Practice Management
Among the proposed changes in the newly released 2019 Medicare Physician Fee Schedule (PFS) is a new urgent care specialty measure set. The Urgent Care Association and the College of Urgent Care Medicine had asked the Centers for Medicare and Medicaid Services to include 12 specific measures, 11 of which were included in CMS’s proposal. The creation of a proper set is expected to help urgent care providers select measures when fulfilling the quality component …
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If you read this newsletter and JUCM, you know the Merit-based Incentive Payment Systems (MIPS) offers a few options in an attempt to encourage participation and allow providers, essentially, to customize their participation to suit their practice. That includes when they start participating, within some limits. And if you read any news sources at all, you know there are more than a few wrinkles in the rollout. With that in mind, here are a few …
Read MoreCorny titles aside, MACRA/MIPS is creating a great deal of uncertainty and anxiety among physician practices, and urgent care centers are no exception. I have seen a lot of urgent care news sources, including this journal, referencing the latest updates from CMS (or recent articles published by other organizations), but urgent care-specific analysis is in short supply. I frequently hear colleagues say, “Medicare is such a small percent of my business, it’s just not worth …
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The Merit-Based Incentive Payment System (MIPS), the EHR incentive program, and other Medicare programs are driving the cost of complying with federal regulations through the roof, according to a new survey from the Medical Group Management Association (MGMA). The group says nearly half of practices in the U.S. spend more than $40,000 per full-time physician to keep up—while 14% say that figure is $100,000 or more per physician. The MGMA says the wide range is …
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The Urgent Care Association (UCA) has petitioned Secretary of Health and Human Services Tom Price, MD to delay implementation of Stage 3 of the Meaningful Use program, as well as “Stage 3-like” measures in the MIPS program, indefinitely. UCA joined with 15 other organizations in crafting a letter that also requested that eligible clinicians not be required to move to EHR technology certified to the 2015 edition. Release of proposed requirements for MIPS and APMs …
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The Centers for Medicare and Medicaid Services (CMS) will ask Medicare beneficiaries how their healthcare providers are doing under the new Merit-based Incentive Payment System (MIPS), which was supposed to help improve the quality of care while lowering cost. No revelations are expected, however, because the survey is voluntary and CMS has taken a relaxed approach to getting providers on board with the new system. In addition, survey results—which, presumably, will be made public to …
Read MoreA new payment system being considered by the Centers for Medicare and Medicaid Services (CMS) will have to make more accommodations for smaller practices—such as many urgent care centers—if there’s any hope of it succeeding, according to comments the Urgent Care Association (UCA) submitted to CMS. In its current form, the Merit-Based Incentive Payments System (MIPS) would require some clinicians to get an exemption from MIPS by participating in an Advanced Alternative Payment Model or …
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The Centers for Medicare and Medicaid Services (CMS) calls it a brand-new platform, while skeptics are saying it’s just the same-old structure with a fresh coat of paint. Either way, CMS is rolling out the Quality Payment Program, which it says will ease documentation requirements for physicians while also providing new opportunities to earn bonuses by providing quality care. Under the program, physicians can receive Medicare reimbursement by participating in either the Merit-Based Incentive Payment …
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