Public Policy

QPP Website Offers Preliminary MIPS Feedback

Preliminary feedback for the Merit-based Incentive Payment System (MIPS) is now available for eligible clinicians (ECs) who submitted data through the Quality Payment Program (QPP) website. While the Centers for Medicare & Medicaid Services (CMS) are offering feedback now, it’s important to keep in mind that it is only preliminary and not your final score. …

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What Is The PQRS Program?

According to CMS, The Physician Quality Reporting System (PQRS) is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by individual eligible professionals (EPs). The program provides an incentive payment to individual EPs that satisfactorily participate or satisfactorily report data on quality measures for covered …

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Bipartisan Budget Act of 2018 Prompts MIPS Changes

On February 8, 2018, President Donald Trump signed the Bipartisan Budget Act of 2018 marking changes to the Merit-based Incentive Payment System(MIPS) track of the Quality Payment Program (QPP). Per the Bipartisan Budget Act of 2018, clinicians should expect changes to the MIPS “transition” years. Transition Years 2018-2021 2018-2021 are now considered “transition” years The Cost category weight will …

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QPP 2017 vs 2018

QPP Year 2 – What’s Changed … and What Hasn’t   It was just over a year ago (October 14, 2016) that CMS released the final rule for the Medicare Access and CHIP Reauthorization Act (MACRA), radically changing the basis for Medicare reimbursement. The momentous Medicare reform law repealed the Sustain Growth Rate (SGR) and created …

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ICD-10 Unspecified Codes

Welcome to the Azalea Health Industry Webinar Series, dedicated to helping you successfully navigate the healthcare industry. When ICD-10 codes became mandatory in 2015, physicians were granted amnesty from Medicare and most commercial payers.  This grace period will officially end on October 1, 2016.  After this date, providers will be subjected to post payment reviews …

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Legislation Introduced Aimed at Improving Rural Healthcare Delivery, Support & Health IT Infrastructure

Amidst the hectic and ever-changing regulatory environment of healthcare, there has been a greater push for legislation specifically directed at improving health care in rural areas. Several bills were recently introduced by Senator Al Franken (D-Minn.) aimed at bolstering healthcare in rural areas by addressing infrastructure, access and quality issues common to communities struggling to meet …

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