Providers preparing for MIPS
Physician Practice Insider, July 12, 2016
The College of Healthcare Management Executives (CHIME) considers the Merit-Based Incentive Payment System (MIPS) a good opportunity for CMS to address several issues surrounding quality reporting guidelines, as well as some long-standing issues with meaningful use.
In a November 2015 letter to CMS, CHIME outlined several potential issues with MIPS and possible solutions.
“Two key pieces to advancing new payment models will be streamlining the MU [meaningful use] program and quality reporting requirements,” the letter stated.
“CHIME strongly supports creating a pathway for MU whereby physicians are moved to a more flexible regulatory model and away from a ‘pass or fail’ construct. Additionally, the complexities associated with quality reporting should be reduced to bring the value intended under the new models of care.”
CHIME said CMS should use the upcoming changes associated with the Medicare Access and CHIPS Reauthorization Act of 2015 (MACRA) and MIPS to streamline reporting guidelines for physicians. “Many CHIME members submit more than 20 reports across federal, state, and private sector programs for various clinical quality measures (CQM) each month. Hours of work and expertise are required to comply with these reporting demands and such burdens are exacerbated by a lack of technical harmonization. In other words, even when the same CQMs are used among different programs, they tend to require different technical specifications. The goal should be to eliminate duplicate quality measures and reporting requirements.”
This article was originally published in Physician Practice Perspectives. Subscribers can read the full article in the July 2016 issue.
Related Products
-
Physician Practice Perspective
Physician Practice Perspective subscribers can find the archive of issues on the Part B News website. Find more information...
-
Medical Environment Update
A subscription to Medical Environment Update pays for itself by saving you time sorting through complex regulations and...
-
HealthLeaders Media Physician Leaders
HealthLeaders Media Physician Leaders offers commentaries that focus on the hottest issues for doctors as well as concise...
-
Medical Environment Update - Electronic and Print, 1 year
A subscription to Medical Environment Update pays for itself by saving you time sorting through complex regulations and...
-
Medical Environment Update - Electronic, 1 year
A subscription to Medical Environment Update pays for itself by saving you time sorting through complex regulations and...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Complications from immobility by body system
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Prevent dehydration with nursing interventions
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- Skills of effective case managers
- The consequences of an incomplete medical record
- E-mailed
-
- Complications from immobility by body system
- Reimbursement for Facility and Professional Services in a Provider-Based Department by Gina M. Reese, Esq., RN
- Q/A: Infusions in an interosseous line
- Q&A: Querying for clinical validation of a diagnosis
- Q&A: ’Suggestive’ documentation could require clarification
- Learn how to use repeat procedure modifiers -76, -77 with this quiz
- Hospital Billing from A to Z: 3- and 1-day rules
- Get to the heart of cardiac catheterization coding
- Don't bill 59025, 76818 separately without separate physician orders
- Documentation challenges for skin and dermatology coding
- Searched
