The Importance of Selecting the Right Reporting Methodology

The Importance of Selecting the Right Reporting Methodology

2019 MIPS Reporting

2019 MIPS Reporting – Guest Author: Sarah Reiter of Health eFilings

The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law on April 16, 2015, and is driving the transition in healthcare from a volume to a value-based care model. CMS programs such as MIPS require providers to transition to a value-based care model or else face significant financial risks and even reputational harm. The stakes have been raised every year and it is even more complex than it has been in the past, further increasing the stress, burden and financial risk to providers. For a provider, it is critical to understand the impact that the reporting methodology has on one’s MIPS score and to choose the best methodology and reporting partner.

Within this new framework of the MIPS program, all healthcare practices regardless of size or specialty must evolve their approach to reporting to assure their financial viability. However, most do not understand or have awareness of, the different reporting methods available to them. Many providers erroneously still think that a registry is the only reporting option available to them or that they are required to use a registry. Or, they think that their EHR covers their reporting obligation. This misperception and general lack of awareness of the other reporting methodology is detrimental to the financial interests of any practice. And, furthermore, for the 2019 Reporting Period, it is likely the first time that traditional, legacy reporting systems (registry or EHR) may be unable to fulfill enough of the reporting criteria to avoid the minimum score penalty.

The other reporting methodology, known as Certified EHR Technology or CEHRT, has emerged as the superior reporting methodology. Reporting through a CEHRT dramatically improves the efficiency and effectiveness of the MIPS reporting process especially when done using ONC certified software. Also, a CEHRT utilizes eCQMs (electronic Clinical Quality Measures), which are a better way to optimize the points that can be earned.  When the process utilizes ONC certified software and is, therefore, an end-to-end electronic solution, CMS awards significant bonus points toward the provider’s MIPS score.

Health eFilings, a CEHRT, is the best choice for a reporting partner. Our cloud-based ONC-certified software fully automates the process and does all the work with no IT resources, administrative support, and workflow changes. Health eFilings’ service is an end-to-end electronic solution that will save significant time, be a turn-key submission process and maximize the financial upside for providers.

And, finally, an important and timely addendum: While the 2019 reporting period is quickly coming to a close, Health eFilings can support you with reporting for 2019 so that you will avoid the automatic 7% penalty for not complying. But, time is of the essence, reach out NOW to connect with Health eFilings.

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AMBA National Conference Overview

AMBA National Conference Overview

AMBA National Conference Overview – Written by Stephanie Cremeans and Dan Loch of EZClaim

EZClaim, represented by Stephanie Cremeans and Dan Loch, was proud to exhibit at the American Medical Billing Association’s AMBA National Conference last week in Las Vegas at Planet Hollywood. The AMBA team had things ready to go when we got there and made sure we had what we needed throughout the event.  

The AMBA National Conference attendees seemed to have fun and were fully engaged with the exhibitors. Many thanked us for our support of the event as well. The attendees supplied the vendors with good traffic from start to finish. Stephanie and Dan were able to spend some quality time with the attendees speaking about their struggles, needs, and ideal functionality to help improve their billing service.

During slower times EZClaim was able to interact with some of the other exhibitors and sponsors of the event for an added benefit. This is a conference that EZClaim will be returning to in October of 2020 at Caesars Palace in Las Vegas.

Stephanie was able to attend a few of the sessions as well. There was a wide variety of topics covered including specialty-specific information for Acupuncture and Chiropractic billing, coding and billing compliance, and the importance of conducting internal coding audits. These topics were informative and presented by dynamic speakers that made the information relatable. Stay tuned as we bring you our key takeaways from these very informative sessions.

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MMBA Chapter Meetings

MMBA Chapter Meetings

MMBA Chapter Meetings

It’s nearly time for the Michigan Medical Billers Association (MMBA) Southeast and Mid-Michigan Chapter Meetings. We hope you will join the great people at MMBA Southeast to hear speakers Jill Young and Lori Ann Rickard provide information-based sessions focused on documentation, reporting requirements, and Medicare denial appeals. The Mid-Michigan Chapter has IT Security Analyst JJ Strieff to discuss the roles we all need to play in securing our connected environments and Jane White, Executive Director of the Michigan Human Trafficking Task Force, to provide information related to identifying victims of human trafficking. We look forward to seeing you at our MMBA Chapter Meetings!

MMBA Southeast Chapter Meeting | December 11, 2019 | 8:30-11:45 AM

Ukrainian Cultural Center | 26601 Ryan Road | Warren, MI 48091

Register today at the MMBA website


Mid Michigan Chapter MeetingDecember 18, 2019 | 8:00AM-12:00PM

MSU FCU Community Room | 4825 E. Mount Hope Road | East Lansing, MI 48823

Register today at the MMBA website

Can’t make it to one or more of the MMBA Chapter Meetings? Get an EZClaim demo at any time. We have pre-recorded demos or you can schedule a one-on-one demo to meet your needs.