MIPS 2019 reporting, Reporting MIPS in 2019, MIPS Qualified Registry

Report & Edit MIPS 2019 Data before March 31, 2020

A MIPS Qualified Registry is one of the collection types to submit data on behalf of clinicians. In 2020, CMS recognizes P3Care as a MIPS registry for the fourth time in a row since 2017. In an effort to maximize incentives for physicians, we work to produce the best MIPS results for eligible clinicians to seal their authority as value-based clinicians.

From day one, it is our motto to encourage clinicians to do their MIPS data submissions as early as possible and not delaying them to the very end. Because at the very end, it becomes difficult to recognize and omit errors with less time on our hands.

In this article, some of the factors directly related to MIPS 2019 reporting are highlighted comprehensively. To have a go at it without any ambiguities, we have organized information to help you report the year 2019 in a winning way. You get to score high; incentives come with performance as if it were meant to be yours in the first place.

Submission Type & Collection Type

As students of the value-based care phenomenon, we have often noticed at times that we confuse a collection type with a submission type. So, in this section, we’d like to get some weight off our chest by discussing them.

A submission type is a doorway to report MIPS 2019 to CMS. Such methods include –

  • Medicare Part B Claims
  • Certified Electronic Health Record Technology (CEHRT)
  • Qualified Clinical Data Registries (QCDRs)
  • Qualified Registry (Like P3 Healthcare Solutions)
  • CMS Web Interface
  • CAHPS for MIPS Reporting Survey Vendor

While collection types are types of measures MIPS eligible clinicians can use to submit data. For instance, you can use the following types of measures to report MACRA MIPS.

  • Electronic Clinical Quality Measures (eCQMs)
  • MIPS CQMs or Registry Measures
  • QCDR measures
  • Claims measures
  • CAHPS for MIPS survey

Improve Your MIPS 2019 Measures Performance Reporting by P3 Healthcare Solutions

It seems odd but you still have time to edit, delete or replace it with more accurate data. As a third-party intermediary, we have our agents dedicated to these corrections on behalf of clinicians to make their lives easier if their previous submissions were inadequate.

At least six Quality performance measures have to be reported to fulfil MIPS 2019 Quality component requirement. If the same Quality measure is reported multiple times through the same collection type, then CMS will evaluate only the most recently submitted data for that measure.

Similarly, when a single measure is reported using multiple collection types, CMS uses the measure with the highest achievement points. Hence, the scoring system works in favor of the clinicians no matter what one thinks.

P3 Healthcare Solutions works to benefit clinicians, therefore, if you think your data can be more accurate, get in touch with us and we’ll help you optimize your MIPS final scores. Report MIPS 2019 for each category including Promoting Interoperability (PI) and Improvement Activities (IA) like a pro.

For Improvement Activities, the process of aggregation occurs for the activity submitted via attestation, file upload, and/or direct reporting.

For PI, we suggest using a single mode of submission. If CMS receives conflicting data from various submission methods, it will automatically result in a score of 0 for this performance category. We advise each of you, clinicians, to be careful while reporting PI in 2019.

Last Date of Submission is March 31, 2020

In order to report, edit or delete your previously submitted data, new data is acceptable until March 31, 2020, before 8 p.m. EDT. It feels great to be part of the MIPS 2019 reporting system because up to 5% of incentives and reputation on Physician Compare are waiting for you on the other side.

All we require is your NPI; phone number; practice’s name; and 5-10 minutes of your time to discuss and finalize measures. You can also choose from one of our affordable packages, to achieve a score you prefer the most. Packages include MIPS Essential, MIPS Budget Neutral, and Benchmark MIPS.

To talk to us, you can call us for a free consultation on this number: 1-844-557-3227. We wrote an article specifically on the Quality performance category a few months ago in which we discussed some quality measures in detail. You can take a look here: 7 most reported MIPS Quality measures – A technical guide.

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MIPS Qualified Registry VS Qualified Clinical Data Registry

There are not many agencies in the US healthcare system that earns the status of MIPS qualified registry. Each of the seven MIPS submission methods has its own advantages, and eligible clinicians can choose to submit data via anyone.

