This document summarizes a webinar on simple steps to succeed under the Quality Payment Program (QPP) and MIPS. It outlines the agenda, speakers, an introduction to MACRA and the QPP, details on MIPS requirements and scoring, and how participants can report data. It also describes how Kareo's software can help practices meet MIPS requirements through features for quality reporting, improvement activities, and advancing care.
In order to best prepare our clients for CMS' transition from Fee-For-Service to Fee-For-Value physician reimbursement, we have prepared a summary of the Merit Incentive-Based Payment System (MIPS). The MIPS program will consolidate PQRS, Meaningful Use, and the Value-Based Modifier into a single reporting program in which CMS affecting ≈95% of physicians beginning in 2017.
Mastering MACRA: A Beginner’s Guide to New Reimbursement ModelsCureMD
MACRA is 2 years of work, signed into law in April 2015
Extends the Children’s Health Insurance Program (CHIP) for two more years
Requires Medicare to move away from SSN based Medicare ID numbers
Includes new funding for development and testing of performance measures
Enables new programs and requirements for data sharing
Establishes new federal advisory groups.
(Click the download button for a high-resolution view)
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
Medicare Access and Chip Reauthorization Act (MACRA) is the law that changes how Providers are to be reimbursed. One of the key characteristics is that it rewards Providers based on value and not volume.
In order to best prepare our clients for CMS' transition from Fee-For-Service to Fee-For-Value physician reimbursement, we have prepared a summary of the Merit Incentive-Based Payment System (MIPS). The MIPS program will consolidate PQRS, Meaningful Use, and the Value-Based Modifier into a single reporting program in which CMS affecting ≈95% of physicians beginning in 2017.
Mastering MACRA: A Beginner’s Guide to New Reimbursement ModelsCureMD
MACRA is 2 years of work, signed into law in April 2015
Extends the Children’s Health Insurance Program (CHIP) for two more years
Requires Medicare to move away from SSN based Medicare ID numbers
Includes new funding for development and testing of performance measures
Enables new programs and requirements for data sharing
Establishes new federal advisory groups.
(Click the download button for a high-resolution view)
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
Medicare Access and Chip Reauthorization Act (MACRA) is the law that changes how Providers are to be reimbursed. One of the key characteristics is that it rewards Providers based on value and not volume.
Quality and Outcome Framework (QOF) is a voluntary annual incentive programme for GPs in England, detailing practice achievement results. The primary objective of QOF is to drive the quality of primary care and reduce variations in the quality of care amongst GPs
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
Physician Payment Reforms: The Future of MIPS and APMs – Value-Based Payments...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Lesley Yeung - Value-Based Payments Crash Course Webinar Series - May 16, 2016.
Topics include:
* An overview of the physician payment reforms included in the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”)
* A summary of the Merit-Based Incentive Payment System (“MIPS”) and Alternative Payment Models (“APMs”) Proposed Rule (publication is expected in the spring of 2016)
* Opportunities for provider engagement with the Centers for Medicare & Medicaid Services to shape physician payment reform efforts
http://www.ebglaw.com/events/physician-payment-reforms-the-future-of-mips-and-apms-value-based-payments-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Healthcare Consumerism and Cost: Dispelling the Myth of Price TransparencyHealth Catalyst
The world of healthcare costs is confusing and messy for both patients and providers. Many providers don’t fully understand their costs and therefore struggle to meet the increasing pressure for greater price transparency for consumers. With price transparency rules finalized and implementation looming, many providers are racing against the clock to adapt business practices to meet regulations and communicate the implications to consumers. And each organization’s financial health depends on transparency, as uncertainty about costs keeps many patients from seeking care.
Deb Gordon, seasoned healthcare executive and author of the book, “The Health Care Consumer’s Manifesto: How to Get the Most for Your Money,” and Pat Rocap, Director of Cost Management Services at Health Catalyst, examine the relationship between cost and pricing as the path to transparency for consumers. Deb and Pat provide expert analysis and practical advice to help you become a savvier provider and consumer when it comes to healthcare pricing and spending.
- The implications of federal price transparency regulations.
- The connection between healthcare costing and pricing.
- How to start your organization’s journey to understand costs and why it matters.
- Why price transparency is important to both patients and providers.
MIPS APM for ACOs: A Hybrid Reimbursement ModelCitiusTech
CMS announced the Quality Payment Program (QPP) final rule in October 2017, stating how it plans to implement the clinician payment changes to QPP, mandated under the Medicare Access and CHIP Reauthorization (MACRA) act. The implementation of the MACRA act impacts different type of organizations, one such being the Accountable Care Organizations (ACOs). ACOs are evaluated for payments on the basis of quality care and the cost factors associated in achieving their quality goals. Post MACRA implementation, all clinicians will receive payments as per the MIPS (Merit based incentive payments) and Advanced APMs (Advanced alternative payment models). ACO’s can register as APM entities and are eligible to receive payments under Advanced APMs. There is a third category of APM entities which participate in Advanced APMs models but do not meet the threshold of payments and patients set by CMS. Such entities fall into a category that is straddling the line between APM and the MIPS track, called MIPS APM (partially qualifying APM participants). This document discusses about the reporting, scoring and payments for the MIPS APM entities
Network Optimization: Why Physician Quality Should Drive Your Benefits StrategyGrand Rounds
Employers and payers are increasingly interested in narrow network or "high performance" networks to control healthcare costs. But there's a science to reshaping your physician network to cut costs while avoiding member blowback. Learn how to optimize networks for cost and quality, while reassuring your employees that they can still access the care they need.
