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.

MIPS 2019, CMS, MIPS QPP, MIPS Quality measure, PI Exception

All about the MIPS 2019 Hardship Exception Rules

CMS expects eligible clinicians to perform well in MIPS QPP.  Sometimes despite the efforts, physicians are unable to meet even the minimum performance threshold.

We can’t blame them if they happen to suffer from unexpected hardships such as severe weather conditions or other unfavorable situations. CMS offers relaxation for such cases.

The time for sending applications for MIPS 2019 exceptions has been started. Eligible clinicians, groups, and virtual groups now can apply in the exception context in two categories.

  • Promoting Interoperability (PI) Hardship Exception
  • Extreme and Uncontrollable Circumstances Exception

Exceptions will be offered only to those, who fulfill the criteria as specified by the CMS. Also, clinicians or groups who fall in the category of automatic reweighting of PI reporting shouldn’t have to apply for an exception.

MIPS 2019 Promoting Interoperability (PI) Hardship Exception

To submit for MIPS 2019 Promoting Interoperability (PI) measure, physicians must have access to 2015 Certified Electronic Health Record Technology (CEHRT).

The net weight of the PI category is 25% of the total MIPS score. Clinicians unable to report in this measure will have their percentage shifted to the MIPS Quality measure category.

Who Can Apply for PI Exception?

The mere absence of 2015 CEHRT will not grant any relaxation for PI data submission.

However, if you suffer from any of the below-mentioned scenarios, you qualify the PI hardship exception criteria.

  • Inadequate/Unsatisfactory Internet connectivity
  • No Control over the access of CEHRT
  • Extreme and Controllable Circumstances
  • De-certified EHR technology
  • A small medical practice with fifteen or lesser clinicians with the same Tax identification number

There are special cases in which eligible physicians are already exempt from the PI category, and are not required to submit hardship exception application of any sort.

For MIPS 2019, Clinicians with special cases are:

  • Non-Patient Facing clinicians
  • Hospital-based MIPS eligible clinicians
  • MIPS eligible clinicians associated with Ambulatory Surgical Center (ASC)
  • Nurse practitioners, physician assistants, certified registered nurse anesthetists, clinical nurse specialists
  • Physical therapists, registered dietitians, occupational therapists, speech-language pathologists, clinical psychologists, audiologists, and nutrition professionals

Note: If you participate in MIPS 2019 as a group, all members should apply for a hardship exception to reweight the PI score for the group.

Extreme and Uncontrollable Circumstances Exception

CMS states that extreme and uncontrollable conditions refer to the cases in which you have no control over anything or the facility in which you work.

By coming across such situations,

  • Clinicians may be unable to collect data for PI category
  • Clinicians may be unable to submit data to CMS for a long time (For any performance category)

In case of such circumstances, eligible medical practitioners as either individuals or groups can apply for an exception in all of the four categories.

  • Quality
  • Cost
  • Improvement Activities (IA)
  • Promoting Interoperability (PI)

Upon requesting an exception, clinicians must report the category, which was affected by the extreme conditions along with the impact.

Required Information

Eligible clinicians and groups must have the following information:

  • For Virtual Group: VG ID
  • For Group: Group name & TIN (Tax Identification Number)
  • For Individual clinicians: Clinician’s NPI (National Provider Identifier), Group Name, Group TIN

How to Send Application?

Clinicians and groups can send their applications via the official QPP website. The applications must be sent out before December 31, 2019.

Either CMS approves or disapproves of your request for an exception; CMS will notify you. The approval status will also be updated on the physician’s profile (QPP Participation Status Tool).

There’s only a little time left to submit an application for MIPS 2019 hardship exception. Although, CMS doesn’t require supporting data for the application. But, it is advisable to retain any important information in case CMS asks for it (for validation or audit).

Learn about 3 Points to Consider Before MIPS 2019 Reporting!

MIPS 2019, MIPS 2019 reporting, MIPS & MACRA, MIPS in healthcare, Quality payment program 2019

5 Key Takeaways from the Quality Payment Program by Year’s End

The Merit-based Incentive Payment System (MIPS) comes under the direct obligation of the Medicare Access and CHIP Reauthorization Act (MACRA), the law that regulates the incentive program across the US. It is the practical start of the value-based care model.

