Are you using the most advanced technologies (Analytics, AI and Automation) within your billing environment? Are revenue cycle firms a godsend or an added expense? Do you enjoy the daily business of medicine? Not the world of patients and symptoms, but the domain of claims, collections, receipts, and reports, for which there is woefully little training in the medical school curriculum. If you don’t, you are not alone. Thousands of providers have effectively delegated their entire financial operations...

Based on the Final Rule which was published in November 2018 the following is material pertinent to the Quality and Cost categories: Quality Category The Quality category carries a weight of 45% of your total MIPS score as compared to 50% last year. Claims-based measures can only be submitted by clinicians in a small practice (15 or fewer clinicians). This is the first year that claim submission has been limited by practice size, whether participating individually...

CMS released the 2019 Quality Payment Program Final Rule early November 2018.  Below are highlights of some of the key provisions for Year 3 (2019) of the QPP MIPS program that will go into effect 1/1/19. These are overall changes to the program in 2019. Changes to the MIPS performance threshold and the exceptional performance bonus: The MIPS performance threshold will double in 2019. MIPS eligible clinicians and groups will have to earn at least a...

Promoting Interoperability (PI) Performance category Of the four categories under MIPS, the PI Performance category will see the most change in 2019. The PI category carries a weight of 25% of your total MIPS score which is the same as the 2018 reporting period. In the 2019 reporting period eligible clinicians are required to a 2015 Edition CEHRT. There is no longer an option of using an earlier edition of CEHRT. CMS has eliminated the “base,...