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QPP 2018: The Final Rule Arrives

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 13, 2017 Leave a Comment

Basketball

November is here and before long we will be welcoming the New Year. Following a remarkably exciting World Series, I am delighted the college hoops season is underway. The usual suspects are at the top … [Read more...]

Filed Under: Blog Tagged With: AAPM, Advanced APMs, CMS, ESCO, HCC, Medicare Quality Payment Program, MIPS, Physician value-based payment modifier, QPP, QPs, Terry Ketchersid

ESCOs and QPs: Of Right Hands and Lefts

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
October 16, 2017 Leave a Comment

Writing left handed

When you brushed your teeth this morning or ate your breakfast, odds are you used your right hand to drive the toothbrush or the spoon or fork. Roughly 85-90% of the world’s population is right … [Read more...]

Filed Under: Blog, ESCO, QPP Tagged With: AAPM, Advanced Alternative Payment Model, CMMI, ESCO, MIPS, QP, Qualifying Participant, quality payment program, Terry Ketchersid

A Foolproof Way to Avoid a MIPS Penalty in 2017!

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
September 4, 2017 1 Comment

Take a shortcut to MIPS

Happy Labor Day! It’s a day where you can take things easy and try to let the worries of the world pass you by! On the flipside, it also marks the 28-day countdown to October 2nd. For most clinicians, … [Read more...]

Filed Under: Blog, MIPS Tagged With: AAPM, Advanced Alternative Payment Model, CMS, MACRA, Merit-Based Incentive Payment System, MIPS, QPP

MIPS Group Reporting: Better Together or on Your Own?

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
June 12, 2017 Leave a Comment

Will your practice report as individuals or as a group?

As if the Merit-based Incentive Payment System (MIPS) wasn’t complicated enough, here I am to further complicate things! (You’re welcome!) All kidding aside, I'm going to focus on the area in MIPS … [Read more...]

Filed Under: Blog, MIPS Tagged With: AAPM, Advanced Alternative Payment Model, Advanced APM, CMS, Diana Strubler, group reporting, Merit-Based Incentive Payment System, MIPS, MIPS Composite Performance Score

MIPs, MIPS APMs, Partial QPs, and Full QPs

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
December 22, 2016 Leave a Comment

Clinicians that are subject to the quality payment program next year will be designated as one of the following four options: • A full participant in MIPS • A “MIPS APM” participant • A partial … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: AAPM, ACO, Advanced Alternative Payment Model, APM, CMS, ECs, eligible clinicians, health and human services, HHS, MACRA, Medicare, Medicare Physician Fee Schedule, Medicare Shared Savings Program, MIPS, PFS, quality payment program, Terry Ketchersid

MACRA: Fun with Numbers!

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
December 19, 2016 Leave a Comment

Fun with numbers

Can you believe it? In less than 2 weeks, 2017 will be here, and with the New Year comes the biggest change to physician reimbursement our generation has seen. The newly minted Quality Payment … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: AAPM, ACO, Advanced Alternative Payment Model, APM, CMS, ECs, eligible clinicians, health and human services, HHS, MACRA, Medicare, Medicare Physician Fee Schedule, Medicare Shared Savings Program, MIPS, PFS, quality payment program, Terry Ketchersid

APM Redux

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
August 22, 2016 2 Comments

Most clinicians will be subject to MIPS

Last weekend I spent some time with family in the cool weather of the Appalachian Mountains. While there I had the opportunity to go fly fishing. It’s important to understand that yours truly is not … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog Tagged With: AAPM, ACI, ACO, Advanced Alternative Payment Model, advancing care information, alternative payment models, APM, Center for Medicare and Medicaid Services (CMS), clinical practice improvement activities, CMS, CPIA, ESCO, MACRA, Merit-Based Incentive Payment System, MIPS, MSSP, Partial QP, resource use, Terry Ketchersid

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