Eligible clinicians (ECs) have a responsibility to report MIPS 2019; they include physicians, osteopathic practitioners, chiropractors, physician assistants, nurse practitioners, and registered dietitians or nutritionists among others. To summarize, providers are to fulfill the low-volume threshold to qualify for MIPS 2019 reporting. Moving on to MIPS 2020, your next goal has its own set of requirements.

MIPS in healthcare gauges a clinician’s performance in terms of care delivery and reduced expenses. In this article, we come to an understanding of five key elements in relation to this program. In fact, the following data correlates with the preliminary data findings released by CMS on July 11, 2019.

  1. Two Branches for Positive Payment Adjustments

The Quality Payment Program (QPP) 2019 branches out into MIPS and Advanced Alternative Payment Models (APMs). Whichever path you choose, it results in incentives for eligible clinicians, clinician groups, and virtual groups.

Furthermore, MIPS & MACRA go side by side; it is the popular track with stats and reports going in its favor. MIPS incentives for 2019 are less as compared to incentives in MIPS 2020. On the whole, the program is evolving, but once it does, it will be the birth of an improved healthcare system.

It divides into four performance categories such as Quality, Promoting Interoperability (PI), Improvement Activities (IA), and Cost. Each category has certain measures that have to be reported through a MIPS Qualified Registry, CMS Web Interface, EHR, or Qualified Clinical Data Registry (QCDR). Not to forget, there is another catch to it in the form of collection types, which are the actual measures according to their submission systems.

  1. Participation Level Increases Each Year

Since the start of the program in 2017, the participation level has gradually increased. It showed an increase from 95% in 2017 to 98% in 2018. Moreover, MIPS 2019 is only going to give us more eligible clinicians participating in it. The whole program suggests progression with higher participation levels across the country.

  1. Small Practices Clinician Participation Status

According to the Centers for Medicare & Medicaid Services (CMS), 90 percent of clinicians from small practices engaged in MIPS 2018 which was 81 percent in 2017. So, that’s a 9% increase.

The primary flexibilities introduced in the Physician Fee Schedule (PFS) rule for the 2018 performance year included an increase in Medicare patient count and Medicare Part B allowed charges.

What did it mean?

It meant fewer clinicians from small practices were eligible to report MIPS in 2018. On the contrary, they decided to report it anyway. It goes to show that the system adjusted itself with practitioners’ convenience.

It was mentioned in a blog post by Seema Verma, Administrator CMS on July 11, 2019.

  1. Advanced APMs Are Not Far Behind

Alternative Payment Model’s (APM) participation level isn’t far behind that of MIPS. CMS reports twice an increase of participants in 2018 as compared to 2017. There were 99,076 total participants in 2017, while the number doubled to 183,306 in 2018. We attribute this jump to new participation opportunities in 2018, especially through ACOs in the Medicare Shared Savings Program.

Even if we are to condemn MIPS in general, I can’t see any downside to opportunities and hope that clinicians continue to grab MIPS incentives year after year.

  1. Spectacular Results So Far

The program collects incentives for the participating clinicians year after year, but the payout occurs one year after the performance year. For example, the payout for MIPS 2017 happened in 2019 in which 93 percent of the participants received positive payment adjustments.

Similarly, MIPS 2018 participants will receive a payout in 2020 which is almost here. CMS reports that 97 percent of the clinicians will be the owner of positive payment adjustments in 2020 based on their performances in 2018.

P3 Healthcare Solutions, Ontario, CA keeps an eye on what goes around as the MIPS performance period 2019 enters the final stages.

MIPS 2019 reporting, Healthcare Solutions, MIPS QPP, MIPS 2020 reporting, MIPS quality measures, Medicare and Medicaid Services, MIPS qualified registry, MIPS consulting services

3 Points to Consider Before MIPS 2019 Reporting

Physicians! It’s time to prepare for the MIPS 2019 reporting period. There’s only a little time left.

This time may be hectic and stressful, even for MIPS qualified registries. But don’t worry, P3 Healthcare Solutions has come up with effective tips to target high MIPS scores.

Let’s be honest, MIPS QPP can be a daunting approach to earn incentives for those who are not careful.