However, healthcare organizations or physicians often confuse MIPS qualified registry and Qualified Clinical Data Registry (QCDR). Particularly, physicians who don’t have much knowledge about the MIPS 2019 reporting process and mechanism, find it difficult to decide the submission strategy.

P3Care being the MIPS qualified registry for three years now has the expertise and knowledge to know how things work with different submissions methods.

Here’s a quick overview of the two most confusing terms in the MIPS QPP.

A MIPS registry reports clinical data on behalf of eligible clinicians or healthcare organizations.

While QCDR is a CMS-approved entity that collects clinical data for CMS on physicians’ behalf. This entity is generally not managed by an individual. It also differs from the former submission method, as it is not restricted to certain measures for data submission.

The qualified clinical data registry is also allowed to host non-MIPS measures, which are approved by CMS.

The categories for QCDR reporting measures are as follows:

  • National Quality Forum (NQF) endorsed measures
  • Current 2019 MIPS measures
  • Measures in regional quality collaborations
  • Other measures approved by CMS
  • Measures used by boards or specialty societies
  • Clinician and group consumer assessment of healthcare providers and systems (CAHPS), measures reported by CAHPS certified vendor
  • National specialty societies administer or endorse registries/ QCDRs

Reporting Mechanisms

Depending upon the reporting type and category, physicians can submit data via any mechanism.

Either as a group, individual, or virtual group, there are four performance categories to report on, Quality, Improvement Activities (IA), Promoting Interoperability (PI), and Cost.

For the cost category, you specifically don’t need to submit data, but CMS will use administrative claims data.

Both submission methods, qualified registries for MIPS and QCDRs can report for a total of six measures and all-cause readmission measures for groups of sixteen or more.

Which Method to Choose?

Either whatever method you choose to report, the decision should not be supported by the number of available measures. Instead, it should be well thought of to score high in the final score of MIPS in healthcare.

Think of the following points before finalizing the submission method.

  • If measures are related to your practice
  • The benchmark for available measures for each submission method
  • Performance rate achievable for selected measures
  • If there are bonus points available for the selected measures
  • Information about which measures are topped out

A correct decision can make all the difference. The path to get incentives and bonuses leads to improved revenue cycle management.

Medical practices when improving the quality of healthcare services move towards progression, and MIPS QPP is a way to measure and judge the performance of how far we have come across.

Either you report via a MIPS qualified registry or any other method, the thing is to clear mind, put forward pros and cons, and then strategize to report clinical data to MIPS via the most suitable method.

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MIPS Quality Measure Specifications 2019 in a Nutshell

By the term ‘Measure Specification’, it means the detailed description of a measure. Therefore, 2019 MIPS Quality measure specifications are the detailed guidelines of quality measures intended to be used by individuals MIPS eligible clinicians reporting CQMs via Qualified Clinical Data Registry (QCDR) or Qualified Registry and by groups reporting via Qualified Registry for the QPP 2019.

To make things simpler, each measure specification has a measured flow and related algorithm as additional help for data completeness and performance. However, a measure specification should be considered final descriptive information on measures because measure flows may or may not be attested by the Measure Steward.

A Brief Recap

MIPS by CMS is an evaluation system by which eligible clinicians can submit their performance with the government to stay compliant and eventually become well-established healthcare professionals. It is a metric to judge the quality of care and their performance via the submission of certain measures or measure sets.

MIPS 2018 was the successful application of performance analysis for many clinicians which brings us to MIPS 2019 and what it has in the box for them. Measures are not difficult to finalize, but an understanding of measure’s specifications helps each participant what exactly they are about to submit. Measure specifications also highlight their key aspects, the number of times they are to be reported, respective codes, and more.

ECs must report at least 6 MIPS quality measures in 2019 including at least 1 outcome measure or a high priority measure, or to report on a complete measure specialty or sub-specialty set.

What is New in 2019?

The government has come up with an improved criterion for 2019 to measure the performance of clinicians giving them freedom in the following ways:

  • CMS adds opioid-related quality measures to the set of high priority measures.
  • In 2019, you get more options in terms of submitting the same measure through different collection types (that include QCDR, MIPS CQMs, CMS Web Interface, and Medicare Part B Claims Measures) to optimize your score for that measure.
  • You can choose measures from different collection types available to you to find the most meaningful measures for your practice.