The Guidebook to Medicare Access and CHIP Reauthorization Act of 2015 dispels MACRA myths and puts you in the know with easy-to-follow guidance. Interpret MACRA changes with step-by-step advice to understand and master MACRA’s final rule.
The Bumpy Road Ahead New Challenges Facing PracticesCureMD
Insurance mergers, shift to alternative payment models, Meaningful Use stage 2, preventing data breaches, pressure to consolidate – welcome to 2016.
Your patience is not the only thing at stake when these changes kick in. Your hard earned money will become harder to collect and worse to retain. While we cannot wish these changes away, we can help you fight them.
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
The Latest Regulations, Simplified: MU, PQRS & MIPSathenahealth
Changing governmental regulations for the advancement of healthcare is more than difficult and we have simplified these changes to keep you up to date.
Convert with Confidence: Barriers and Benefits of the EHR Switchathenahealth
Is your current electronic health record not working the way you want it to? Switching to a new system can be difficult without the right partner with the knowledge and support to help.
The Future of Healthcare in Consumerism WorldCitiusTech
The main aim of this document is to provide an overview of healthcare consumerism, its growth drivers and challenges / barriers providers and payers face while adopting it. The document provides insights on how providers and payers can tackle the rising wave of consumerism in healthcare industry. The document also provides some real-life examples on market trends which emphasize the need to brace consumerism in healthcare
MACRA - What’s In Store for Independent PracticesKareo
MACRA has been the hot topic since the proposed rule was announced in May. Feedback is still being collected, but we have seen the proposal and many responses from leading industry organizations. Find out what we know now and what we expect see in the coming months.
In this free webinar, renowned blogger John Lynn will look at:
1. Some of the components of MACRA, including MIPS
2. What they mean by Alternative Practice Models
3. The change from Meaningful Use to Advancing Care Information
4. How these changes may impact smaller practices
Don’t miss this chance to get the latest update on MACRA to understand how it may impact you starting in 2017.
The final MACRA rule is finally here. The entire healthcare industry has been waiting since May for the details. Get the scoop on what has changed and what has stayed the same for MACRA, and more importantly, how all this will impact your practice.
In this free webinar, industry expert John Lynn will walk you through:
- The main components of MACRA, including MIPS and APMs
- Review the process for deciding which track you should take
- The components of MACRA and what’s new in the final rule
- How these changes may impact smaller practices
Don’t miss this chance to get the latest update on MACRA to understand how it may impact you starting in 2017.
Quality and Outcome Framework (QOF) is a voluntary annual incentive programme for GPs in England, detailing practice achievement results. The primary objective of QOF is to drive the quality of primary care and reduce variations in the quality of care amongst GPs
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
Physician Payment Reforms: The Future of MIPS and APMs – Value-Based Payments...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Lesley Yeung - Value-Based Payments Crash Course Webinar Series - May 16, 2016.
Topics include:
* An overview of the physician payment reforms included in the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”)
* A summary of the Merit-Based Incentive Payment System (“MIPS”) and Alternative Payment Models (“APMs”) Proposed Rule (publication is expected in the spring of 2016)
* Opportunities for provider engagement with the Centers for Medicare & Medicaid Services to shape physician payment reform efforts
http://www.ebglaw.com/events/physician-payment-reforms-the-future-of-mips-and-apms-value-based-payments-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Healthcare Consumerism and Cost: Dispelling the Myth of Price TransparencyHealth Catalyst
The world of healthcare costs is confusing and messy for both patients and providers. Many providers don’t fully understand their costs and therefore struggle to meet the increasing pressure for greater price transparency for consumers. With price transparency rules finalized and implementation looming, many providers are racing against the clock to adapt business practices to meet regulations and communicate the implications to consumers. And each organization’s financial health depends on transparency, as uncertainty about costs keeps many patients from seeking care.
Deb Gordon, seasoned healthcare executive and author of the book, “The Health Care Consumer’s Manifesto: How to Get the Most for Your Money,” and Pat Rocap, Director of Cost Management Services at Health Catalyst, examine the relationship between cost and pricing as the path to transparency for consumers. Deb and Pat provide expert analysis and practical advice to help you become a savvier provider and consumer when it comes to healthcare pricing and spending.
- The implications of federal price transparency regulations.
- The connection between healthcare costing and pricing.
- How to start your organization’s journey to understand costs and why it matters.
- Why price transparency is important to both patients and providers.
