Relieving Regulatory Burdens on Small Practices and Solo Providers
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2. Regulatory burdens on small practices and solo providers have
never been greater, including MIPS/MACRA, HIPAA, patient-
centric engagement, as well as the need to comply with fee-for-
service and value-based care contract requirements. In this blog,
we will focus on the reduced regulatory burden for MIPS and how
a systematic approach will help you to reduce HIPAA compliance.
What is a Small Practice?
CMS considers a small practice to include solo practitioners and
practices with 15 or fewer providers who bill under the same Tax
Identification Number (TIN). The CMS Participation Status Tool
indicates whether clinicians have small practice special status.
3. MIPS
CMS has simplified reporting for small practices this year so
it is easier to earn 15 MIPS points and avoid a negative 5%
payment adjustment in 2020. There are a variety of strategies
a small practice can utilize to obtain 15 points without
spending a lot of time and resources on reporting.
• More Clinicians Are Exempt
• Small Practice Bonus
• 3 Point Minimum Score for Quality Measures
• Hardship Exception for Promoting Interoperability
• Double Points for Improvement Activities
• Virtual Group Reporting
4. HIPAA
One of the complexities of HIPAA compliance is that it’s not
always clear what’s mandatory and what isn’t. You’ll notice
that certain implementation standards are designated as
required, while others are called “addressable.” Avoiding
violations is best done through a systematic approach.
• Use a HIPAA-Compliant Electronic Health Record
• HIPAA Covered Entities Must Have a National Provider
Identifier
• Protect Your Patients’ PHI
• Lockdown Your Electronic Medical Information
• Know how to handle PHI Breaches by the Book
5. Get in Touch
Medical Billers and Coders
Email : info@medicalbillersandcoders.com
Toll Free no: 888-357-3226
