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EZClaim Blog

EZClaim’s blog is an up-to-date source of information about the company and the medical billing industry.

Optimize your MIPS Score and Protect your Reimbursements

Optimize your MIPS Score and Protect your Reimbursements

MIPS is a point-based program and understanding how to earn MIPS points is critical to avoid a 9% penalty. The MIPS program continues to change and evolve each year as it meets the goals laid out in the MACRA law and carried out by CMS.  Since the program was implemented in 2017 the points threshold to avoid a penalty has grown from 3 to 60 out of a possible 100 MIPS points; the penalty has increased from 3% to 9% of annual Medicare reimbursements; and, the number of patients required to be reported on has increased from 20 patients to all patients for all payors.  With the rules changing every year, the strategy you previously used to score MIPS points and report may no longer be optimal.  If you want to avoid the 9% penalty in 2021 and beyond, you must think differently and evolve your strategy for MIPS.

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Why a HIPAA Security Risk Assessment is so Important

Why a HIPAA Security Risk Assessment is so Important

Your organization’s annual HIPAA Security Risk Assessment and Analysis are only one element of the compliance process, and whether you’re a Business Associate or Covered Entity, your organization must also “implement security updates as necessary and correct identified security deficiencies”. In other words, you must act via a Corrective Action Plan (CAP) following the required risk assessment process.

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Revenue Cycle Impact Amid the Pandemic

Revenue Cycle Impact Amid the Pandemic

Healthcare providers along with healthcare payers are finding challenges with keeping up with the evolving government guidelines for correct claim submissions of COVID-19 billing procedures.

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