Understanding 2019 MIPS Quality Measure Specifications

Clinical Quality measures specifications encompass the guidelines to follow during the submission of CMS MIPS quality measures. Each measure is distinguished by a unique identifier. These are the numbers that represent continuity from measures in the 2018 QPP.

Furthermore, Measure Stewards have decided on these measures by applying some changes to the list of MIPS quality measures in the previous performance year.

  1. Frequency of a Measure

Frequency labels are part of each measure’s execution plan as well as part of the measured flow. The analytical submitting frequency suggests the time frame for which a measure needs to be submitted. Each eligible clinician participating in MIPS 2019 has to submit measures according to their given frequency. The definitions adhered to under the frequency label concerning 2019 MIPS Quality measure specifications are mentioned below:

  • Patient-Intermediate measures follow submissions minimum once per patient during the performance year. The most current quality codes should be utilized in case the measure needs submission more than once.
  • Patient-Process measures submissions happen once per patient at the minimum during the performance year. The most rewarding quality-data code is used if the measure undergoes submissions more than once.
  • Patient-Periodic measures undergo submissions once per patient at the minimum during the performance year. If it is submitted more than once, use the most rewarding quality-data code. If two or more quality codes are submitted, performance shall be evaluated through the most rewarding quality-data code.
  • Episode-based measures are submitted once per occurrence of an illness or condition during the performance year.
  • Procedure-based measures undergo submissions each time a procedure occurs during the performance year.
  • Visit-based measures go through submissions every time a patient visits the MIPS eligible clinician in their clinic or hospital during the performance period.
  1. Performance Period

The performance period for a measure may refer to the time duration from January 1 to December 31. There are many sections to a measure specification like Instruction, Description or Numerator Statement that may hold the details on the performance period.

  1. Denominator and Numerator

Quality measures consist of a numerator and denominator that are used to evaluate data completeness which forms the final score of the MIPS eligible clinician.

As a Qualified Registry for MIPS, P3 Healthcare Solutions, Ontario, CA works on behalf of clinicians to help them achieve scores above 75. Such high scores in 2019 can pave the way towards a future in which there is fame, respect, and ultimately high income. For the latest on Merit-based Incentive Payment System visit our company page on LinkedIn – https://www.linkedin.com/company/p3-healthcare-solutions/

Do you think the QPP program correlates with the demands of the healthcare sector?

Medicare MIPS Reporting Essentials for Physical Therapists

Physical therapists (PTs) are now a breathing part of the Quality Payment Program (QPP). It is a choice they have to make because they can’t back out. Medicare MIPS reporting through a MIPS Qualified Registry or an EHR system can get them through the maze of value-based care smoothly.

Primarily, they have an option to choose between the Merit-Based Incentive Payment System and an Advanced APM. Though AAPMs have a strong influence over clinicians, the popularity of MIPS as an incentive program considerably outweighs it. Therefore, MIPS is the go-to program for most eligible PTs.

Now, PTs who do not meet the low-volume threshold (LVT) can participate voluntarily.

Why?

They must be prepared for what lies ahead and no better way to do it than participating in it.

Medicare MIPS Reporting for Quality and IAs

The good news for PTs is that they are NOT required to report in all the four performance categories. Instead, they are required to report in only two – Quality and Improvement Activities.

Fewer categories mean they have a decreased number of measures to report to CMS. With all the focus on MIPS Quality measures and IA measures, they are more than capable to score high and handsome. It also keeps them very much in the game without the possibility of burnout.

A yearlong report against Quality determines the final score, failing to do so; there are consequences in the form of negative payment adjustments.

Medicare MIPS reporting best happens through certified electronic health record technology (CEHRT) or MIPS Qualified registries such as P3 Healthcare Solutions. Please follow us for effective MIPS solutions on LinkedIn – https://www.linkedin.com/company/p3-healthcare-solutions

Advanced APM Participation Track

Physical therapists who follow Advanced APM as their participation track cannot go after Medicare MIPS reporting. At one time they can only utilize one track.