On the other hand, it can be rewarding and tends to appreciate clinicians’ efforts for showing remarkable performance.

Now, the bad performance can’t be blamed over a misunderstanding. It’s been three years since MIPS if you still can’t perform well, you should expect financial setback.

Financial Risk Is Increasing!

  • This year, the performance threshold is thirty points.
  • Financial risk is up to 7%.

You can imagine that the reporting complexities will be higher than the years before. Some people will win this game while others will lose. The only way forward is to strategize beforehand and report according to the specified guidelines.

So, just let’s dig into three important points to consider before MIPS 2019 reporting.

Understand the Criteria for the Minimum Performance

Did you know that only by correctly reporting for Improvement Activities (IA) and Promoting Interoperability (PI) categories can give points up to 40? It is at least 10 points more than the minimum threshold that can save from the penalty.

Speaking about the reporting strategy, keep in mind that this year, PI category data submission has especially been strict. Now, it’s not enough to just say that yes! I did it. You have to provide substantial evidence for the performance.

Pay Attention to MIPS Quality Measure

You might be thinking that if reporting for just IA and PI is enough to save your face, why not just stop there.

But we suggest, NO! You should not only be considering penalties but the goal should be incentives and bonuses.

Striving for better opportunities give margin to stay ahead of game from those physicians, who might only have taken measures to prevent themselves from penalties.

So, working not only to save yourself but to earn incentives and bonuses should be included in strategies, and reporting for MIPS quality measure is an efficient way to do that.

Don’t Wait Until the Very End for Data Submission

CMS – The Centers for Medicare and Medicaid require data for 90 days of PI and IA performance categories. The same is not the case with Quality and Cost measures.

CMS also has a specified timeline in which eligible clinicians can report data to them. However, if you consult a MIPS qualified registry, you are able to save data and make relevant changes from time to time.

March 31, 2020, until 8 p.m. EDT is the last date for QPP MIPS 2019 data submission. During this period, eligible clinicians can also update their data if required. So, until the submission window stays open, you have time to make changes to comply with the CMS requirements to score high in the end.

This strategy reduces the chances of errors and data redundancy. MIPS is a bit complex, but the key to success is comprehending the reporting criteria, which is an easy process when collaborated with MIPS consulting services as P3 Healthcare Solutions.

Small medical practices or hospitals need their time to plan, but a smart strategy can go a long way to maximize returns, optimize time, and efforts.

So, start planning today.

Learn about MIPS quality measures specifications 2019 in a nutshell.

MIPS reporting in 2019, Physical Therapist, MIPS meaningful use, healthcare system, Quality Payment Program, QPP, MIPS Qualified Registry, Medicare & Medicaid Services, Healthcare Solutions, CMS

A Guide to MIPS 2019 Reporting for Physical Therapists

Physical therapists are included as one of the groups of healthcare practitioners eligible for MIPS reporting in 2019. It was time their duties were rewarded with an open heart and a clear head. Physical therapy is a serious branch of medicine that, now, comes in the quality circle of the government where physical therapists (PTs) can receive incentives based on their performances. Moreover, MIPS measures relevant to their line of work highlight the broader spectrum of the US healthcare system.

Merit-Based Incentive Payment System (MIPS), as some of the PTs must already know, is where the disadvantaged gets rewarded equally as one with advantages. By advantages, I mean those clinicians who have to face geographical constraints or practices working in the countryside where there are fewer facilities as compared to ones in the city.

So, a system that speaks of justice is a system that works for people everywhere in the world.

MIPS is a combination of programs such as the Physician Quality Reporting System (PQRS), the Meaningful Use (MU) program and the Value-Based Modifier (VBM). Promoting interoperability (PI) category correlates with the MIPS meaningful use.

The four categories in which the performance of clinicians and clinician groups are measured are –

  • Quality,
  • Promoting Interoperability (PA),
  • Improvement Activities (IA),
  • And, Cost

Generally, PTs will only be scored in two categories in 2019 – Quality and Improvement Activities. The American Physical Therapy Association (APTA) participates actively in every provision of the Quality Payment Program (QPP).

