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Quality: The Monster of MIPS

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
December 5, 2016 3 Comments

I think it’s time to finally tackle the part of MIPS that I’ve been avoiding. It’s the category that Dr. Ketchersid deemed the overnight MACRA sensation due to its large impact on your MIPS score. … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: ACI, alternative payment model, APM, CAHPS, CMS, Diana Strubler, Dr. Ketchersid, EHR, MACRA, Medicare Part B, MIPS, MIPS composite score, PQRS, QCDR, Quality

MIPS Tip Tuesday

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
November 22, 2016 4 Comments

MIPS Tip Tuesday: Did you know that certain mid-level providers will be subject to MIPS as well? Starting next year, nurse practitioners, physician assistants, clinical nurse specialists and … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: ACI, advancing care information, Center for Medicare and Medicaid Services (CMS), CMS, Diana Strubler, MACRA, MACRA Final Rule, Medicare Part B, mid-level provider, MIPS, ONC, Terry Ketchersid

MIPS Tip Tuesday

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
November 8, 2016 2 Comments

Today we begin our special MIPS Tips segment, as part of our MACRA Series here on the Acumen Blog.  Join us every Tuesday for the remainder of the year to check out our MIPS Tip for the week. MIPS … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: Advanced APM, Diana Strubler, MACRA, MACRA Final Rule, Medicare Part B, MIPS, MIPS Tip

MACRA on the Menu

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
October 24, 2016 Leave a Comment

MACRA on the Menu

In last week’s Acumen blog Diana tackled highlights of the MACRA Final Rule released on October 14. She noted that the 2,398-page document is overwhelming and we are going to need to “eat the elephant … [Read more...]

Filed Under: Blog, MACRA Tagged With: ACI, advancing care information, API, application programming interface, CMS, Diana Strubler, Dugan Maddux, Health IT, HIT, MACRA Final Rule, MARCA, Meaningful Use, Medicare Part B, MIPS, MIPS exclusions, MU, Office of the National Coordinator for Health IT (ONCHIT), QPP, quality payment program, Vindell Washington

MACRA in Images

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
May 16, 2016 Leave a Comment

MIPS eligible clinicians

A lot has been published about MACRA in the past weeks. The Quality Payment Program Notice of Proposed Rulemaking (NPRM) was published on April 27, 2016, and the Federal Register Proposed Rule … [Read more...]

Filed Under: Blog, MACRA Tagged With: ACI, Advanced Alternative Payment Model, advancing care information, alternative payment models, APM, APM participant, CMS, Diana Strubler, Dugan Maddux, eligible clinicians, Federal Register Proposed Rule, MACRA, Medicare Part B, Merit-Based Incentive Payment System, MIPS, NPRM, QP, quality payment program, Quality Payment Program Notice of Proposed Rulemaking, Quality Performance Category, Terry Ketchersid

MACRA, MIPS, and APMs: Clear as Mud?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
May 9, 2016 Leave a Comment

Clear as mud

Last week Diana Strubler provided a wonderful overview of the MACRA implementation requirements published 10 days ago. This massive 962-page tome contains something for everybody. Over the past 6 … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog, MIPS Tagged With: ACO, Advanced Alternative Payment Model, Advanced APM, All-Payer Combination Option, APM, APM Entity, APMs, CMMI, CMS, Diana Strubler, ESCO, MACRA, Medicare Option, Medicare Part B, Medicare Shared Savings Program, MIPS, MSSP, MU, PFS, PQRS, QP, Terry Ketchersid

SGR Repeal…Just Another April Fools?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
April 6, 2015 Leave a Comment

So it would seem. On March 26 the House of Representatives passed a Sustainable Growth Rate (SGR) repeal bill by an overwhelming vote of 392-37. Following this exciting news from the House, the Senate … [Read more...]

Filed Under: Blog, Sustainable Growth Rate (SGR)  Tagged With: April Fools, Medicare Part B, Merit-Based Incentive Payment System, MPIS, Sustainable Growth Rate (SGR), Terry Ketchersid

The 2017 VM: More Than Just a Tasty Leftover

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
December 1, 2014 2 Comments

Thanksgiving has come and gone leaving behind a trail of football upsets and turkey day leftovers. The leftovers are one of my favorite parts of Thanksgiving. Whether it’s a late night turkey or ham … [Read more...]

Filed Under: Blog, CMS Incentive Programs Tagged With: Medicare Part B, Physician value-based payment modifier, PQRS, VM

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