MIPS APM for ACOs: A Hybrid Reimbursement ModelCitiusTech
CMS announced the Quality Payment Program (QPP) final rule in October 2017, stating how it plans to implement the clinician payment changes to QPP, mandated under the Medicare Access and CHIP Reauthorization (MACRA) act. The implementation of the MACRA act impacts different type of organizations, one such being the Accountable Care Organizations (ACOs). ACOs are evaluated for payments on the basis of quality care and the cost factors associated in achieving their quality goals. Post MACRA implementation, all clinicians will receive payments as per the MIPS (Merit based incentive payments) and Advanced APMs (Advanced alternative payment models). ACO’s can register as APM entities and are eligible to receive payments under Advanced APMs. There is a third category of APM entities which participate in Advanced APMs models but do not meet the threshold of payments and patients set by CMS. Such entities fall into a category that is straddling the line between APM and the MIPS track, called MIPS APM (partially qualifying APM participants). This document discusses about the reporting, scoring and payments for the MIPS APM entities
Network Optimization: Why Physician Quality Should Drive Your Benefits StrategyGrand Rounds
Employers and payers are increasingly interested in narrow network or "high performance" networks to control healthcare costs. But there's a science to reshaping your physician network to cut costs while avoiding member blowback. Learn how to optimize networks for cost and quality, while reassuring your employees that they can still access the care they need.
The Guidebook to Medicare Access and CHIP Reauthorization Act of 2015 dispels MACRA myths and puts you in the know with easy-to-follow guidance. Interpret MACRA changes with step-by-step advice to understand and master MACRA’s final rule.
The Bumpy Road Ahead New Challenges Facing PracticesCureMD
Insurance mergers, shift to alternative payment models, Meaningful Use stage 2, preventing data breaches, pressure to consolidate – welcome to 2016.
Your patience is not the only thing at stake when these changes kick in. Your hard earned money will become harder to collect and worse to retain. While we cannot wish these changes away, we can help you fight them.
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
The Latest Regulations, Simplified: MU, PQRS & MIPSathenahealth
Changing governmental regulations for the advancement of healthcare is more than difficult and we have simplified these changes to keep you up to date.
Convert with Confidence: Barriers and Benefits of the EHR Switchathenahealth
Is your current electronic health record not working the way you want it to? Switching to a new system can be difficult without the right partner with the knowledge and support to help.
The Future of Healthcare in Consumerism WorldCitiusTech
The main aim of this document is to provide an overview of healthcare consumerism, its growth drivers and challenges / barriers providers and payers face while adopting it. The document provides insights on how providers and payers can tackle the rising wave of consumerism in healthcare industry. The document also provides some real-life examples on market trends which emphasize the need to brace consumerism in healthcare
MACRA - What’s In Store for Independent PracticesKareo
MACRA has been the hot topic since the proposed rule was announced in May. Feedback is still being collected, but we have seen the proposal and many responses from leading industry organizations. Find out what we know now and what we expect see in the coming months.
In this free webinar, renowned blogger John Lynn will look at:
1. Some of the components of MACRA, including MIPS
2. What they mean by Alternative Practice Models
3. The change from Meaningful Use to Advancing Care Information
4. How these changes may impact smaller practices
Don’t miss this chance to get the latest update on MACRA to understand how it may impact you starting in 2017.
The final MACRA rule is finally here. The entire healthcare industry has been waiting since May for the details. Get the scoop on what has changed and what has stayed the same for MACRA, and more importantly, how all this will impact your practice.
In this free webinar, industry expert John Lynn will walk you through:
- The main components of MACRA, including MIPS and APMs
- Review the process for deciding which track you should take
- The components of MACRA and what’s new in the final rule
- How these changes may impact smaller practices
Don’t miss this chance to get the latest update on MACRA to understand how it may impact you starting in 2017.
Timely Tips to Maximize Year-End Profitability and Tame the Deductible ResetKareo
It’s not too late to make 2016 a banner year for practice performance. But the time is now to take action! There are only two months left, and they’re precious. Patients who have met their deductibles will be eager to book services before December 31. And we all know what happens on January 1: the dreaded deductible reset. The time is now to plan for that slowdown, even as you aim to bring 2016 to a big finish.
Join Laurie Morgan of Capko & Morgan for a lively webinar with practical tips for making the most of this critical time for many practices’ financial performance. Topics will include:
- Quick tips for maximizing bookings and reducing holiday no-shows
- Easy ideas to analyze data on hand and encourage Q1 visits
- January downtime? How to stop worrying about it and start investing it
- And much more
Register now so you can finish 2016 with a bang and start 2017 off right!
The ABCs of Practice Models: From Concierge to ACOs and Everything in BetweenKareo
Have you been wondering if you should switch to another reimbursement model like concierge or direct primary care? Or perhaps you think it is time to join a larger group like an ACO or IPA to take advantage of stronger bargaining power. How do you know if a change like this is right for your practice?
You'll learn:
- What to consider before making a change
- The pros and cons of each option
- Some of the regulatory and legal considerations
- The role of technology and practice marketing for the various choices
Simple Steps to Avoid the 7% MIPS Penalty for 2019Kareo
Join Marina Verdara, Kareo’s Sr. Training Specialist, as she provides you with simple steps to avoid the 7% MIPS penalty, including how you can check a clinician’s eligibility and where you can earn points for each category. She will also provide you with the resources to help you prepare for 2020.
The business of medicine is changing quickly. Government and commercial payers know that we're paying more for healthcare and we're getting worse results. Patients know it too. The role of independent practices, their reimbursement models, and how they care for patients are all changing as a result.
How to Earn Your 9% MIPS Incentive Despite 2020 ChallengesKareo
In this webinar, Sr. Training Specialist, Marina Verdara, will provide you with the information and tools you need to ensure that you or your billing clients’ practices avoid receiving monetary penalties related to MIPS.