MIPS 2019 Reporting for Physical Therapy Made Easy by P3Care

With the pre-designed MIPS 2019 reporting packages in the form of MIPS Essentials, MIPS Budget Neutral and Benchmark MIPS, P3 Healthcare Solutions is tailor-made for it. Doctors falling across various specialties, now, adopt one of these packages to report data. Their MIPS final scores in the 80s and 90s are a clear manifestation of the efficiency of P3 Healthcare Solutions.

Give it a try by talking to us at this number: 1-844-557-3227.

Being a MIPS Qualified Registry gives us an edge to report with consistency and data completeness. The latter qualifies as one of the factors judging the quality of data by the Centers for Medicare & Medicaid Services (CMS).

The Deadline

Another important factor that keeps us on the edge of our seats is deadlines. In this case, Physical Therapists (PTs) can report MIPS measures until December 21 as far as improvement activities are concerned. However, the submission of Quality occurs all over the year, P3 Healthcare Solutions, Ontario, CA has done it in the past and continues to report MIPS Quality measures for eligible clinicians year after year.

Submission deadlines vary according to the submission types. For those who undergo MIPS claims-based reporting in 2019, the claims must get processed “no later than 60 days after the performance year ends”. Groups using the CMS web interface option have to submit within 8 weeks after the performance year. The time window for this 8-week reporting opens from January 2 to March 31.

As a general rule, participants must submit measures before March 31 of the year after the performance year.

MIPS Consulting Services with Results

Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs) are three crucial branches of health care. All of them can make use of P3Care to report MIPS performance categories, score high, and get a chance at incentives. That’s right. Leverage our services to convincingly compete in the Quality Payment Program 2019.

Improvement Activities (IA) category measures their performance in terms of practice improvement over an elaborate period. Ideally speaking, a MIPS Qualified Registry is suitable for reporting IA for

PTs and OTs as they can work on measures such as enhancing care coordination, expanding patient access to care, and improving patient-doctor decision-making. All of this to land the best score out of a total of 40 points.

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

Please comment to assist the other readers.

2019 mips quality measure specifications, mips by cms, mips 2019, cms quality measures, qualified registry for mips, QPP 2019

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?

MIPS 2019 Reporting Is the Future of Quality Healthcare

MIPS 2019 reporting is a progressive path for the qualitative analysis of the healthcare industry. Through the program, CMS ensures the quality of care by measuring the performance of clinicians.

To stand apart from its competitors, P3 Healthcare Solutions is on a mission to promote quality. As proof, Clutch ranks P3Care on their leaders’ matrix. You can also see the names of other successful companies in the health IT sector through this link: https://clutch.co/bpo/medical-billing/leaders-matrix. 

MIPS 2019 Reporting Requires Critical Thinking

A MIPS Qualified Registry allows only the registry-specific measures; for every submission type, there is a list of acceptable measures.

Merit-Based Incentive Payment System is one of the tracks of the Quality Payment Program (QPP) with the Alternative Payment Model (APM) as the other one. Both of these value-based reimbursement models have their own benefits. To be honest, most eligible clinicians choose MIPS 2019 as their payment model.

Testimonials

Clutch.co reports P3 Healthcare Solutions to be one of the leading organizations in medical billing. Reviews are an interpretation of the quality and performance of an organization, and if they are in favor, the company gathers worth.

Founder, SunCoast RHIO, Lou Galterio says, “P3 Healthcare Solutions enables our providers to get paid faster, and they make billing consistent and reliable”.

He continues his interview with Clutch by declaring:

“They’re incredibly responsive, answering my questions on the weekends and at night. We’re a few hours ahead of them, but they still answer our calls, even when it’s early in the morning for them. They’ve also trained some of our internal team to understand their products.”

There is a famous saying, “All is well that ends well”. It means client satisfaction is the only factor that stands between performance and non-performance. If a client is happy, it is the maximum output of a company – the ultimate criterion that matters in the end.

Essentials to Report Quality Measures in 2019

Quality is one of the four performance categories of MIPS 2019. It carries 45% of weight toward the final score. Contrary to that, it was 50% weight back in 2018.

Why is there a difference?

It is an effort to reduce the burden of MIPS 2019 reporting requirements of eligible clinicians according to the proposed rule.

First, to fulfill the Quality category, ECs have to undergo MIPS 2019 reporting over a span of 12 months.

