Healthcare professionals who used to manage medical bills in-house would understand the difference between in-house and outsourcing medical billing services quite explicitly. A few years back and even now, small medical practices that don’t seek professional help compile disrupted claims. In those times, regulations were not strict and denial management …

If you are familiar with QPP MIPS, you must know how it impacts the financial situation of medical practice. The better a clinician knows about its requirements, and more appropriately, they can compile relevant data to submit to the CMS (Centers for Medicare and Medicaid Services). Today, our focus is …

CMS (Centers for Medicare and Medicaid Services) published a final rule to support innovation and technology for Medicare beneficiaries.  This rule comes under Medicare Coverage of Innovative Technology (MCIT). The result is expected high pace in the healthcare innovation and easy access of technology to seniors. Undoubtedly, it will be …

QPP MIPS 2020 performance period has been tough, but still, MIPS eligible clinicians must be ready to report data timely to CMS (Centers for Medicare and Medicaid Services). Yes! We have seen some crucial changes in the reporting criteria, but it is not an excuse for poor performance. It is …

With New Year comes the fourth year for MIPS data submission. We have almost a year for its reporting deadline. However, the sooner we start strategizing for it, the better MIPS incentives we can target. MIPS Contributes in the Healthcare Industry in Terms of: QualityPromoting Interoperability (PI)Improvement Activities (IA)Cost Based …

Telehealth or telemedicine is on the rise in response to the COVID-19 pandemic. This practice has been utilized majorly for high-risked patients to keep their safety into consideration.  Many healthcare professionals are finding ways to expand telehealth services as part of the Medicaid program and simplifying solutions for medical billing …

We cannot disregard the services of small medical practices or rural practices or facilities in underprivileged areas. They, despite their limited resources, strive to provide quality healthcare services to patients. However, it doesn’t mean that they cannot be included in the Quality Payment Program (QPP). CMS (Centers for Medicare and …

The Healthcare sector has suffered during the COVID-19 pandemic. Limited access to resources has shaken every corner of healthcare, from medical billing to care delivery. The worst part is reduced patient volume in medical practices and its impact on the financial cycle. Thus, the ongoing pandemic threatens the very existence …

Nowadays, physicians’ reimbursements depend highly on the performance of medical billing services besides the patients’ satisfaction levels. In the upcoming years, we can expect their impact to increase in the payment models, even resulting in penalties in response to patients’ dissatisfaction.  QPP MIPS also regards patient engagement and empowerment in …

Each year brings new challenges, regulations, and quality parameters. Optometrists like other healthcare professionals have to look into updates and revise strategies to maximize revenue. QPP MIPS reporting is also one of those programs that need attention right from the start of the year. Rules in MACRA MIPS For MACRA …