A 2019 GUIDE TO TOP-RATED PODIATRISTS IN NEW JERSEY (NJ)

The talk about podiatry or medicine that relates to podiatry is common in households in the US. We have a growing amount of aged population, and that means the feet and ankles are at risk. Moreover, the younger generation needs help in this regard at times. Since it is our health on the line, we want the best podiatrists in New Jersey and the best medical care in general.

In an era of value-based care, podiatry has to deal with the Merit-Based Incentive Payment System (MIPS) before anything else. The track offers MIPS Quality measures and measures for other performance categories for podiatry. To enable maximum participation of podiatrists in MIPS 2018/19, P3 Healthcare Solutions facilitates reporting duties for them. If you are a podiatrist in New Jersey, please find and follow us on LinkedIn – https://www.linkedin.com/company/p3-healthcare-solutions.

MIPS in 2018/19 – The Differentiating Factor

 In order to remain the best podiatrist in New Jersey, you ought to revisit your participation level in MIPS. MIPS in healthcare is an evaluation criterion of your credibility as a physician and a healthcare professional. The Quality Payment Program – QPP’s final score at the end of each evaluation period publishes on the Physician Compare portal and influences your authenticity as eligible professionals.

The Best Podiatrist in New Jersey vs. Participation in MIPS

The 2019 participation and a score above 70 out of 100 can get you incentives and a vote of confidence in 2021. Despite the selection of the best criteria for measures, talking to qualified HIT consultants paves the way for incentives and bonuses. Therefore, staying in touch with organizations trained to provide value to your practice under MIPS turns out to be a wise decision.

How to Find the Right Podiatrist in NJ?

The million-dollar question that is worth answering any time of the day!

We have an authorized entity in the form of CMS – Centers for Medicare and Medicaid Services. At a time when the MIPS track of the Quality Payment Program impacts healthcare outcomes, the Physician Compare portal is worth a shot. You’ll be able to pinpoint top-rated podiatrists nearby. It is a way to materialize your search for the best doctor.

Find the best podiatrist through https://www.medicare.gov/physiciancompare/ – An official Medicare resource of providers who currently bill Medicare and participate in the MIPS 2018/19 program.

Your health deserves the top podiatrist and nothing can make you qualify for anything less.

Authoritative Websites to Facilitate the Search for Podiatrists

One of these websites is www.njdoctorlist.com.  Here, you will find the top providers registered and credentialed and the State of New Jersey back them up in the best interest of the 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 have a knack of curing patients, especially the ones found through these portals. The stamp of authenticity is enough to satisfy the patients while the cure speaks on behalf of the treatment.

American Medical Association (AMA) supports DoctorFinder and finds the best doctors in town for patients in NJ.

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

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.

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.

HOW MIPS CAN BE AN ACCEPTABLE PROGRAM FOR CLINICIANS?

The argument that CMS needs to improve MIPS is a thing in the past. Now, the focus is on “how to devise ways that actually implement the change and stands true to its promise of a better healthcare system.

Let’s admit there is no standard way for any quality payment program to hit bull’s eye in its starting years. When a program is initiated and tested in a real-time environment, it gives insight on the actual performance and capability of the program; the same is the case with MIPS. Since, its first year in 2017, physicians are raising questions against its payment model.

Many leading healthcare organizations have proposed ideas that might help CMS to overcome related issues.

Reduce Un-Necessary Administrative Work

It is observed that there is a lot of administrative work associated with MIPS reporting. There is a lot of data that needs to be collected and managed to submit to CMS. One reason is the primary care and the value-based medical services that quality measures cover. This program can serve to be more physician-friendly if clinicians are not burdened with extensive administrative work.

MIPS solutions consist of elements from three major programs:

  • Physician Quality Reporting System (PQRS)
  • Value-Based Payment Modifier (VM)
  • Meaningful Use (MU)

CMS is working in this context and simplifying this quality payment program with the easy amalgamation of all elements.