MACRA/MIPS Tips: Don't Leave Money on the TableKareo
2022 is the sixth year of the CMS Incentive Program, MACRA /MIPS, and as a practice or billing company, you have seen payment adjustments that have affected your business in more than one way. The biggest impact is payment adjustments, where we see up to a negative 9% of claims paid. So what can you do about it, and how can we minimize those adjustments?
Marina Verdara, CMS Incentive Program SME and Sr. Training Specialist at Kareo will explore what you need to know about MACRA/MIPS and how you can improve your bottom line. She will walk you through:
-The overview of MACRA
-MIPS eligibility, training, and tracking progress for providers
-Billing companies & the claims submission process
-Supporting documentation & attestation
Setting Your Business Up for MIPS Success in 2019Kareo
In this webinar, Sr. Training Specialist, Marina Verdara, will provide you with the information and tools you need to ensure that your business avoids receiving penalties related to MACRA.
Marina will:
-Provide an in-depth analysis of MACRA, including APM and MIPS
-Review the four MIPS reporting categories and how your business can meet each of their individual requirements
-Recommend industry best practices so both independent medical practices and billing companies can avoid penalties in 2019
As 2018 is coming to a close, many independent practices are wondering what to expect in 2019. Patient financial responsibility continues to be a challenge for many practices. The Quality Payment Program (MIPs) continues to evolve. CMS is proposing changes to the way E/M visits are paid. HIPAA data breaches are more prevalent than ever, with several large payers and healthcare organizations receiving large fines in 2018.
In this information-packed webinar, we'll discuss:
-CMS Proposed changes to E/M payment and documentation requirements
-Updates to the Quality Payment Program
-Maximizing payer revenue through fee schedule review and opting out of “Accelerated Payments”
-Understanding generational differences in patient payment habits that will improve your overall patient collections
-Changes to the ACA taking effect in 2019
-HIPAA breaches and how you can mitigate the risk in your practice
Today Clinic Continues to Innovate and Thrive with KareoKareo
When Scott Mayer, MD, took over as Director of Today Clinic he could see there were billing and operational issues that needed to be addressed. They had tried in-house and outsourced billing but hadn’t found the right fit. He realized they needed a new billing service and a more integrated package of technology. Attend this free webinar to hear about how using a fully integrated suite of technology and billing services has helped Today Clinic focus on patient experience, growth, and innovation.
How MIPS/MACRA Impacts Your Clients: Kareo Success SummitKareo
kareo.com - There's no reason for any eligible clinician to pay a penalty to Medicare. Learn how practices can deliver value-based care and get the maximum positive incentives available in 2018. Learn some practical examples of how you can shepherd your clients through regulatory challenges.
The 2018 Kareo Success Summit offered key industry insights, best practice training, networking and idea-sharing to support the success of medical billing companies across the country.
Kareo is an easy-to-use, cloud-based business growth platform built for medical billing companies and the independent practices they serve.
Marina Verdara is a Sr. Training Specialist for CMS Incentive Programs.
Visit kareo.com/billing-companies to learn more.
Kareo's Regulatory SME and Sr. Training Specialist, Marina Verdara, will walk you through the ABC’s of regulatory programs so you can easily meet your compliance goals and start earning more money for your practice. She will:
-Provide an overview of MACRA
-Breakdown the four MIPS reporting categories, including requirements for each and how you can meet them
-Walk billers and billing companies through the claims submission process
-Share five easy steps to help you earn up to a 9% positive payment adjustment
Lean Strategies in Healthcare Revenue Cycle ManagementInvensis
Did you know? Revenue cycle inefficiencies accounted for 15% of 2.7 trillion spent on healthcare, or about $400 billion. Join Dr. Steven M Wagner to understand how to align continuous quality improvement through lean method for staff and management to overcome income obstacles in healthcare and help them to learn and experiment with strategies to address them.
Regulatory Outlook: Knock MACRA Out of the ParkKareo
Review the latest changes to the regulatory landscape, including HIPAA, MACRA, and the NC HIE. Learn how these changes impact your clients and your business.
Aegon Americas: Simplifying and optimizing businessAegon
Blake Bostwick, Chief Operations Officer at Transamerica, and David Montgomery, Head of Individual Operations, provide an update on how Aegon is simplifying and optimizing its business in the US.
Roundtable Discussion: The State of the Medical Billing IndustryKareo
Kareo, a Tebra company, recently conducted our second nationwide survey of medical billing company owners, leaders, and team members to better understand overall sentiment about the current state of the industry, perceived key business drivers, significant challenges, as well as the characteristics of a best-in-class billing company. Based on our findings, we generated the second edition of our Medical Billing Industry Report, which provides viewers with insights about key business drivers and trends, pricing models and services, as well as opportunities for growth.
Join Kareo’s VP of Billing Company and Channel, Carrie De Groot, as she hosts a panel of Kareo subject matter experts to discuss their findings from the report. Additionally, they’ll chat with leaders of high-growth billing companies to share insights on how they’ve been able to increase their client base and expand efficiencies.
