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5 tips to get your patients to take flu shots, earn reimbursement for your practice

10/31/2016

Happy flu season! Every year around this time, physicians push to have more of their patients get vaccinated – and earn the practice up to $42.72 for each shot, according to recently released flu vaccine prices. But what makes it happen? Here are five tips:

5 tips from QPP final rule to prepare for the first year of MIPS

10/31/2016

by: Roy Edroso

Use these insights from expert analysis of the 2,200-page Quality Payment Program final rule to come out ahead in the new system:

Scoring boost, value-based dollars back up the medical home model

10/31/2016

by: Richard Scott

You’ll find some added comfort as a patient-centered medical home (PCMH) in 2017 under Medicare’s coming Quality Payment Program (QPP), including automatic scoring on a slice of quality reporting and perhaps an easier path to earning extra dollars.

Value-based models tied to 25% of payment, as CMS expands scope

10/31/2016

by: Richard Scott & Roy Edroso

While most providers operate in a strictly fee-for-service world, a new study shows that value-based models are gaining ground — in 2016, about 25% of payments made in commercial, Medicare Advantage and Medicaid plans are funneled through an alternative payment model (APM).

The Stark Reality: Costly mistakes with collections, contract review, communication

10/31/2016

by: Mick Raich

The latest revenue audit findings from Stark Medical Auditing and Consulting.

Denials follow sloppy use of flu vaccine codes in past 5 years

10/31/2016

by: Roy Edroso

Watch out before you bill for flu shots for the fall: Just because a code for a vaccine is on Medicare’s books doesn’t mean you’ll get paid for it.

Report few measures to meet minimum MIPS threshold, avoid dings

10/24/2016

by: Roy Edroso and Richard Scott

You’ll find relaxed reporting requirements for year one of the federal Quality Payment Program (QPP) as CMS appears to be taking a toned-down approach to kick off its new era of quality reporting.

Already reporting quality? Go big on MIPS, report full slate to gain a payment boost

10/24/2016

by: Roy Edroso and Richard Scott

While CMS set the bar low to avoid practices getting hit with a negative adjustment under MIPS, that doesn’t mean you have to settle for neutral — you can report the max number of measures and gain a 4% pay boost — or much more — in 2019.

MIPS exclusions expected to relieve 57% of providers from quality-reporting duties

10/24/2016

by: Richard Scott

As you prepare to welcome CMS’ new quality-reporting program in 2017, don’t jump out of your seat just yet – there’s a good chance you’ll be excused from taking part.

New APMs, virtual groups a MACRA rule benefit to few

10/24/2016

by: Roy Edroso

CMS is adding more advanced alternative payment models (APMs) to its list of those that can skip the requirements of the merit-based incentive payment system (MIPS), but the list remains small.

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