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What Is the Merit-Based Incentive Payment System (MIPS)?

NCG Medical Blog

If you’re a Medicare provider , then you might want to know about MIPS—a healthcare incentive program that helps gather data of quality and performance outcomes over time while rewarding medical practices that demonstrate improvements. This program utilizes a “score” system comprised of four categories.

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OIG Greenlights Specific Arrangement Involving Gift Cards Offered by Consulting Firm to Physician Practices in New Advisory Opinion

Hall Render

The Requestor’s services further include offering physician practices training related to the Medicare Merit-Based Incentive Payment System (“MIPS”), which could result in higher Medicare reimbursement to the Requestor’s clients. Hall Render blog posts and articles are intended for informational purposes only.

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ACOs prepare for eCQM quality reporting

MRO Compliance

This transformation aims to enhance patient care quality and better align ACO reporting with the Quality Payment Program (QPP) Merit-Based Incentive Payment System (MIPS). These organizations received concessions from CMS to serve as early adopters and test the system. Reduce redundancy.

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The History of Healthcare Compliance

MedTrainer

At its core, healthcare compliance ensures the quality of care, patient safety, and integrity of healthcare systems. Affordable Care Act (2010): The ACA introduced the concept of value-based care, emphasizing quality and patient outcomes over quantity of services. Compliance evolved to include performance reporting and quality metrics.

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New Marketing Possibilities for Vendors Contracted with Medicare Providers and Suppliers Following OIG’s Favorable Advisory Opinion on Limited Referral Bonuses

Healthcare Law Blog

workflow assessment, data analytics, electronic health record consulting, compliance monitoring, biannual Medicare Merit-Based Incentive Payment System (“ MIPS ”) eligibility checks, annual MIPS-related training, auditing MIPS-related performance measures, and MIPS data submission support).

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CMS prior authorization rule finally crosses the finish line

Redox

Two and a half years ago I wrote my first blog at Redox. While most of the rule focuses on payer requirements, it also requires that Merit-Based Incentive Payment System (MIPS) “Promoting Interoperability Program” eligible providers report on their use of Prior Authorization APIs in a new “Electronic Prior Authorization” measure.

HIPAA 59
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CMS Imposes New Requirements on Payers to Improve Prior Authorization Process and Payer, Patient and Provider Communications

Hall Render

The Final Rule also imposes additional reporting requirements under the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals and for eligible clinicians reporting under the Promoting Interoperability performance category of the Merit-Based Incentive Payment System.