into their treatment plan is a must for providers that hope to maintain high patient satisfaction rates. One way to help maintain and document these goals for alignment is by having patients complete and Advance Care Plan.
4 min read
December 1, 2020

Primary Care First

As CMS continues the shift towards value based reimbursement models, the healthcare industry has become more focused on evaluating potential benefits from each of the new associated programs. Primary Care First (PCF) has been receiving a lot of attention due to its limited participation options and significant gains associated with success. The PCF program falls under the MACRA umbrella as an Alternative Payment Model (APM) but offers primary care providers a significant opportunity to increase revenue through demonstrated compliance and increased quality of care.
2 min read
November 12, 2020

2021 Rule Changes for MIPS

The rule for the 2021 Quality Payment Program, covering the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM), was released at the beginning of the year. Concerns regarding how the COVID-19 pandemic would impact the program for 2020 and 2021, lead to the release of rules for the MIPS.
5 min read
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