Watch this informative webinar to learn about:
- Current outlook and trends in the medical billing industry
- The power of automating daily tasks
- Tactics to bring cash in the door
- Understanding of what drives positive business results
Speakers
- Carrie de Groot, VP of Billing Company and Channel Partners
- Brian Cafferty, VP of RPA Development
- Jamie Howard, Channel Sales Manager
- Kevin Clinton, Direct of Marketing, Payment Solutions
Getting Paid in 2023: Strategies to Maximize Your RevenueKareo
In today's healthcare industry, medical practices and billing companies must continue evolving to keep pace with ever-changing policies. Proactively staying up to date on the latest audits, changes, and laws will help ensure that you get paid for everything you are owed this year.
Kareo, a Tebra company, has teamed up with practice management expert Dr. Elizabeth Woodcock to inform you of the latest tools and resources to help practices and billing companies maximize collections and revenue in 2023.
Key Tips to Set Your Billing Company Up for SuccessKareo
In the process of starting your own medical billing company? Or maybe you've launched your business, but aren’t quite seeing the returns you’d like? Gain the tools you need to help set you up for success by watching our webinar with Revenue Cycle Consultant Rachel Green, CEO of The Jaded Medical Biller. Rachel will share expert advice and insights into what it takes to successfully start and run a medical billing company.
Robotic Process Automation: Two Ways to Bring it Into Your Practice TodayKareo
If mention of “bots” brings up images of a sci-fi future– having little to do with running an independent medical practice– think again. “Bots” are software scripts that work behind the scenes in Robotic Process Automation (RPA) technology, and they’re delivering important efficiencies to practices large and small. They offer simple solutions that are affordable and easy to manage, especially in billing.
In this free webinar. Brian Cafferty, Kareo’s VP of RPA development, describes two RPA bots that are transforming efficiencies at direct practices, eliminating manual tasks involved in unapplied payment posting and ERA processing. He will cover:
- What RPA is
- How RPA is being used in independent medical practices
- RPA solutions that improve efficiencies with minimal investment or effort
Modernized Patient and Mental Health Practice: Accessibility and Mental Healt...Kareo
Now more than ever, individuals and businesses recognize the importance of mental health, and the impact mental health has on one’s overall wellbeing. Yet, as more people are seeking mental health support, mental health providers are struggling to keep up with the demand. The challenge of providing the best care possible, while growing a business can be overwhelming and lead to provider burnout. So how can mental health providers offer exceptional care and while achieving work life balance?
In this webinar, Liz Fobare, Kareo’s Senior Directory of Clinical Product, discusses key technological advancements that increase access to care, enable providers to meet patients where they are at, and can help you build a modern mental health practice.
- Key challenges mental health providers face
- What a modern mental health practice looks like
- Solutions that enable modernized care for patients and practices
Don’t Miss Out on Money! How to Make Sure Your Credentialing is Done Correctly.Kareo
Credentialing correctly is necessary for all practices (or your clients’ practices) to be able to accept patients and avoid delays in payment. As an independent practice, your staff is most likely facing burnout and staffing shortages are on the rise.
In this informative webinar, Melissa Isham, National Account Executive, Client and Specialty RCM Sales at TriZetto Provider Solutions will explain:
- What is credentialing and why accuracy is paramount to success
- The current state of the industry
- Major pain points and solutions for independent practices
The Future Is Now—Drive Workflow Efficiency & Improve Profitability with Robo...Kareo
In this informative webinar, discover how you can automate and streamline billing workflows while improving your revenue cycle management.
We discuss:
- What is Robotic Process Automation (RPA)?
- Key challenges RPA solves for billers
- Roundtable discussion with first-hand user insights into how RPA has improved workflow efficiency and profitability
Setting your practice or client’s practice up for success with achieving clea...Kareo
A nationally recognized speaker, Elizabeth Woodcock, discusses what’s new for 2022 and action steps your practice (or your client’s practice) can take to protect itself from losses due to denied claims.
She will go over:
- The current state of the industry
- Pressure from surges in demand and staffing crisis
- No mercy from insurers as denials rise
- New reimbursement rules for 2022 increase complexity
Getting Paid in 2022: Adapting your Practice to Thrive Within the Healthcare ...Kareo
Kareo and Healthcare Business Consultant, Aimee Heckman, have teamed up to inform you of the latest tools and resources to help get your practice and billers/billing company get ready for any obstacles that may come your way in the new year.
Aimee Heckman will:
-Review the state of the industry in 2021, including surprise billing, data breaches, and penalties.
-Explain the normalization of telehealth and getting paid for telehealth.
-Expand on patient collections and run the business as a business. This includes setting up your practice with a variety of payment options to treat patients more as consumers to improve patient satisfaction.
-Prepare your practice for 2022 with best practices for MIPS, security audits, financial policies, insurance waivers, and patient eligibility
Getting Paid in 2021: New Year, Fresh Perspective, More RevenueKareo
In this webinar, Aimee will:
-Review the state of the industry in 2020, including CMS waivers, HIPAA enforcement and surprise medical bills
-Expand on the E/M updates you need to know for 2021
-Provide tips and tricks to help you remove roadblocks to getting paid, including coding, additional collection methods, supporting documentation and the reset of deductibles
In this live webinar, Valora outlines the three main stages of starting a medical practice:
1) Planning - creating a business plan, setting a budget and outlining your timeline
2) The Nuts and Bolts - finding a location, credentialing, administrative setup, and choosing the right technology for your needs
3) Opening - hiring staff and activating your marketing plans
Top 10 Medical Billing KPIs That Show Where Your Practice is Losing MoneyKareo
Kareo’s Billing Subject Matter Expert, Terri Joy, MBA, CPC, CGSC, COC, CPC-I, shares the 10 medical billing KPIs you need to know to prevent your practice from losing money.