Second, there are four ways to submit quality measures:

  • Electronic Clinical Quality Measures (eCQMs);
  • MIPS CQMs (Previously “Registry Measures”);
  • Qualified Clinical Data Registry (QCDR) Measures; and
  • Claims-based measures for small practices

Reporting as a Group

With the condition to report as a group of 16 or more clinicians, under the 200 Medicare beneficiaries criteria, the administrative claims-based all-cause readmission measure will automatically count as the seventh measure.

To stay on top of MIPS 2020 reporting, the Qualified Registry option is the most feasible option.

With P3Care as your third-party intermediary, you, as a healthcare professional, can focus on your patients. We become part of your cure to people in distress.

The Case of Specialty Measure Sets

MACRA MIPS never falls short of requirements. ECs, as individuals and groups, have the flexibility to choose between a specialty and subspecialty measure set.

Note: Generally, each eligible clinician is required to submit at least six measures in a specific measure set while CMS Web Interface users have to report all the 10 required quality measures for the full year (January 1 to December 31, 2019).

Value-based care enters the third year successfully and CMS tones down the reporting requirements for clinicians. CMS faces the challenge of physician burnout; they took down some of the measures to reduce their burden. In this way, they can look after their patients in a better way. The lack of patient association and engagement is attributed to difficult EHR handling.

Follow us on LinkedIn https://www.linkedin.com/company/p3-healthcare-solutions for a solid knowledge base in American healthcare.

What do you think is a common problem clinicians will likely face in MIPS 2019 reporting?

Switching to Cloud Isn’t Easy for Pharmaceutical Industry

The modern healthcare industry is the amalgamation of technology and medical services. With this growing trend of health IT, data security and privacy have become the main concerns for physicians. Be it, medical billing, MIPS & MACRA, electronic healthcare records (EHRs), digital collection and storage have taken the paramount place.

To take advantage of technology and to support MIPS in healthcare, pharmaceutical companies are interested in going cloud-based. However, they want surety to have a secure transition, which is not as simple as it seems.

The professional mapping of the data flows, frameworks, and technology implementation requires amazing efforts. While doing all this, a proactive approach, anticipating the potential threats is compulsory.

What steps should be taken to have a safe cloud-based technology?

  • Take Measures for Security Breaches

Same as physicians have to protect patients’ data, and other sensitive information from hackers in the MIPS program, the pharma industry has to pay attention to security threats.

It is estimated that during the shifting process of the hand-written data to the cloud-based database, many incidents of data breaches will be experienced. Security experts that are well-aware of the data sensitivity and actively take measures against breaches are one of the major hurdles in implementing this migration.

A connected and heterogeneous cloud-based storage system is a complex process. Therefore, not just a secure database is to be designed but also with an efficient backup system.

Security failures can only be prevented when there will be the right personnel with the right expertise for this job.  Therefore, before moving towards cloud-based technology, the pharma industry needs to have a proper execution plan.

  • Be Prepared To Manage Risks

Translating the manual database to a cloud-based database may disturb the entire pharma company. Therefore, the calculation of the internal and external risks is equally important for the effective functioning of cloud-based technology in the pharmaceutical industry.

A reasonable solution is to convert data step-by-step until the whole staff gets comfortable with it. Test the cloud technology implementation and highlight errors that don’t meet the standard. Manage risks and measure return-over-investment.

  • Research about the Implementation Protocols

Pharma industry will not just face problems regarding the right technology.  In addition, it needs to research all the pros, cons, and the working process of technology implementation. Vulnerabilities come across as major setbacks in an efficient running system. If there will not be a proper channel or sequence of operations to enter, fetch, and share data from the system, what will be the point?

In order to support MIPS in healthcare, which is one of the leading value-based incentive programs, pharma companies need to have a front role in understanding all the implementation details.

The Healthcare industry is already sensitive, and pharma being its part can’t be separated from its rules and obligations. There is a reason that the regulatory authorities highly govern this industry.

SaaS – Software as a Service model is getting popularity in the pharma industry. However, there is a need to develop the understanding that the implementation of cloud-based services without seeing the capability of the system will cost more than ever.