They can expect an additional reward of +5% to your Medicare earnings of 2019 if the reporting results are at par with the benchmarks set against measures. Additionally, the high scorers have a chance to collect bonus rewards from the $500 million pool.

While PTs become an active part of the value-based payment system, the removal of functional limitation reporting (FLR) is a healthy change adopted by CMS.

P3Care Reports for PTs and PTAs

The submission of MIPS data is unlike any other data submission. It requires your NPI/TIN and account creation on the QPP portal. Health IT consultants at P3Care activate your accounts with ease and with mutual collaboration, we get to report to CMS on behalf of our clients. In short, accuracy is the key to it. They happen only once so make sure they are errorless.

What about Telehealth?

The final rule doesn’t allow PTs to be reimbursed against Telehealth. The virtual check-ins by physicians and specialty-specific clinicians call for timely reimbursements; moreover, P3Care backs the initiative of Telehealth for PTs and PTAs. Who knew the year 2020 would make Telehealth a necessity rather than an alternative.

Direct Submission Method

PTs can use the registry method for direct submission. For it to happen smoothly, MIPS Clinical Quality measures (CQMs) has to be the collection type. Medicare MIPS reporting 2019 returns optimum results if you are both accurate and smart in terms of selecting high scoring measures.

Generally, outcome measures and high-priority measures hold significance in achieving bonus-worthy scores. They, eventually, turn into financial rewards.

For small practices, individual clinicians and clinician groups can collect and submit measures for Quality through Medicare Part B claims.

Groups with 25 or more clinicians may use the CMS web interface for Medicare MIPS reporting.

Deadline for the QPP 2019 Program

MIPS eligible clinicians have time until March 31, 2020, to submit data for 2019. In addition, if your mode of submission is through claims, you have until 60 days after the closing of the performance year.

Improvement Activities (IA)

For PTs and OTs, the category holds 15% weight in the total score. It estimates 40 points and only the top-performing clinicians will be able to reach that number. The improvement activities you should consider reporting to CMS are –

  • Care Coordination
  • Patient safety
  • Beneficiary engagement
  • Participation in APM
  • Achieving health equity
  • Emergency preparedness and response
  • Population management

However, take note of the number and format to report in by the following classifications.

  • Two high-weighted measures
  • One high-weighted measure and one medium-weighted measure
  • Four or more medium-weighted measures

After the selection of activities to submit, you are ready for Medicare MIPS reporting through QCDR, Qualified Registry, or an EHR system. For those interested in the MIPS attestation process on their own, they can submit activities by logging on to the QPP portal.

Do you think you can gather data and report on your own or is it better to hire third-party intermediaries?

Reply in the comments below, as we’d love to hear your thoughts.

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Right MIPS Submission Methods Lead To Successful MIPS Reporting!

MIPS – a quality payment program for physicians is one of a kind and progressive step that benefits both, physicians and even the patients. The prior tangled and twisted reimbursement method failed to contribute to the healthcare industry via any advancement. Thus, MIPS came as light at the end of the tunnel for physicians to direct their financial matters in the right direction.

Reporting accurate data, according to the medical practice and with the appropriate submission method is inevitable to score high in the MIPS scorecard. The period for submitting MIPS qualified measures is already short so there is no time to waste.

This article discusses all the queries regarding MIPS submission methods so that physicians successfully report clinical data to CMS.

First, Do Your Research Well!

The first step in MIPS reporting is to recognize what submission method will suit your practice, the best. The right decision will have a huge impact on your submission. Otherwise, you’ll end up scratching your head for unnecessary delays caused by poor research, as many factors are important for a professional MIPS submission.
In addition, MIPS data submission seems easy. However, it is not as simple as one may estimate. Let us briefly explain the MIPS reporting process.

How to Report MIPS?

Physicians work day and night treating patients to deliver quality-based medical services. MIPS eligible clinicians report their performance data on a yearly basis to CMS. There are four performance categories for MIPS:
• Quality holds 50% of the total MIPS score
• Promoting Interoperability (PI) holds 25% of the total MIPS score
• Improvement Activities (IA) holds 15% of the MIPS score
• Cost holds 10% of the total MIPS score

As per the CMS submission requirements, physicians report against three categories. However, the CMS authorities themselves measure the cost category. They calculate performance for this category by administrative claims data.