However, clinicians are not satisfied and still face administrative burden while quality reporting. Most of the physicians have reservations regarding the relevance of MIPS quality measures to the program. Quality measures have been a special concern for surgeons because they have been evaluated on patient’s immunizations. This approach is particularly un-necessary for surgeons and reflects poorly on the intention.

Past president of The American Medical Association (AMA) David O. Barde, has provided with a list of suggestions in this regard.

  • Reduce the number of measures for which a physician can report.
  • Re-expand the definition of a facility in MIPS reporting to include all healthcare service providers; no matter wherever they are, such as post-acute care center.
  • Set a 90-day performance period for all MIPS measures.
    This way, physicians will be able to invest their energies in the right direction that is, on their patients.

Rethink and Modify Promoting Interoperability (PI) Category for MIPS

Promoting Interoperability (formerly known as Advancing Care Information (ACI)) performance category tests physicians’ patient the most. Via this category, CMS has tried to encourage physicians to incorporate certified usage of EHR technology.

According to some physicians, this category focuses entirely on EHR technology, instead of actual advancement in the healthcare system. However, they need to shift their focus on actual usage of technology and to translate digital health information on patient level. Only this way, the PI category will stand true to its name.
The reporting requirements for this quality measure should also be modified to make this category more useful for physicians.

Implement MIPS to its True Potential

MIPS has the potential to bring advancement in the healthcare industry. However, with the final rule of QPP for MIPS 2019, around 58% of the physicians are already excluded to even participate in this program. It will result in fewer payment adjustments for physicians who improved their healthcare quality.

According to the CMS, with higher reporting criteria, non-eligible physicians will have more time to improve their quality to the maximum level. Nevertheless, the question remains that the purpose of this program is to pay clinicians for their investment in medical practice, not to judge their improvement rate until it reaches a certain level.

In addition, small medical practices have fewer resources, therefore; their performance should be analyzed separately from large healthcare organizations. This will stir the air in the healthcare industry and encourage physicians to move towards valuable healthcare.

Many healthcare organizations want to target incentives and bonuses but due to the inflexibility of the program, they can’t strike on the right target. By acknowledging the resources and the improvement made by the medical practice, MIPS should recognize the efforts one made to comply with the burdensome MIPS reporting.

To receive the latest updates on the healthcare industry, follow us on LinkedIn – https://www.linkedin.com/company/p3-healthcare-solutions

REQUEST YOUR 2016 PQRS FEEDBACK REPORT

If you haven’t so already, now is the time to request your PQRS feedback report for 2016, and see if you can apply for an informal review performed by P3Care.

Did you know a Medicare penalty is put in place for those who do not apply for an informal review, which will take effect in 2018! The absolute deadline to request your feedback report is December 1st, 2017. The feedback report will illustrate your 2016 PQRS reporting results and indicate if you are subjected to a positive, neutral, or negative payment adjustment for 2018. Based on the 2016 quality reporting results, you will also receive information on how individual and group providers have performed on quality and cost measures through the Annual Quality and Resource and Use Reports (QRURs). The objective of the PQRS feedback report is to ensure you have the necessary information for a positive outcome on future Quality Payment Programs (MIPS). The feedback report also consists of comprehensive information regarding the overall quality of healthcare provided to Medicare patients and cost performance. You are also given the opportunity to have your results reviewed if you believe there has been a miscalculation in the value modifier adjustment; you must make this request by December 1st, 2017.

Apply Today!

Don’t worry if you’re subjected to a negative payment adjustment for 2016; it’s never too late to get back on the right track with P3Care! The primary reason to replace the previous PQRS, and introduce the new and more effective MIPS was so providers can submit data by picking a pace that is best suited for their practice and focus on providing quality care at the same time. There is still enough time to take part in this year’s QPP and avoid a negative payment adjustment for 2019. P3Care is dedicated to improve your quality reporting and help you take full advantage of the remaining MIPS year. Our consultants will assist you every step of the way, and make sure you submit at least one quality measure for 2017 to help avoid further negative payment adjustments. The deadline is fast approaching, contact P3Care today for assistance in requesting your 2016 PQRS feedback report and to avoid a Medicare penalty.