How to Build a 5-Star Practice with a Patient-Centered ApproachKareo
Valora Gurganious, MBA, CHBC, Partner, Senior Management Consultant will discuss:
-The importance of an enhanced patient experience and how it affects all aspects of your business such as your collections rate and patient retention
-How adopting technology can help you see more patients daily without the administrative burden
-The areas of your current workflow that can be enhanced to build and maintain positive relationships with your patients
Overcoming Telehealth Barriers to Mobilize Your Practice and Maximize RevenueKareo
In this live webinar, Director of Product Marketing and Partner Alliances, Sonny Singh, will:
-Discuss current industry trends and telehealth statistics
-Outline what healthcare services can be provided remotely
-Discuss how offering a telehealth option (including telemedicine) will help your practice grow amidst uncertainty
-Address the common pitfalls that you told us you’re experiencing
Modernize Your Mental Health Practice to Save Time and Improve Care DeliveryKareo
Join Dr. Nina Vasan and Dr. Ganielle Hooper as they use their expertise in the mental health industry to help you run a successful mental health practice amidst uncertain times. They will discuss:
-The current state of the mental health industry and the public “stigma” of seeking mental health services
-Recent policy changes pertaining to insurance reimbursement, telehealth and MACRA
-How technology can support your practice’s growth and success
-Lessons learned in running a successful practice from a provider who has recently expanded her practice and what she did to overcome common barriers
Collecting Patient Payments During COVID-19 and Beyond - a Blueprint for SuccessKareo
The impact of COVID-19 is substantial and the way healthcare providers practice medicine has changed, and it’s not going back. Make sure your business has the right blueprint for success so you can continue collecting patient payments while providing quality care to keep your patients healthy and your practice profitable.
Leveraging Federal Financial Assistance Programs During COVID-19Kareo
Bill Finerfrock, HBMA Director of Government Affairs, will break down the CARES Act and its associated programs to provide you with key takeaways to help ease financial burdens and maintain current staff levels.
In this webinar, Bill will discuss:
-New Paycheck Protection Program
-Other SBA (Small Business Association) programs
-Medicare Advanced Payment Options
-Provider Lost Revenue Program
Telehealth, Coding and Billing Guidance for COVID-19Kareo
Kareo’s Subject Matter Expert for Billing, Terri Joy, MBA, CPC, CGSC, COC, CPC-I will provide you with everything you need to know about telehealth, coding and billing for COVID-19.
In this webinar, Terri will:
-Discuss new and changing government regulations around telehealth services
-How to bill for COVID-19 services
-Best practices for leveraging technology to keep your patients and staff safe and healthy
Optimize Your Care Delivery to Prevent Burnout and Boost Your Bottom LineKareo
In this webinar, Dr. Paul DeChant will:
-Review the manifestations and drivers of burnout and how you can reduce their impact
-Help you develop a plan, including building teamwork and solutions to problem-solve
-Show you how to improve efficiencies through changes to EHR office visits and in-basket workflows
-Explore how using technology in your practice can save time and remove barriers to better connect with your patients
How Your Medical Practice Can Exceed a 95% Clean Claims RateKareo
Industry thought-leader and revenue cycle management expert, Elizabeth Woodcock, Principal, Woodcock& Associates, will discuss how achieving clean claims at first submission positively impacts medical practices. She will specifically address what insurance changes to expect with the start of a new year, and how to identify and prevent claim rejections and denials so your medical practice can exceed a 95% clean claims rate in 2020.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
3. @GoKareo 33
How to Participate Today…
Type your questions
Download today’s resources
View today’s presentation
4. @GoKareo 44
Connect via Social
Connect with us via social media
How to connect:
1) Follow @GoKareo on Twitter
2) Follow @LeaChatham on Twitter
twitter.com@GoKareo
facebook.com/GoKareo
linkedin.com/company/kareo
5. @GoKareo 55
Speakers
Lea Chatham
• Senior Content Marketing Manager,
Kareo
• Nearly 20 years in healthcare and
health IT
• Speaker and author
• Published in leading journals including
Physicians Practice, Medical Practice
Insider, PAHCOM Journal
8. @GoKareo 88
What is MACRA
MACRA is the rule that created the…
QUALITY PAYMENT PROGRAM (QPP) which outlines the
Merit-Based Incentive Payment Program (MIPS) and
Advanced Alternative Payment Models (APMs)
9. @GoKareo 99
High Level Goals
Transition provider reimbursement
FROM…
Fee-for-Service
TO…
Quality Payment Program (QPP)
• Value-based reimbursement
Quality of care
Cost effectiveness
Use of certified electronic technology
Practice improvement
11. @GoKareo 1111
MIPS Overview
• Most providers will participate in MIPS
• An eligible clinician is:
• Physician (Doctors of Medicine or Osteopathy, Doctors of
Dental Surgery or Dental Medicine, Doctors of Podiatric
Medicine, Doctors of Optometry, Chiropractors)
• Physician assistant
• Nurse practitioner
• Clinical nurse specialist
• Certified Registered Nurse Anesthetist
• Eligible Clinicians are defined for years 1 & 2
• Additional categories, PT, OT, etc. may be added in year 3.
