Category: The Physician Alliance

REALITIES OF THE CMS QUALITY PAYMENT PROGRAM

The knowledge deficit associated with the two CMS Quality Payment Program (QPP) tracks, the Merit-based Incentive Payment System and the Advanced Alternative Payment Models, appears insurmountable among solo and small practices. Practitioners, who care for patients within hospital-based wound centers, are focused on meeting the needs of their patients through the rendering of quality care and … Continued

CMS QUALITY PAYMENT PROGRAM

With the start of 2017, MACRA is now in full swing.  For those of you planning on participating in the Merit-Based Incentive Payment System, please note the following five different options:   Don’t participate – If you don’t send in any 2017 data, then you will receive a negative 4% payment adjustment Test the Quality … Continued

2016 CMS Incentive Program Updates

In 2016 the CMS Incentive programs include: PQRS – Physician Quality Reporting System VM – Value-Based Modifier (tied to PQRS reporting) MU – Meaningful Use Following are updates and notifications from CMS regarding these programs: CMS began distributing letters to eligible professionals (EPs) regarding 2015 Physician Quality Reporting System (PQRS) results. The letter indicates that … Continued

2016 CMS Incentive Program Updates

In 2016 the CMS Incentive programs include: PQRS – Physician Quality Reporting System VM – Value-Based Modifier (tied to PQRS reporting) MU – Meaningful Use Following are updates and notifications from CMS regarding these programs: CMS will soon begin distributing letters to Physician Quality Reporting System (PQRS) individual eligible professionals (EPs), EPs providing services at … Continued

Value-based Incentive Payment Overview

By what metrics do you think you should be paid for the care you provide to your patients?  Medicare thinks it should not be measured by volume.  And there it is; the calculated demise of the Physician Fee-For-Service payment model. Medicare reimbursement is migrating to a value-based care model anchored on both quality outcomes and cost … Continued

CMS Incentive Program Update

Just when we thought we were on track with the CMS incentive (punitive) programs; CMS is once again changing the rules.  Now replacing MU, PQRS, and VBM will be MACRA, MIPS, and Advanced APM. So here is a breakdown of the acronyms: Current MU – Meaningful Use – Electronic Health Record Incentive Program PQRS – … Continued

THE PHYSICIAN ALLIANCE – A NEW PHYSICIAN FOCUSED BLOG FROM WCA

As the Vice President of Clinical Operations for Wound Care Advantage, I value the contributions our physicians make every day in our wound care clinics.   I often find valuable information through internet postings and CMS website updates regarding clinical outcomes, standards of practice, healthcare regulatory processes and reimbursement guidelines. Navigating through the plethora of internet … Continued