Medicare Reimbursements Webinar (MIPS)

Medicare Reimbursements WebinarThis FREE Medicare reimbursements webinar will help healthcare providers with the financial challenges they are facing this year, and it’s critical not to ignore the impact MIPS compliance has on their bottom line.

There are many commonly misunderstood aspects of MIPS (Merit-based Incentive Payment System), and many nuances of how and when actions need to be taken to be able to earn points—and points significantly impact reimbursements!

 

To help bring clarity to MIPS, Health eFilings is holding a FREE 30-minute Medicare reimbursements webinar to help you understand key deadlines for this reporting period, what reporting methods will optimize your MIPS score, and how to increase the financial payouts from the MIPS program.

• Date: TUESDAY, DECEMBER 8, 2020, 1:00 – 1:30 pm EST
• Presenter: SARAH REITER, SVP Strategic Partnership of Health eFilings
• Register Here: https://healthefilings.com/ezclaim

 

The 2020 reporting period is quickly coming to a close, but there is still time to comply and avoid penalties. However, you must act quickly, so Health eFilings is here to help: https://healthefilings.com/ezclaim

 

Health eFilings is a ‘partner’ of EZClaim, a medical billing and scheduling software solution. For more details about their software, visit their website: ezclaim.com/features-pricing/

2020 MIPS Reporting is Half Over. What Do You Need to Do Right Now?

The 2020 MIPS reporting is already half done, and given that MIPS (Merit-based Incentive Payment System) is a points-based program, the goal is to earn as many points as possible to avoid this year’s 9% penalty and potentially even earn a positive payment adjustment.  However, earning the 45 points necessary to avoid the penalty for the 2020 reporting period will be no easy feat. With over half of the reporting period already behind us, it is imperative you ACT NOW so you don’t find yourself in position later in the year that you can’t recover from in terms of earning points.

2020 MIPS Reporting

 

With all the complexities and nuances of the program, its challenging to know what you can do to impact your score.  Here are three critical actions to take right now so that you will still optimize your ability to earn points for the 2020 reporting period:

1. Focus on the Quality Category
There are various points available within each of the categories and the Quality Category has the most points associated with it. Based on a number of factors, the category is worth anywhere from 45 to 85 points.  This is a critical category to be focused on throughout the year, so now is the time to ensure that you are tracking all relevant data so that it can be properly reported on within your submission.

2. Understand the Timeframe Requirements
Two of these categories, Promoting Interoperability and Improvement Activities, have timeframe requirements where you must perform for a minimum of 90 continuous days.  These are not easy categories in which to be successful and so if you wait too long in the year you will find it impossible to put the right actions in place in order to complete the activities necessary to earn any of the points in these categories.

3. Choose the Right Reporting Methodology
Not all reporting methodologies are the same and the reporting methodology you select has a significant impact on the points you could earn.  Additionally, there is strategic maneuvering that can be done throughout the reporting period with exemptions and reweighting of points that can set you up to optimize your performance and your score.  Therefore, you must select a reporting partner that will help you earn the most points available and leverages technology to facilitate the ease, accuracy, and completeness of tracking and reporting to maximize your score.  Reporting via a CEHRT, like Health eFilings, is the best approach because it optimizes the points that could be earned and therefore, maximizes Medicare reimbursements.


Health eFilings
is a certified EHR technology (CEHRT) and the national leader in automated MIPS reporting. Their cloud-based ONC certified software fully automates the reporting process.  Because Health eFilings’ service is an end-to-end electronic solution that doesn’t require any IT resources, administrative support, or workflow changes from you, the practice will save significant time while maximizing its financial upside.

To learn more about how to properly perform your 2020 MIPS reporting, contact EZClaim’s partner, Health eFilings, so they can help before its too late!


For details and features about EZClaim’s medical billing software, or general information about the company, visit their website
.

[ Written by Sarah Reiter, SVP Strategic Partnerships, Health eFilings ]

MIPS Reporting Webinar on July 22, 2020

Join this MIPS Reporting Webinar to be sure you are up to speed on the latest updates and changes.

MIPS Reporting WebinarNow that the MIPS (Merit-based Incentive Payment System) submission period is drawing to a close, join our partner, Alpha II, as they review the updates and changes for MIPS reporting in 2020. This session will discuss important program updates for 2020 reporting including:

• Eligibility requirements
• Performance thresholds
• Payment adjustments
• Performance category weighting
• Measure updates and more…

MIPS Reporting Webinar details:

Start reporting correctly now to ensure success for the 2020 performance year!

The 2020 MIPS Program – Any Changes?

There WILL NOT be any changes to the MIPS Program in 2020, so all payers must be submitted and a minimum of 45 points must be earned to avoid the 9% penalty.

On March 23, 2020, CMS made it perfectly clear that MIPS Program is not going away in 2020.  It also reiterated that the data requirements and thresholds in place for the 2020 program have not changed.  Additionally, Promoting Interoperability and Improvement Activities must be done for the required durations or no points will be earned for those categories.