12. @GoKareo 1212
MIPS Overview
• You may be excluded if
• First year in Medicare Part B
• Low-Volume Threshold
• < $30,000 billed to Medicare Part B
• < 100 Medicare Part B patients
• Advanced APM participant
13. @GoKareo 1313
MIPS Timing
Timing
• Effective January 1, 2017
• Two-year lag time from performance to payment in 2019
• Requirements will be phased over next few years
• Created a “Pick your pace” rule allowing a transition period
• PQRS and VBPM are gone at the end of 2016.
• Medicaid providers participate in both MIPS and Medicaid MU, if:
• Providers meet the definition of a MIPS EC, and
• Also meet the 30% Medicaid MU participation threshold
14. Kareo, Copyright 2015 1414
Scoring for 2017
Percentage of
Score 60% 15% 25% 0%
Status of
Existing
Programs
Replaces PQRS New Category Replaces MU
Replaces Value-
Based Modifier
Targeted # of
Activities for
Individuals
6 measures,
including one
outcome
4 improvement
activities
5 mandatory;
9 maximum;
bonus credits
No data
submission;
based on claims
15. @GoKareo 1515
Pick Your Pace
Added to the final rule to give options to smaller practices
Potential
Adjustment
Reporting
Period
Quality
Improvement
Activities
Advancing Care
Bonus
+ Bonus
(up to 12%)
Full year
6 measures
incl. 1
outcome
> 4 activities
5 required, 1-4
additional + bonus
Full + Adj.
Min 90 days to
a
Full year
6 measures
incl. 1
outcome
4 activities
5 required, 1-4
additional
Partial
Avoid –
Possible +
Min 90 days 1 1
5 required
measures
Test Neutral
< 90 days
(special
circumstance)
1 OR 1 OR
5 required
measures
Don’t
Participate
Negative 0 0 0 0
16. @GoKareo 1616
Pick Your Pace
• Recommend doing as much as possible
• Look for things you may already be doing or can make simple
changes to do
• If doing MU or PQRS, you may already be doing many of these
activities
• Reminder: You must use a certified EHR
17. Kareo, Copyright 2015 1717
Quality
• 60% of Composite Score
• 6 quality measures, including an
outcome measure
• Select measures individually or
from specialty sets
• Certified EHR used for data
• All patients must be reported
18. @GoKareo 1818
Quality
• For Test or Partial 1 quality measure
you are probably doing now:
- Documentation of Current Medications
• For full participation:
- 6 measures
• 271 measures to choose from
• You can sort by specialty and high
priority
• Choose outcome measures or high
priority measures
20. Kareo, Copyright 2015 2020
Advancing Care
• 25 % of Composite Score
• 5 required measures (4 for
transitional in 2014)
Security Risk Analysis
e-Prescribing
Provide Patient Access
Send Summary of Care
Request/Accept Summary of Care
(not for transitional)
• Can submit up to 9 measures
• Bonus points for Public Health
Reporting
• Use of Certified EHR for specific
activities adds bonus points
21. @GoKareo 2121
Advancing Care
• Other Measures for 2017 (2014 Edition)
- Health Information Exchange
- Immunization Registry Reporting
- Medication Reconciliation
- Patient-Specific Education
- Secure Messaging
- Specialized Registry Reporting
- Syndromic Surveillance Reporting
- View, Download, Transmit
23. Kareo, Copyright 2015 2323
Clinical Improvements
• 15 % of Composite Score
• Complete up to 4 improvement
activities from a list of 93
potential activities
• APMs automatically receive
points for participating in the
requirements of the APM
24. @GoKareo 2424
Improvement Activities
• For Test or Partial choose 1 Improvement such as
- Depression screening
- Diabetes screening
- Implementation of antibiotic stewardship program
- Tobacco use
- Unhealthy alcohol use
• For full participation complete 4 or more
• Other more common activities
- Collection and follow up on patient satisfaction data
- Engagement of patients through implementation of improvements
in patient portal
- Use of groups visit for common chronic conditions
- Use of telehealth
26. @GoKareo 2626
Reporting Options
Report by multiple mechanisms
Quality Reporting
Claims (individual only)
Qualified Registry
Advancing Care
Attestation to CMS (MU website to be reconfigured)
QCDR (individuals or groups may connect on their own)
CMS Web Interface (group of 25 or more)
EHR
Improvement Activities
Qualified registry
CMS attestation site
Reporting period January 2, 2018 through March 31, 2018
28. @GoKareo 2828
Next Steps
• Verify using certified EHR
• Confirm your EHR is working on 2015
Edition certification for 2018
• Pick your pace
• Visit qpp.cms.gov and select your
measures
• Check to see if your vendor has any
added training or assistance for MIPS
30. @GoKareo 3030
Awards and Rankings
Growth awards
The speed at which
medical practices are
moving to Kareo and
referring it to other
providers.