909-245-8350 (P3 Client Service).

MACRA & MIPS: A CLOSER LOOK

MACRA

Talking about MACRA & MIPS, it is important to learn that in 2016, MACRA (Medicare Access and CHIP Reauthorization Act of 2015) was officially introduced, ruling out the existing and outdated Sustainable Growth Rate method. Previously, providers received payments based on the number of Medicare patients they provided care to; rather than being paid for the quality of care they provided. Not only was this method proven to be ineffective for the patients, but drastic effects were observed when it came to receiving financial support for Medicare expenses. Treating a high volume of patients (quality or no quality) basically meant higher payments for providers. MACRA established a Quality Payment Program (QPP), a method that will motivate providers to deliver well thought out quality care to patients by rewarding them with payment adjustments. Eligible providers are able to choose one of two pathways in the QPP, MIPS (Merit-based Incentive Payment System) or APMs (Alternative Payment Models).  An estimated 500,000 providers will be eligible to participate in the first year of MIPS. The amount MACRA will provide for positive payment adjustments is quite overwhelming, up to 3 billion dollars in the next six years! Let’s take a closer look at MIPS, and how P3Care can provide you with consulting services to ensure you understand how to take full advantage of this new and improved payment process.

MIPS

In order to take part in MIPS, you must meet the requirements associated with Medicare billing (Part B). Selecting this route of the QPP focuses on receiving payment adjustments based on the specific data you have submitted. For the 2017 transition year, there are three different categories. To help better understand how you’ll be scored under MIPS, specific weights are given to each category. This will allow you to divide your attention accordingly. You will also need to determine if you are participating in MIPS individual or as a group. Here’s a closer look at the MIPS performance categories for 2017.

·         Quality

60% of the data submitted will pertain to this category; signifying the main purpose of eliminating the previous method, and implementing MIPS. In this category, providers which practice solely are required to report up to 6 quality measures (out of 271), which are the most associated with their specialty. Clinicians will be scored based on the number of days they have submitted data for (read more below), along with accuracy and completion of all the required specifications for each measure. Closely assessing each measure helps determine if high-quality healthcare goals are achieved. The total number of points earned on 6 quality measures + any bonus points will determine your final score of the Quality category.

·         Advancing Care Information

Taking up 25% of the total MIPS score, this category replaces the previous Meaningful Use program. You’ll need to select one of two reporting measure sets, depending on your EHR edition. Each option is composed of different measures; therefore it’s essential you only report on which option relates to you. There are three subcategories that will determine you’re the total score for this category, they include Base Score, Performance Score, and Bonus Score. Failing to complete all of the requirements in the Base Score category will result in a 0 in the overall Advancing Care Information category.

·         Improvement Activities

The remainder of the score (for 2017) will come from the Improvement Activities category, weighing at 15%. This category allows CMS to determine if clinicians are improving clinical practice to its highest potential. A few key aspects include providing quality care by involving the patients in decisions,  continuous coordination between provider and patient, providing self-management techniques, patient/family education, providing follow-ups, using safe technology, and being reasonably accessible. You’ll have the opportunity to choose from a variety of activities, that best suit your practice, to report data on. Each activity is categorized as either has High or Medium; high weighted activities are worth more points. Individual Medicare providers will need to submit data on up to 4 activities for a minimum of 90 days, in order to earn full potential points.

Cost

In the last but not least, Cost is the fourth category, upon which physicians’ MIPS score is based upon.

Physicians don’t have to report separate data for cost category. However, CMS calculates this MIPS quality measure by analyzing the submitted administrative data.