Now, Choose Between MIPS Submission Methods!

Clinicians can choose from a number of submission methods as per their requirement,
• CMS Web Interface
• Administrative Claims
• Electronic Healthcare Records (EHRs)
• Qualified Clinical Data Registries (QCDR)
• Qualified Registry
• CAHPS for MIPS Reporting Survey Vendor
• Attestation

Another factor that plays an important role in the successful MIPS data submission is finding the right and specialty-specific MIPS quality measures to report.

Physicians can consult MIPS qualified registries, which help them choose the measures relevant to their practice. Reporting data against the relevant measures gives the chance to score high.

How to Report MIPS Data?

Physicians have the freedom to report either as an individual or in a group.

As an individual identified by individual National Provider Identifier (NPI) with a single Taxpayer Identification Number (TIN)

In a group of two or clinicians with a single TIN, identified by NPI

There is also another option to report via a virtual group.

Consider the Following Points When Choose a Submission Method!

  • While considering what submission methods will result in your favor cost-effectively, you also need to ponder upon their limitations.
  • Clinicians are only allowed to report data via a single submission method for a single performance category.

Look out for all possible scenarios that can occur with the submission method. As each MIPS submission method has its benefits and limits as per the medical practice. Therefore, carefully check all the logistics and your organizational structure before submitting data. It may leverage your performance score for positive or negative payment adjustment.

Not only deciding the right submission method is time-consuming, but it also requires thoughtful planning, resourceful implementation, and the ability to incorporate progressive steps of your organization.

All this Process is Hectic but you can Stay Stress-Free with P3Care!

Physicians may be worried about how they’ll manage to choose the right MIPS submission method along with their responsibilities. Don’t worry and let us share your MIPS reporting burden. P3Care has been MIPS qualified registry for two years. Our specialized methods, resources, and experience in this field speak for itself. Moreover, we as an H I.T consultants help to choose you the right quality measures and the submission method.

For further information, visit https://www.linkedin.com/company/p3-healthcare-solutions

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How to Avoid Penalties in MIPS 2018, 2019 and Beyond?

Back in 2018, the American Medical Association (AMA) stated that the only way to avoid penalties regarding MIPS 2018 was to report on a few of the MIPS quality measures.

Now, that we are about to conclude 2019, reporting PI and IA are deemed crucial aspects of MIPS 2019 reporting. Eligible Clinicians (ECs) have the right to bonuses from the $500 million pool set aside in 2019 if they score more than 75. In this way, ECs get to avoid negative payment adjustments waiting to happen in 2021 by a distance.

Until now, the four approved performance categories to attest to include:

  • Promoting interoperability
  • Quality
  • Improvement activities
  • Cost

How Reporting Criteria Changed Over Time?

Eligible clinicians can avoid the penalty by following a reporting strategy as per AMA’s advice. In 2017, physicians needed to score at least three MIPS points to avoid a penalty. It means that they only needed to report one quality measure to overcome the penalty risk.

Nevertheless, now the rules are stricter and the focus on value-based services is now more than ever. With this advancement and the modified requirement criteria in the healthcare industry, the new threshold for MIPS 2018 reporting is fifteen points. The clinicians having a score of 15 can avoid penalties in 2020. As ECs, if you fail to report the minimum amount of quality measures governed under the Quality Payment Program’s specifications, it results in a definite 5% decrease in reimbursements.

Therefore, scoring equal to 15 is essential for those eligible in this program.

The tips below can help you avoid a financial penalty in 2020 and 2021 and a chance at a high Composite Performance Score (CPS)

Report on Improvement Activities (IAs) to Score Higher

The best way to meet the required threshold is to report Improvement Activities (IAs) immediately.

The Centers for Medicare & Medicaid Services (CMS) defined 113 measures under this performance category in MIPS 2019. Each performance measure has further subcategories in the form of medium and high-weighted activities. The high-weighted activities carry more points and can get you closer to the maximum score.

Similarly, MIPS 2019 has 118 Improvement Activities from which clinicians have to select and submit. It is a constant process of reporting for 90 days. Let’s be compliant with P3Care because we can get you the right combination of medium and high weighted measures to score in the 80s or above.