Best places to work
Happy, engaged
employees stay longer,
have more experience and
offer better customer
service
Analyst reviews
3rd party recognition,
driven by direct
customer feedback,
equals trust and
credibility
32. @GoKareo 3232
Kareo Platform
Kareo Marketing
• Marketing and front office
automation
• Online visibility and SEO
• Online appt. scheduling
• Email, text & voice recording
appt. reminders
• Post visit patient reviews
• Practice analytics for ROI
• Patient communications
34. @GoKareo 3434
Discover Kareo’s Role
• PAHCOM has approved 1 CEU credit.
• Each attendee will receive an email today
with a link to request certification.
Certificates will be mailed within the next
few days.
• Attendees must be logged into the webinar
to receive credit.
• You’ll be asked at the end of the webinar if
you want a CEU certificate.
“…Make Your Practice a Best Practice!”
36. @GoKareo 3636
How to Participate Today…
Type your questions
-- Questions After the Webinar --
888.775.2736 x1
sales@kareo.com
37. Connect with Kareo
Stop by and say hi!
Kareo @GoKareo GoKareo Kareo
3353 Michelson Drive, Suite 400
Irvine, CA 92612
(888) 775-2736
Editor's Notes
In short, MACRA is the rule that created the…
QUALITY PAYMENT PROGRAM (QPP) which outlines the
Merit-Based Incentive Payment Program (MIPS) and
Advanced Alternative Payment Models (APMs) which
Adjust MEDICARE PAYMENTS based on a provider’s ability to
Quality: improve the care that patients receive
Value: reduce the cost of healthcare
Efficient: Improve practice processes and procedures
Interoperability: use of health IT to improve patient care coordination and population health
The high level goal, among other things, of MACRA is to transition provider reimbursement
FROM
The volume-based, fee-for-service program known as the Medicare Sustainable Growth Rate,
TO
A value-based reimbursement
The rule acknowledges that Medicaid providers have to do double work here
Basically PQRS – two distinctions for quality versus PQRS
All of the patients must be recorded (80% technically)
The information unlike in the past needs to be documented in your EHR
You can filter measures by specialty
Filter by High Priority to get the outcome measures because you can’t sort by outcomes
If you can’t do an outcome measure then do a high priority measure and you can get that list
For high achievers – their specialty orgs are encouraging you to do more than 6
If you have already been doing 9 quality measure for PQRS then continue doing those 9
Regarding reporting:
Easier to report to the registry
Claims reporting is not the preferred method with CMS
Not sure if it will impact your score either since it would only be Medicare patients and not all patients when reporting G codes
Here you can see the options for sorting
Two sets of measures – the difference is what EHR is certified to – 2014 or 2015 edition
If 2014 then you use transitional guidelines – ie Kareo is 2014 (11 measures versus 15 in 2015 edition)
as a general rule the transitional ones match up to modified stage 2 – we are looking at the transitional or 2014 edition measures
2017 transitional measures
Here are the other measures
Would encourage you to do as many as possible. There is the potential to earn up to 159 points for all measures but it caps at 100 and if get 100 then you get your 25%
The one difference here is that there are no thresholds – what you are trying to is achieve as a high a score as possible by doing it with as many patients as possible. To be able to report you need 1 patient but score is based on how many patients you do these activities with. If you report a 0 in any of the 5 areas you are done. You must have something to report for all 5 required measures or you get a 0.
For the other measures are what make up yor performance score – will look at what you achieve and assign some points. So lets take medication reconciliation – you get a score based on how many patients you are able to report
You can download the 11 (0r 15 is you have a 2015 edition EHR) in a CSV file with the descriptions
Some of these are very complex and may require additional support but there are several that are simpler, you may already be doing or almost
Depression, diabetic screenings, etc. There should be 4 things on this list that you are already doing or could easily add.
Some of the more complex but doable
Examples:
Rx Drug Monitoring Program
Care coordination agreements
Glycemic management services
24/7 access to eligible clinicians
You can sort the list by domains – groupings of similar objectives. Like care coordination, just expanded practice access.
You can select medium or high weighted options – high gets 20 points, medium gets 10 points.
To get the full 15% -
Key is to document!
You need 60 points – so 4 medium priority won’t get you there
Claims reporting is discouraged because providers need to make sure that they are documenting everything in an EHR, as well as reporting them on claims. (QUALITY only)
Qualified Registries are good for our customers, as we will provide them with a report with the information that they need to entered into the registry. Also have a partnership with Covisint (QUALITY and Improvement Activities)
Attestation to CMS is the second way our customer will need to attest (Advancing Care and Improvement Activities)
QCDR and Web Interface – need to be arranged by provider – usually through their professional organizations
EHR – we do not, nor will we have a direct connection to CMS.
You are going to have to use multiple methods for reporting this first year because CMS hasn’t developed one tool for communicating it all. Try to do it in as streamlined a way as possible We suggest Qualified registry and CMS attestation site.
Allows for offices to communicate with their patients via email and text, create custom email templates, and send mass communication to preset and custom patient groups. Patients will now be able to respond to any automated communication they receive from their healthcare provider's office via text and email.
Kareo has received extensive industry recognition, including the Deloitte Technology Fast 500, Inc. 5000 and Black Book’s #1 Integrated EHR, Practice Management and Billing Vendor.