MACRA / MIPS Consulting

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The Jury Returns: MACRA – MIPS and 2019 CEHRT Requirements

Back in August I wrote a post entitled, “MIPS and EHR Certification: Most Asked Question”. The issue at hand was when did MIPS eligible providers need to be using 2015 Edition Certified Electronic Health Record Technology (CEHRT). Some voices had expressed hope...

The Jury Returns: MACRA – MIPS and 2019 CEHRT Requirements

MIPS: Heed the Undertow

Wikipedia defines undertow as “the under-current which is moving offshore when waves are approaching the shore.” The eye is deceived by focusing on the waves coming in and does not see the strong counter current ready to catch you by surprise. The danger is in the...

MIPS: Heed the Undertow

The Final MIPS Scores: What to Know

The MIPS scores based on 2017 performance were released just over a month ago and there are a few things to know. It is now possible to sign in and, as CMS tell us, “view your final performance feedback, which includes your final score and payment adjustment...

The Final MIPS Scores: What to Know

MIPS: The Incredible Shrinking Incentive

I first received a hint that something funny was going on about two weeks ago. A colleague who is one of the foremost MACRA-MIPS experts contacted me about one of her clients. They had just checked the provider’s 2017 final MIPS score and it was a high one, 93.87....

MIPS: The Incredible Shrinking Incentive

MACRA/MIPS: The Final Scores Cometh

Seem like we’ve been waiting for this a long, long time. All these MACRA/MIPS mileposts and deadlines have come and gone. The rear-view mirror shows where we’ve been, but what lies ahead?  Here is what CMS tell us: The data submission period for the 2017...

MACRA/MIPS: The Final Scores Cometh

MIPS: The Chickens are Coming Home to Roost

Last month I wrote a post titled MIPS Data: The Finish Line is Crossed. In that blog I noted that the MIPS data submission window ended April 3, 2018 for the 2017 reporting period. After that date it was too late to make strategic decisions on relevant issues such...

MIPS: The Chickens are Coming Home to Roost

MIPS Data: The Finish Line is Crossed

The race is over, all the data is locked, and now we just wait for the results. The MIPS 2017 data submission period ended last week on April 3, 2018. The time for strategic planning and decision making is over. Submit on an individual or group basis? Choose this...

MIPS Data: The Finish Line is Crossed

Death of the Middleman: Healthcare & Blockchain

I’ve seen it twice before. Some new technology drops out of the sky and within a few years we are living in a different world. First, we witnessed the rise of the personal computer. In the early days it was only the nerds who saw it coming and naysayers were...

Death of the Middleman: Healthcare & Blockchain

MACRA – MIPS: Privilege and the Zero-Sum Game

Over the holidays I have been thinking a lot about the MACRA & MIPS program. Maybe too much. Something about it doesn’t sit right with me. I have had a nagging sense that there was a flaw in the program. Something about it just seems wrong. First, I must offer...

MACRA – MIPS: Privilege and the Zero-Sum Game

MACRA – MIPS: OIG Waves the Yellow Flag

The Office of Inspector General (OIG) last week released the Followup Review: CMS’s Management of The Quality Payment Program (QPP). In 2016 OIG published their initial assessment of the management of the QPP by CMS. This secondary release was to access progress...

MACRA – MIPS: OIG Waves the Yellow Flag