Thus, flexibility is required but with the hint of sensibility to predict different case scenarios and the associated cost to check if this is the best-suited solution.

Surely, the pharma industry should move forward with the changing times. Nevertheless, the change should be transitive and be able to generate constructive results while making sure of all the security aspects.

In your opinion, what steps should be taken to ensure the reliable implementation of cloud technology in the pharma industry?

https://www.linkedin.com/company/p3-healthcare-solutions

A 2019 Guide to Top-rated Podiatrists in New Jersey (NJ)

The senior population of America is expected to grow in the upcoming years which means more people’s ankles and feet are at risk. We must look for ways to deal with this situation before it gets too late. In fact, one of the ways to achieve better care coordination is to lace the healthcare industry with the best podiatrists not only in New Jersey but in every state.

How many of you agree with this notion? I am hoping plenty!

The younger generation’s help could actually play be a gamechanger in this whole scenario. They are young, energetic, and result-driven, one push in the right direction could lead us to a better care environment. Ultimately, however, the responsibility falls on the shoulders of practices and care teams to show capabilities of healing on every patient they treat. The reason we want the best podiatrists in New Jersey is that it is not only a matter of health but to save a generation.

On the other side, the field of podiatry has to comply with the Merit-Based Incentive Payment System (MIPS) moving forward. The incentive program has its own Quality measures and other relevant measures eligible podiatrists are supposed to fall in line with.

MIPS in 2018/19 – The Differentiating Factor

To remain the best podiatrist in New Jersey, clinicians ought to participate in MIPS. MIPS is the program to judge their care credibility. Once they do participate, it is going to show on their resume in addition to the Physician Compare portal. In short, MIPS in healthcare is an evaluation criterion of your credibility as a physician and a healthcare professional. Moreover, the Quality Payment Program (QPP’s) final score at the end of each evaluation period influences the overall reputation of the participating clinician.

The Best Podiatrist in New Jersey vs. Participation in MIPS

The 2019 participation and a score above 70 are worth the incentives in 2021. Despite the selection of the best criteria for measures, talking to a qualified HIT consultant can double the chances of incentives as well as bonuses.

Hence, the trick here is to find experienced MIPS consulting services and share data with them so they can make informed decisions on your behalf. P3 Healthcare Solutions provides such services to clinicians since 2017. If you haven’t tried us, please do give us a call and we’ll do everything we can to get you MIPS compliant.

How to Find the Right Podiatrist in NJ?

The Centers for Medicare and Medicaid Services (CMS) is the federal authority behind incentive programs. At a time when the MIPS track of the Quality Payment Program impacts healthcare outcomes, the ratings on the Physician Compare portal hold the secret to a clinician’s reputation. As a result, the people of America discover the top-rated podiatrists across the country. It is a way to materialize search for the best doctor.

We found a useful link – https://www.medicare.gov/physiciancompare/ – in which patients get to find podiatrists. This link is, in fact, home to providers who currently bill Medicare and participate in the MIPS 2018/19 program.

Admittedly, we Americans, deserve the best care and nothing can make us qualify for anything less.

Authoritative Websites to Facilitate the Search for Podiatrists

As a matter of fact, www.njdoctorlist.com is used to search for doctors and their whereabouts. Here, you will find the top providers registered and credentialed across the state of New Jersey. Authorities also back this initiative in the best interest of locals.

If the weather shows minimal snow and zero warnings of a snowstorm, it is easy to head out to the nearest practice.

Foot and ankle centers in New Jersey cure patients in abundance, especially through these portals.

In general, the website for the American Medical Association (AMA) furnishes DoctorFinder and finds the best doctors in town for patients in NJ.

As patents, they don’t need any introduction and Google promotes them by default.

Big Names in the Industry

The US healthcare industry passes through a critical time when the clinicians gradually ascend towards value-based care and adopt the cost-saving methods nationwide. Compliance is applicable to them if they pass the eligibility criteria.

MIPS Quality measures for podiatrists include obligations that are mandatory for every physician with a few exceptions. We will cover them in detail in the upcoming articles.

According to Google and webpages on the first page, there are many physicians making the list of top podiatrists in New Jersey.