How do You Calculate Performance Categories?

The activities for the performance categories function around care coordination, population healthcare, beneficiary engagement, and health equity factors. To score in any category, eligible clinicians are required to collect and submit data for 90 consecutive days in 2018.

How to Submit MIPS to the CMS?

Healthcare providers can submit clinical data for MIPS 2018 via:

  • Quality payment program 2018 (QPP) data submission system
  • Electronic health record (EHR) system
  • MIPS qualified registry
  • The qualified clinical data registry (QCDR)

Improvement Activities – Small Practices Have an Edge

Reporting Improvement Activities (IAs) under MIPS 2019 can improve revenue cycles of small practices. The program rewards small healthcare practices with double the points as compared to well-established healthcare facilities.

Another advantage of smaller practices is a bonus of five extra points when they score a total of 15 points. It ranks them above the others on the MIPS scorecard with 20 points. Therefore, if you report for one high-weighted improvement activity, you are bound to earn more points.

For the same MIPS score, ECs working for large medical practices must submit data for two or more improvement activities to get up to the threshold limit of 15 points.

MIPS Quality Measures Shield You from Negative Payment Adjustments

Negative payment adjustments can be a big setback for your profit journey. Therefore, use quality measures wisely and promptly. To stay on top of your game, you must fully understand the performance measures to make to turn it into a lucrative opportunity.

There are 275 quality measures and clinicians can select from among them the most suitable measures to meet the MIPS 2018 threshold score. Each Quality measure has further sub-categories as per the following factors:

  • Efficiency
  • Outcome
  • Patient engagement

Moreover, CMS has developed a specialized set of quality measures to help physicians identify appropriate quality measures. Clinicians can report data for 12 months on six quality measures. However, one of the quality measures must be an outcome measure or a high priority performance measure.

Clinicians participating in the form of virtual groups can use CMS Web interface or Consumer Assessment for Healthcare Providers and Systems (CAHPS) for the MIPS survey.

Report At Least Two Performance Categories in 2018

To stay away from negative payment adjustments, report at least two performance categories. For instance:

  • Improvement Activities and Quality
  • Or, Promoting Interoperability and Quality

Report One of the Categories in 2019

Even though you have to report in one of the categories in 2019, but there are certain criteria set for each category. For instance, small practices with 15 or fewer clinicians, when they are reporting solo or as a group will have to attest to 1 high weighted and 2 medium-weighted improvement activities. That’s one example. And, the list goes on.

Call us to discuss more on our toll-free number: 1-844-557-3227.

Score Comparison

Ordinarily, we see small medical practitioners reporting one medium-weighted improvement activity and one quality measure. This reporting tactic earns you 10 points and with an extra 5 bonus points, you may achieve a total of 15 points. This was back in 2018.

Now, you need a score of 30 points to avoid penalties.

Promoting Interoperability (PI)

MIPS Quality Measure and Interoperability

 

Another way to earn 50 out of 100 points is by reporting on the Promoting Interoperability performance category. It investigates the patient and physician engagement level and makes the patient information available to other clinicians via EHR technology.  ECS is required to submit data for 90 days or more on the base score of four or five measures in this category. The base score measures take their value from the certified EHR edition.

Large medical facilities can achieve high scores by reporting on PI and quality categories. However, they must report on the PI category to score 50 and two quality measures to get to 70 points and target the bonuses out of a $500 million pool.

In 2019, the score to achieve bonuses moves up to 75 and beyond.

EHR Technology – One Step Ahead

Each EHR edition has a different set of performance measures. For instance, the 2014 EHR edition allows reporting on the Promoting Interoperability Transition Objectives and measure set.

Tricks of the Trade

The data submitted on quality measures for at least 20 patients fulfill the data completeness requirement.

Two medium-weighted improvement activities and four quality measures can get you a score of 16 points in 2018.

It is only possible when the physicians earn 12 out of 70 points in the “Quality” performance category and score 20 out of 40 points in the Improvement Activities.

Vote for Better Healthcare

As 2018 is about to end, the evergreen slogan for the welfare of Americans is to vote for a better healthcare system. That truly goes in favor of the Americans.