To put this in context, while the stakes have been raised every year, the final ruling for the 2020 reporting period is the most complex to-date, further increasing the stress, burden and financial risk for over 900,000 clinicians who bill Medicare Part B.  Failure to comply or earn enough points for the 2020 reporting period will result in an automatic 9% penalty on every Medicare Part B claim paid for an entire year. This equates to a minimum of a $8,100 per provider hit to the bottom line.
2020 MIPS Chart

Given the unprecedented time when everyone’s bottom line is at risk, now is the time to get a handle on what’s at risk with the MIPS program and proactively engage to ensure your bottom line is not further jeopardized by being assessed a 9% penalty.  It can be challenging to know exactly what you need to do to earn points, optimize your score, and protect your Medicare reimbursements, as there are many commonly misunderstood aspects and nuances with the MIPS program.

So, with what is at stake and the inherent complexity in earning points, it is critical that you select the right methodology and partner who can help you maximize reimbursements and protect your bottom line. Not all reporting methodologies are the same.

Health eFilings‘ CEHRT is the best choice for a reporting partner. Their cloud-based ONC certified software fully automates the process and does all the work without any IT resources, administrative support and workflow changes from the practice.  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.

As more than 25% of the 2020 reporting period is behind us, now is the time to act while there is still plenty of time to positively impact your results and points earned.

Health eFiling provides the nation’s only fully automated solution for MIPS compliance and is integrated with EZclaim’s billing solution. Click on the following link for more details: https://healthefilings.com/ezclaim

[Contribution by Sarah Reiter with the Senior VP of Strategic Partnerships]

Maximizing MIPS Score with Health eFilings

targeting a better MIPS scoreThere are many commonly misunderstood aspects and nuances with the MIPS program, particularly in how points are earned.  For a healthcare practice it can be challenging to know exactly what to do to earn points, optimize the score, and protect their Medicare reimbursements.  But, at the same time, the stakes have been raised every year and the final ruling of the program is even more complex than it has been in the past, further increasing the stress, burden and financial risk for a healthcare practice.

The approach a practice takes to report for MIPS will greatly impact the results.  Many 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 or that an EHR’s reports satisfy the MIPS requirements. These misperception and erroneous assumptions are detrimental to the financial interests of any practice.

There is a third reporting methodology that has been established and authorized by CMS, called CEHRT, or Certified EHR Technology (software).  The CEHRT methodology assists CMS with their need for more valid data submitted through technology and to refocus Providers from merely using technology towards Providers leveraging technology to improve outcomes.  Reporting via a CEHRT using software that has been certified by the ONC is a superior approach because it optimizes the points that could be earned and therefore, maximizes Medicare reimbursements for the practice.

Recently an RCM company CEO approached us at Health eFilings with the decision to use six of her clients to conduct a side-by-side comparison of the registry and Health eFilings (CEHRT) methodologies for reporting. In this manner, she intended to validate for herself whether a CEHRT or registry would generate the greatest ROI for her clients. The results of using Health eFilings’ MIPS Accelerator service, on average earned almost triple the points versus a registry for the same year for the same clients.

MIPS score comparison graph

“Due to limited understanding and guidance, we weren’t aware of the differences of the reporting methodologies available for my clients.  We believed there was greater opportunity, but the current registry methodology we had chosen didn’t demonstrate that for our clients.”

Katy, RCM Company CEO

 

 

This side-by-side comparison highlights not only that a CEHRT is the superior method of reporting as Health eFilings was able to leverage technology to facilitate the ease, accuracy and completeness of tracking and reporting, but it also maximize a Provider’s MIPS score.  Additionally, given the levels of Medicare reimbursements for these practices, the higher score resulted in their earning a positive payment adjustment, which significantly improved their bottom line. And, take note that if the Registry were to perform the reporting for the 2019 reporting period, these practices would not earn enough points to avoid the penalty of negative 7%.

Health eFilings with its proprietary ONC certified software has many advantages over any type of registry:

  • Automatically extracts data from any EHR or billing system
  • No staff or IT time required to comply
  • Benchmarks performance versus peers based on CMS standards
  • Proprietary algorithm evaluates 9 million combinations to select best quality measures to optimize score
  • Earn 10% in bonus points for the Quality category
  • eCQM deciles earn more points than registry deciles
  • Almost all eCQM’s have a CMS benchmark versus less than 25% of registry measures
  • Electronically submits the data to CMS

And, important to note that it’s NOT too late to comply for the 2019 reporting period as Health eFilings is able to support new clients, but time is of the essence.  Reach out NOW if you or your client hasn’t reported for 2019—there is NO REASON to accept the 7% revenue hit.

Now EZClaim and Health eFilings want to ensure you can partner with the only complete, end-to-end MIPS compliance solution that saves you significant time and money. To learn more, click the following link: https://healthefilings.com/ezclaim

[ Article written by Sarah Reiter, Vice President of Strategic Partnerships with Health eFilings ].