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Mid-Week MACRA Minute – Final 90 Days of MIPS Performance Starts Soon

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Helping you put the MIPS pieces together each week! Final 90 Days of MIPS Performance Starts Soon If you haven’t already started on MIPS, October 1 is the last starting day for the 90-day reporting period requirement! Don’t risk a 4% penalty! Get started before October 1st to optimize your possibility of a higher incentive by reporting 90 days and participating in all 3 MIPS performance categories! AVOID a penalty! Possibly earn incentive $$$ (participate in all 3 MIPS categories) Get a…
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Mid-Week MACRA Minute – Group vs. Individual Reporting

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Helping you put the MIPS pieces together each week! Group vs. Individual Reporting for 2017 MIPS How you choose to report (group vs. individual) will be based on many factors that will impact your overall MIPS performance score! Make sure you are choosing the BEST solution for YOUR practice! Reporting as a GROUP (GPRO): Groups are defined as a single Taxpayer Identification Number (TIN) with 2 or more clinicians (including at least 1 MIPS Eligible…
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Mid-Week MACRA Minute – Medicaid EHR Incentive Program and MIPS

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Helping you put the MIPS pieces together each week! Medicaid EHR Incentive Program and MIPS – it’s possible you may have to participate in BOTH to continue receiving any remaining Medicaid incentives and to avoid the MIPS penalty! MIPS does not replace the Medicaid EHR Incentive Program. If a provider plans to participate in their state Medicaid EHR Incentive Program AND they are also a Medicare Part B clinician who is eligible for MIPS, they…
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Chronic Care Management

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Chronic Care Management (CCM) – Have you implemented CCM at your practice? The Chronic Care Management Program allows providers to GET PAID for additional time and resources (non-face-to-face) on chronic care management services for Medicare patients with two or more chronic conditions. CMS has launched new Connected Care Videos. The Connected Care campaign was designed by CMS to raise awareness of the benefits of CCM for patients with multiple chronic conditions and provide health care…
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Mid-Week MACRA Minute – QPP Hardship Exemption Application

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Helping you put the MIPS pieces together each week! The Quality Payment Program (QPP) 2017 Hardship Exemption Application is NOW OPEN! What do you need to know? MIPS eligible clinicians and groups may qualify for a reweighting of their Advancing Care Information performance category score to 0% of the final score, and can submit a hardship exception application, for one of the following specified reasons: Insufficient internet connectivity Extreme and uncontrollable circumstances (***see below for…
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Mid-Week MACRA Minute – Track your 2017 MIPS Reporting Progress

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Helping you put the MIPS pieces together each week! Quality & Advancing Care Information Summary Reports in MediSYS EHR It’s important track your percentages for the Quality Measures & Advancing Care Information performance categories of MIPS. Regularly tracking your percentages for these measures will make reporting for MIPS in 2017 more successful and potentially earn your clinic an incentive! MediSYS EHR provides tools for tracking both Quality measures and Advancing Care Information measures so you will know where you…
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Mid-Week MACRA Minute – Advancing Care Information Tips n Tricks

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Helping you put the MIPS pieces together each week! Advancing Care Information: Tips ‘n’ Tricks We created a list of a few tips on the Advancing Care Information (formerly Meaningful Use) performance category for 2017. Remember, the Advancing Care Information (ACI) category counts for 25% of your 2017 MIPS Performance score. Tips ‘n’ Tricks: Make sure you choose the right ACI measure set to report on. This will depend on which version your EHR software is certified; 2014 or…
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Delayed: Bundling by Tax ID and Specialty Claim Edits Standardization

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The following information has been posted to the Blue Cross and Blue Shield of Alabama website: Delayed: Bundling by Tax ID and Specialty Claim Edits Standardization On June 27, 2017, a notification was distributed regarding an August 1, 2017, implementation date to apply bundled edits to all providers under the same Tax ID with the same specialty. This is currently on hold. A new communication will be sent once a new date is available.  

Mid-Week MACRA Minute – Improvement Activities Tips n Tricks

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Helping you put the MIPS pieces together each week! Improvement Activities: Tips ‘n’ Tricks We created a list of a few tips on the Improvement Activities performance category for 2017.  Remember, the Improvement Activities category counts for 15% of your 2017 MIPS Performance score. Tips ‘n’ Tricks: The maximum score for the Improvement Activities (IA) category is 40. Each Improvement Activity is weighted differently and the weight determines the points that you will receive for completing the activity:…
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Qualified Medicare Beneficiary (QMB) Indicator in the Medicare Fee-For-Service Claims Processing System

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QMB is a Medicaid program that assists low-income beneficiaries with Medicare premiums and cost sharing. Effective Date: For claims processed on or after October 2, 2017 Summary of Changes: Creates an indicator of Qualified Medicare Beneficiary (QMB) status in the claims processing systems. Beneficiaries enrolled in the QMB program are not liable to pay Medicare cost-sharing for all Medicare A/B claims. The new claims processing systems QMB indicator will trigger notifications to providers (through the…
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Mid-Week MACRA Minute – Quality Measure: Tips n Tricks

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Helping you put the MIPS pieces together each week! Quality Measures: Tips ‘n’ Tricks We created a list of a few tips on how to successfully attest for the Quality Measures performance category in the 2017. Tips ‘n’ Tricks: Quality Measures are NOT restricted by specialty. Only 1 reporting mechanism can be used to report the Quality Measures performance category of MIPS. Attest to more than one Quality Measure or Improvement Activity to provide additional…
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Mid-Week MACRA Minute – Quality Measure 226: Preventive Care and Screening: Tobacco Use

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Helping you put the MIPS pieces together each week! Quality Measure 226 – Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS made some changes to Quality Measure 226 and we have highlighted those changes below. Description: Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user NEW DENOMINATOR/NUMERATOR CRITERIA…
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