For the year MIPS 2017, the cost category had a value of 0% in the final scorecard. MIPS 2018 was the first performance year in which, the cost was set for 10%. This score accounts for the lower cost expenditure while physicians provide high-quality healthcare services to patients.

Right now, we are passing through MIPS 2019, which is the 3rd year of this value-based program.  The cost-quality measure is a significant part this year as well and accounts for 15% of the final MIPS score.

MIPS is running quite successfully with more and more clinicians taking part in it every year. Its impact on the healthcare industry is progressive and physicians upon realizing its importance for revenue cycle management are subject to adopt modern and cost-effective healthcare ways.

MIPS 2017 – THE P3CARE WAY

MIPS Consulting Services

At P3Care, we understand the importance of participating in MIPS and achieving positive outcome goals. We go the extra mile, to ensure we are there to assist you every step of the way, no matter how big or small your practice is! From determining eligibility to explaining MIPS core requirements, to providing progress reports, we are committed to eliminate the stress associated with performance data and allow you to focus on providing high-quality care to patients. P3Care’s analysts and consultants are trained and have comprehensive experience with Medicare Quality Care Programs. Our professional team of consultants will closely work with you to determine which quality measures are best suited for your practice. In addition, we will apply all applicable codes to claims, provide you with monthly analysis and feedback reports, submit your performance data to Medicare by appropriate deadlines, and provide you with the best solutions to gain a positive or neutral payment adjustment.  There is still time to avoid a negative payment adjustment for the transition year 2017. Contact P3 today to find out how!

P3Care Tips on MIPS

  • Selecting measures that are the most applicable to your practice plays a key role in earning positive or neutral payment adjustments.
  • P3Care will go out if its way to make sure you earn full potential points in all the categories, along with bonus points!
  • Submit at least one quality measure or improvement activity, to avoid a potential -4% payment adjustment.
  • P3Care helps you in the distribution of work connected with the demonstration, making sure you have maximum time for patients. If you ignored quality reporting in the past due to workload, P3 is the place for you!

DEADLINE TO PARTICIPATE IN MIPS 2017

DON’T DELAY! DEADLINE TO PARTICIPATE IN MIPS 2017 IS OCTOBER 2ND!

Have you thought of participating in the MIPS (Merit-based Incentive Payment System) program this year, but believed it was too late? Don’t worry, there’s still enough time! The MIPS transition year started January 1st, 2017 and goes through to December 31st, 2017. You’ll need to begin your 90 consecutive days of data collection no later than October 2nd, 2017 in order to be eligible for a neutral or positive payment adjustment. Contact P3 to ensure all applicable data codes are applied to your claims starting no later than October 2nd.

To earn the maximum payment adjustment, it is best to submit data for a full year. If you choose not to submit any 2017 data, you will receive a negative payment adjustment which will go into effect January 1st, 2019. Don’t be discouraged though, if you only submit for 90 days there is still the opportunity to earn the maximum adjustment. Don’t delay, October 2nd is just around the corner, contact your P3 consultant today!

HOW TO PARTICIPATE:

For 2017, you can participate in one of three ways:

  • Submit data covering a full year
  • Submit data covering at least a consecutive 90-day period
  • Submit a minimum amount of data (<90 days)

The MIPS 2017 reporting categories consist of Quality, Advancing Care Information, and Improvement activities; all which require immense attention and may be time-consuming. Our experienced team of analysts and consultants at P3 are dedicated to reporting the high-quality care you have provided to Medicare patients. We take all the necessary steps to ensure providers are eligible for earning the maximum adjustment including, selecting all applicable quality measures and applying quality data codes to claims.

Time is running out! If you plan on submitting less than 90 days of data you must do so before December 31st 2017 to avoid a negative payment adjustment. Contact our experts at P3 at 909-245-8350 for further guidance. We can provide you with solutions that will increase the chances of a positive outcome.