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Stephanie Zaremba

Which Guarantee Is Not Like the Others?

by Stephanie Zaremba, Director of Government and Regulatory Affairs

MIPS: Our biggest and boldest guarantee yet.

July 25, 2016|Categories: Healthcare Policy and Reform, Cloud Services, Medical Billing and Payers

Johanna Georgilas

CMS Benchmark Data: Too little, Too Late

by Johanna Georgilas, RN, BSN, MBA, Senior Manager, Clinical Quality Management

CMS recently announced that it will use 2014 benchmark data to measure how well eligible providers performed against 2015 quality metrics compared to their peers nationally. Based on provider performance, CMS will net groups with 10+ providers a downward, neutral or upward payment adjustment on their 2017 Medicare Part B allowables. This is good and bad.

November 30, 2015|Categories: Healthcare Policy and Reform

Stephanie Zaremba

Stage 3 of Meaningful Use Still Lacks Interoperability and Provider Groups Aren't Pleased

by Stephanie Zaremba, Director of Government and Regulatory Affairs

Last month, the Centers for Medicare and Medicaid Services (CMS) finalized changes to Stage 2 of Meaningful Use for 2015-2017 and new Stage 3 requirements to take effect in 2018. This final rule was largely consistent with what CMS proposed in April, aimed at reducing the complexity of program requirements. Yet despite CMS’s attempt to simplify the Meaningful Use program in response to years of stakeholder complaints, the final rule was again met with widespread criticism, particularly from providers.

November 12, 2015|Categories: Healthcare Policy and Reform, Meaningful Use, Interoperability

Michelle Mangino

Surviving Quality: Making Sense of PQRS and Meaningful Use [INFOGRAPHIC]

by Michelle Mangino, Social Media Manager

2015 has been a year of notable change in the way providers are getting paid under Medicare.  With the expansion of value-based reimbursement (VBR) and the overall shift away from incentive payments, many providers now face significant financial penalties for non-compliance. Practices that do not meet Meaningful Use and Physician Quality Reporting System (PQRS) requirements could lose as much as 9% of their 2017 Medicare reimbursement.

September 04, 2015|Categories: Healthcare Policy and Reform, Meaningful Use

Allison LaValley

How to Avoid PQRS and VM Penalties

by Allison LaValley, Executive Director of Clinical Performance

Earlier this summer I spoke about why it is more important than ever to not only report Physician Quality Reporting System () data, but to pay attention to how you’re performing on these measures. I now want to build off of that discussion and share some actionable tips and best practices for avoiding PQRS and Value-based Modifier (VM) penalties – and actually earning the incentives.

August 19, 2015|Categories: Healthcare Policy and Reform

Allison LaValley

Why You Should Be Paying Attention to PQRS

by Allison LaValley, Executive Director of Clinical Performance

If you’re not currently putting some focus on the (PQRS) program, you’ll need to. Fast. With this initiative from the Centers for Medicare and Medicaid Services (CMS), more providers than ever are accountable for delivering high quality and low cost care. Those who don’t participate will receive a financial penalty in two years; those who succeed can take advantage of bonus payments. 

July 01, 2015|Categories: Healthcare Policy and Reform

Jonathan Bush

The Theory Behind the Guarantee

by Jonathan Bush, President & CEO

When Leon Leonwood Bean, founder of L.L.Bean, first created the infamous Bean Boot (officially known as the Maine Hunting Shoe), he sent mailers out to local fishermen and hunters to promote the new boot and guarantee complete satisfaction. Within a few weeks, 90 of the first 100 boots purchased were returned. The leather uppers had separated from the rubber bottoms. Though it almost put L.L.Bean out of business, L. L. stayed true to the guarantee and refunded the customers. 

April 06, 2015|Categories: Healthcare Policy and Reform

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