If you still haven’t done anything to avoid the penalty in 2020, it is time to connect with a reliable MIPS registry for submissions. America needs you to come out as a winner and a reputable practitioner.

Most of the performance categories require data for 90 days. Therefore, reach out to P3Care and report QPP measures efficiently and be free from the worries of non-reporting.

P3care’s Medical Billing Services For Emergency Physicians

P3Care’s medical billing services are precise when it comes to physician-specialists and accurate when we talk about accounts receivable management. Hence, strength on both the fronts make us one of the most recognized medical billing company in Ontario, California.

CMS recognizes P3 Healthcare Solutions as a MIPS Qualified Registry for the 3rd time in 2019. To see the list of qualified registries for 2019, check out the following link – https://b0wms2ojuok4bi2s1zhfjksf-wpengine.netdna-ssl.com/wp-content/uploads/2019-Qualified-Registry-Posting_Final_v1.0.xlsx. When you tap the “P” tab in this excel sheet, P3 Healthcare Solutions appears at the top.

Outsourcing medical billing is a tough decision to make but an important one. There are several factors that influence the decision-making process such as putting your finances at risk, in the hands of a company that is physically unreachable.

A medical billing service expedites the process of filing a claim with the insurance company for timely reimbursements. When you receive the payment in your bank, it completes the revenue cycle for that claim. Revenue cycle management is a highly professional way of providing organized transactional insights. Moreover, the first-time claim acceptance rate matters a lot, and P3Care does perform reasonably well when it comes to first-time acceptance of claims.

What is an ASC? P3Care Stands by Your Side in Critical Times

ASC stands for Ambulatory Surgery Center. P3Care’s philosophy and the visionary statement speaks of the deep relationship it has with the healthcare professionals dealing with emergencies. Emergencies can be traumatic and stressful.

P3Care sympathizes with doctors who are part of the emergency setup. Furthermore, it wants the doctors to feel the support round the clock. Doctors volunteering to treat those in bad shape deserve all the praise and appreciation. Going the distance for healthcare professionals who save lives by treating patients at the right time is one of P3Care’s core principles. We do everything we can to lend a helping hand to providers and Eligible Professionals.

The ASC billing goes on a different pattern as compared to the normal billing. P3Care realizes the demands of insurance companies, therefore, preparing correct claims according to those demands is one of our specialties.

Anti-Traumatic Medical Billing Services

P3 Healthcare Solutions takes pride in handling the billing for surgical practices and ASCs. The trauma or emergency doctors require an anti-traumatic billing solution. That means they are looking for reliable and trustworthy medical billing services. The accuracy of those claims leads the way to their acceptance resulting in smooth cash flow for our clients.  If you sign up for P3Care medical billing services, you will be updated, as part of our workflow, with timely reports, evaluations, and reimbursements. Call us for a quote at 1-844-557-3227.

P3Care delivers for the ASCs and Surgeons

At the ASC, both critical and diagnostic procedures are performed. There may be instant surgeries at hand and lives can be at risk. Whatever the situation may be, your billing partner needs to be proactively involved. There is no chance for errors in ASCs, and similarly, P3Care creates error-free claims to get those reimbursements quickly.

You should meet certain requirements for better ASC billing outcomes. P3Care files the bills using CMS-1500 forms.

Nonetheless, for ASC’s better performance, the patients and the providers must agree to a few terms and conditions. Once those conditions are met, insurance companies reimburse the full amount. There can be deductions on account of missing CPT or medical codes. P3Care makes sure everything is in place.

ASC Procedures

Ambulatory Surgery Centers can have all the specialized workings under one roof. They can be an independent entity or part of a larger hospital.

The procedures or operations performed in an ASC can include:

  • Colonoscopy
  • Surgical Dressings
  • To get a cast.

Final Verdict

P3Care takes the lead in medical billing services for Ambulatory Surgery Centers or surgical claim approvals. Our medical billing & coding staff caters to the department of pain management, orthopedics, gastrointestinal, ENT, urology, and general surgery.

