The Quality Payment Program started on January 1, 2017. Prior to the QPP, payment increases for Medicare services were set by the Sustainable Growth Rate (SGR) law. This capped spending increases according to the growth in the Medicare population, and a modest allowance for inflation. However, as clinicians increased their utilization of services, the reimbursement […]

Join HITECH Answers and SA Ignite as we continue our series of webinars on Thursday 11/8 at 2pm. Register and hear expert Tom Lee discuss the details of the CMS final rule for 2019 participation in the QPP.

This Thursday, join HITECH Answers and SA Ignite as they continue their series of webinars on the details of the CMS Quality Payment Program. Register Now!

By Kaitlyn Houseman – CMS is conducting the 2018 Burdens Associated with Reporting Quality Measures Study, as outlined in the Quality Payment Program Year 2 final rule (CMS 5522- FC).

By Kate Goodrich MD – CMS is pleased to announce a new funding opportunity for the development, improvement, updating, and expansion of quality measures for use in the Quality Payment Program.

This paper includes information from the CMS rules and updated with 2018 information from the Bipartisan Budget Act of 2018 with 10 FAQs answered.

By Jim Tate – For the 2017 MACRA & MIPS reporting year the greatest impact on an Eligible Clinician’s MIPS score will be the Quality Category. CMS provides the following instructions:

By Anshu Jindal – The MACRA 2018 Final Rule for year-two of Quality Payment Program was released recently. Some changes were retained from the 2018 proposed rule, some were deferred till 2019, while in some cases the approach outlined in the 2017 Final Rule was adopted instead.

Recent shifts in healthcare reimbursement models have trended away from a fee-for-service payment system, and instead tied payments to the quality of care provided. These shifts provide opportunities for HIM professionals to help physicians code more completely and precisely.