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CMS Launches Newsletter to Help Small Practices (15 or Fewer Clinicians) Understand MIPS and the Quality Payment Program

CMS Launches Newsletter to Help Small Practices (15 or Fewer Clinicians) Understand MIPS and the Quality Payment Program

by Caroline Fife, M.D. | Apr 20, 2026 | Healthcare Payment Policy, Quality Payment Program

Last week I got a call from a hospital that employs two practitioners in their Hospital Based Outpatient Wound Center (HOPD). The clinic manager and the hospital quality officer said that they have employed these practitioners for years, and that, “We just heard about...
CMS Launches Newsletter to Help Small Practices (15 or Fewer Clinicians) Understand MIPS and the Quality Payment Program

A Message for Practitioners Who Aren’t Ready to Give Up: the “Non-Pressure Ulcer” Cost Measure in Plain English

by Caroline Fife, M.D. | Feb 2, 2026 | Fight the Good Fight, Quality Payment Program

The problem with boring documents is that they might be vital to your survival – like drug package inserts or the fine print of legal contracts. The situation is made more frustrating because special knowledge is required to understand the fine print and avoid...
CMS Press Release: Prepare for 2026 Field Testing of Episode-Based Cost Measures

CMS Press Release: Prepare for 2026 Field Testing of Episode-Based Cost Measures

by Caroline Fife, M.D. | Jan 27, 2026 | Field Test Report, Quality Payment Program

Official CMS press release: The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will conduct field testing from January 29 to February 27, 2026, for three episode-based cost measures. The measures will undergo field testing before...
How to Prepare For & Make the Most of Your Field Test – Attend CMS Meetings on Jan 27 and Feb 18

How to Prepare For & Make the Most of Your Field Test – Attend CMS Meetings on Jan 27 and Feb 18

by Caroline Fife, M.D. | Jan 26, 2026 | Field Test Report, Healthcare Payment Policy, Quality Payment Program

This is an official CMS release: Upcoming Specialty Society Office Hours We are holding office hours with specialty societies and organizations to provide information about the upcoming field testing period. These office hours are intended as an informal opportunity...
How to Prepare For & Make the Most of Your Field Test – Attend CMS Meetings on Jan 27 and Feb 18

What’s Wrong with Medicare Physician Payment? MIPS!

by Caroline Fife, M.D. | Jun 4, 2024 | Fight the Good Fight, Quality Payment Program

The AMA has a series called “What’s Wrong with Medicare Physician Payment,” and 4 of the 6 points in this article address the weaknesses of the Quality Payment Program (QPP). Three of those focus around issues related to the Merit Based Incentive Payment System...
CMS Launches Newsletter to Help Small Practices (15 or Fewer Clinicians) Understand MIPS and the Quality Payment Program

24 Days Until the Close of the 2023 MIPS Data Submission Period

by Caroline Fife, M.D. | Mar 7, 2024 | Fight the Good Fight, Quality Payment Program

I know there is “MIPS” fatigue and that for most wound care practitioners, the whole Quality Payment Program has felt irrelevant. However, this year, if you are “eligible” to report (that’s Medicare’s term for “you have to do it”) and fail to do anything about it, you...
How to Prepare For & Make the Most of Your Field Test – Attend CMS Meetings on Jan 27 and Feb 18

The Deadline to Submit MIPS Data for 2023 is April 1 at 6 pm EST to Avoid up to a 9% Penalty on Medicare Revenue

by Caroline Fife, M.D. | Jan 26, 2024 | Fight the Good Fight, Quality Payment Program

The data submission period for Medicare’s Merit-Based Incentive Payment System (MIPS) 2023 performance year is underway, and closes April 1 at 7 pm CT. At stake is a pay cut of up to 9% in the 2025 payment year. MIPS-eligible physicians and health professionals must...
How to Prepare For & Make the Most of Your Field Test – Attend CMS Meetings on Jan 27 and Feb 18

2024 QCDRs & Qualified Registries Qualified Postings are Now Available

by Caroline Fife, M.D. | Jan 11, 2024 | Fight the Good Fight, Quality Payment Program

The list of all CMS-approved Qualified Clinical Data Registries (QCDRs) has been posted. These QCDRs have been approved by CMS to participate in reporting QCDR measures and/or MIPS (Merit Based Incentive Payment System) quality measures, PI (Promoting...
The Quality Payment Program and What it Means for the Future of Wound Management & HBOT

The Quality Payment Program and What it Means for the Future of Wound Management & HBOT

by Caroline Fife, M.D. | Feb 2, 2023 | Healthcare Payment Policy, Quality Payment Program

I suspect that most of the people reading this have at some point in their lives, quietly accomplished something that they know to be important but which will largely go unnoticed. Sometimes we do things just because we have to be at peace with the person who looks...
How to Prepare For & Make the Most of Your Field Test – Attend CMS Meetings on Jan 27 and Feb 18

Information on the Physician Fee Schedule Final Rule

by Caroline Fife, M.D. | Dec 10, 2020 | Healthcare Payment Policy, Quality Payment Program

Here are links to information regarding the Physicians Fee Schedule final rule: Final Rule Physician Fee Schedule Final Rule fact sheet Quality Payment Program Final Rule fact sheet and FAQs Here are the Physician Fee Schedule files:...
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Recent Articles

  • CMS Launches Newsletter to Help Small Practices (15 or Fewer Clinicians) Understand MIPS and the Quality Payment Program April 20, 2026
  • TMA Raises Awareness About Drug Access Limitations by Pharmacy Benefit Plans – Guest Blog by Dr. Jay Shah April 17, 2026
  • Trouble with Medicare “Dis” Advantage Programs? CMS has a Provider Complaint Form April 15, 2026
  • FDA Grants Speedy Approval to Eli Lilly’s Oral GLP-1 RA Drug for Obesity April 6, 2026
  • What Happened With the CAMPs Legal Initiative to Reverse Skin Substitute Payment Pricing? – Guest Blog by Dr. Ryan Mathis April 3, 2026

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