Avoiding a penalty in 2018 MIPS: the nuts and bolts

The 2018 Quality Payment Program final rule is here, and the MIPS requirements are increasing toward full implementation in 2019. One of the biggest changes between 2017 and 2018 for providers participating in MIPS is that the threshold for avoiding the negative payment adjustment is jumping up from 3 points in 2017 to 15 points […]

By Able Health on November 30, 2017

Radiology & MIPS Reporting: Everything You Need to Know

Which quality measures will specifically help radiologists secure the most amount of points and avoid penalties? Am I a non patient-facing clinician? What does that mean for my reporting requirements? Should I report at the organization TIN or individual NPI level? These are questions we hear often from radiology groups as they scramble to put […]

By Able Health on November 6, 2017

The 2018 QPP Final Rule Has Arrived

Well, here it is! The 2018 Final Rule for the Quality Payment Program (QPP) was released on November 2nd, 2017 by the Centers for Medicare and Medicaid Services (CMS). Your performance in 2018 will affect your Medicare Part B payments in 2020. Able Health is here to help you navigate the expanding program. Here are […]

By Able Health on November 2, 2017

Help! I can’t find six relevant MIPS measures for my specialty

If you represent a specialty and have had trouble finding relevant quality measures in past year for PQRS or this year for MIPS, there is some good news for you this year. The first piece of good news is that unlike PQRS, MIPS offers partial credit for partial reporting, so even if you report just […]

By Able Health on October 13, 2017

Need to Know: New Physician Star Ratings

“Is it true that doctor ratings are becoming a thing?” Beginning with 2016 PQRS data, and continuing into MIPS, CMS is launching and expanding an initiative to publish public star ratings to help patients and the public evaluate provider quality, referred to as the new “ABC Benchmark.” This is a large and important shift–these star […]

By Able Health on October 3, 2017

Expert Commentary: Nathan Bays on MACRA in 2018

Last week the Centers for Medicare and Medicaid Services (“CMS”) released the 2018 proposed rule for the Medicare Access and CHIP Reauthorization Act (“MACRA”) Quality Payment Program (“QPP”). As proposed, the QPP will bring several changes to clinicians in the 2018 performance year, with implications for reporting and clinical practice in the year ahead. However, […]

By Nathan Bays on July 28, 2017

At long last: The documentation you need for Improvement Activity audits

Improvement Activities is the brand new addition to the suite of measures in the Merit-Based Incentive Payment System (MIPS). Unlike the Quality and Advancing Care Information categories, which are based heavily on previous Centers for Medicare & Medicaid Services (CMS) programs (PQRS and Meaningful Use, respectively,) Improvement Activities do not have a predecessor. On top […]

By Able Health on July 18, 2017

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