The foot and ankle specialists of New Jersey include names like:

  • Dr. Eric J. Abrams
  • Dr. Craig A. Shapero
  • Dr. Jordan Drucker
  • Dr. Stephen Guiliana
  • Dr. Nicholas R. Taweel
  • Dr. Jerry A. Silberman

The top 6 podiatrists according to ratemds.com, another gem of a website mentions them with grandeur.

The deadline for MIPS 2018 data submissions, April 2, 2019, continues to be a constant reminder. If you are a podiatrist who has MIPS reporting pending, call 1-844-522-3227 for immediate assistance.

Highlighted Aspects Of Medicare Usage Of EHR Technology For Hospitals!

The healthcare industry emphasizes on value-based medical services to patients with the correct use of technology and innovation. The purpose is to empower physicians’ RCM and patients with the right to choose quality care services. MIPS is a great addition in this context. It allows physicians to take small steps towards a better healthcare system. However, along with MIPS, the Medicare EHR incentive program also shares the responsibility with the same approach.

Since many hospitals don’t use EHR technology until now. However, the healthcare industry will only progress forward in a secure environment when using the latest technologies. For encouraging physicians and boosting their RCM, The American Recovery and Reinvestment Act of 2009 (ARRA) initiated a program under Medicare. It was to facilitate eligible physicians to use the Certified Electronic Health Record (CEHR) technology meaningfully.

CMS named this program as Medicare Promoting Interoperability (PI) since last year. MIPS also contains this category featuring the benefits of this program, ensuring advancement in healthcare services with the appropriate use of EHRs. This measure appreciates interoperability efforts and applauses for allowing reasonable access of patients to information.

What if Clinicians don’t meet the Promoting Interoperability (PI) criteria!

Healthcare organizations that don’t illustrate the correct depiction of PI will not get payment adjustment for the respective year.
Healthcare, which participates in both incentive programs i.e; Medicare and Medicaid EHR programs can subject to payment adjustments only when it demonstrates the true value in its reporting.

Reporting Criteria for EHR Incentive Program

Prior to 2018, physicians demonstrated EHR use via either CMS Medicare EHR Incentive Programs Attestation System or the state’s attestation system. Now, QNet System confirms the EHR meaningful use and payment adjustments are calculated via a formula specified by the CMS.

What Expectations Should clinicians have for payment adjustments for 2019?

Eligible healthcare organizations, which are not meaningful EHR users, get payment adjustment as a reduction to the applicable percentage proportional to the Inpatient Prospective Program System (IPPS). Thus, it reduces the IPPS standardized amount of healthcare centers.

What are the hardship exceptions?

MIPS and the EHR meaningful uses

Eligible hospitals can avoid negative payment adjustments through hardship exceptions on day-to-day scenarios. Sometimes, CMS itself determines that eligible healthcare falls in an exceptional case.

To apply as an exception, clinicians or hospitals can get information on the official CMS website.

https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html

Given below are the categories for hardship exception cases.

1. New Eligible Healthcare Organizations

Healthcare organizations having new CMS Certification Numbers (CCNs) and insufficient time to submit data can get relaxation for 1 year.

2. Infrastructure Liabilities

Eligible hospitals having no Internet access in their operating area or with insufficient resources to meet the threshold of EHR meaningful use.

3. Unexpected Circumstances

In the case of natural disasters or unforeseen conditions.

4. Vendor Related Issues

Hospitals can apply for this category when they encounter EHR vendor issues to obtain a certification or due to related delays.

What will physicians get in return for their efforts?

  • The foremost purpose is to avoid negative Medicare payment adjustment, and thus revenue cycle management becomes efficient, supporting all the financial matters.
  • The healthcare system improves, and the transparency travels across the board from a higher level to a lower level.

Thus, EHR technology is not just about technology incorporation but a way to fill gaps between patient and physician. Moreover, the advancement in its context helps in successfully submitting clinical data for MIPS as well. Consequently, the healthcare industry flourishes.

Consult the official CMS website for further information https://www.cms.gov EHRIncentivePrograms

Or, visit our LinkedIn page

https://www.linkedin.com/company/p3-healthcare-solutions

Key Points:

  • EHR incentive program
  • The result when not submit data for this program
  • Payment adjustment criteria
  • Hardship exceptional cases
  • Advantages