MIPS Qualified Registry & Vendors

Criteria 

In order to be included in the MIPS qualified registry vendors, you must self-nominate your organization each year (even if you have previously qualified) and gain approval by CMS. As a clinician, individual or group, you’ll see yourself directly interacting with your selected vendor on a regular basis.

Therefore, it’s absolutely necessary there’s a mutual understanding in regards to expectations and outcome goals. Essentially, the objective of any qualified vendor is to ease all billing and QPP reporting tasks. Which leaves you with valuable time to focus on patients.

To give you a brief understanding of the procedure, here are a few of the necessary requirements to be completed by a vendor in order to be approved by CMS for the 2018 MIPS Qualified Registry Vendors.

  • Provide information about previous registry status (new or existing registry)
  • Each vendor should have at least 25 participants by January 1st, 2018.
  • Provide an attestation statement, verifying that all data in relation to measures, activities, and objectives are accurate and complete.
  • You must submit data using one of the CMS provided secure data submission methods.
  • Provide information on how we (the vendor) will process data validation and MIPS eligibility.
  • Include our supported MIPS quality measures and performance categories.
  • How the vendor will collect information and determine the provider’s performance rates.
  • Process for verifying providers TINs and NPIs.
  • Provide a random audit process.

Disclaimer 

Accuracy is absolutely vital in all aspects of data collection, reporting, and submission. CMS has determined a penalty in regard to inaccurate data submissions. Therefore, this results in possible probation and disqualification for the following year.

Side Note-  Registry updates would show which vendor is on probation.

In addition, CMS has provided us with a checklist consisting of data submission tasks. You must complete all the tasks to be approved for a qualified registry. The categories a vendor must complete (with a brief description) include:

Indicate– Certified EHR technology, start and end dates for performance periods. Whether or not vendors are reporting on quality measures, objectives, and improvement activities.

Submit– Submit and report data for all supported MIPS categories, provide eligible clinicians with performance feedback at least 4 times a year, quality measure ID numbers.

Report (on the number of) – Performance and reporting instances, inadequate submission criteria.

MIPS Qualified Registry Vendors 2018

MIPS Qualified registry and vendors

Verify (clinician information)–  Details about services provided to clinicians along with contact information and charges. This should be signed consent by the provider to allow the vendor to provide CMS with MIPS data on their behalf. Also provide HIPAA compliance (patient-focused) agreement between both vendor and clinician, verify all data submitted is accurate and complete.

Comply- Submit data using one of the secure options provided by CMS, fulfill requests by CMS to review data at any time, take part in annual registry meeting and monthly support calls.

We at P3Care are proud to be 2017 CMS certified! P3Care’s objective has always been to reduce workload burdens off of providers and staff to enable them to look after patients in a better way.

If you’re on the hunt for a medical billing provider or MIPS support, we can ensure you will be satisfied with our committed service!

Our CMS registry approval will ensure you that we have successfully demonstrated our capabilities on reporting data for the MIPS transition year 2017 in the following categories: Quality, Advancing Care Information, and Improvement Activities.

Furthermore, the CMS registry will provide you with the necessary information needed when selecting an appropriate vendor for your practice. Therefore, you can find detailed information about each vendor under the following headings: Contact Information, Cost, Reporting Options (individual or group, Services Offered, Performance Categories, Quality Measures Supported, and eCQMs Supported.

P3 Healthcare Solutions and Medical Billing

To decide which professional medical billing company suits their practice best is one of the most important decisions a provider will make. The financial outcome of your practice heavily relies on the efficiency and accuracy of the medical billing vendor you select. Whether you practice individually or in a group,

CMS qualified registries are a collection of vendors that are certified to report on quality measures and data for the Quality Payment Program / MIPS. CMS registry vendors have all the necessary tools, knowledge, and software up their sleeves. This is important to submit data on behalf of providers directly to CMS.

Furthermore,  qualified registries are self-nominated. And they have proved to meet requirements set out by CMS and the QPP. P3 Healthcare specializes in supporting MIPS eligible clinicians through Benchmark Quality Reporting. While also functioning as a proficient and client-centered Medical Billing firm.

Therefore, MIPS qualified registry is open to the public anytime. You can view P3 HealthCare Solutions in the MIPS qualified registry vendors by visiting the CMS Resource Library.