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Quality Measures – BIG NEWS!

by Caroline Fife, M.D. | Apr 12, 2017 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program

The 2016 “Prior Year Benchmarks” report is out for measures included in the 2016 “Quality and Resource Use Reports” (QRUR). There is HUGE news for wound care and hyperbaric medicine but no one has talked about it yet. THIS IS BIG....

Introducing the Quality and Resource Use Report (QRUR)

by Caroline Fife, M.D. | Jun 1, 2016 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program

I am going to describe the process by which CMS calculates Quality and Resource Use and then show you data from my own Quality and Resource Use Report (QRUR). Warning: there is math involved, and there is no possible way to make this topic interesting. However, it is...

Using Quality and Cost to Determine Value

by Caroline Fife, M.D. | May 13, 2016 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program

I am explaining MIPS, the Merit-Based Incentive Payment System. Although MIPS does not begin until 2017, 85% of the MIPS score is derived from performance in the 2 quality programs that clinicians should already be engaged in: Meaningful Use of an EHR (MU) and the...

MIPS and the Quality and Resource Use Report

by Caroline Fife, M.D. | Mar 17, 2016 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program

For over a decade we had an annual crisis of uncertainty regarding Medicare physician payments. Under the Sustainable Growth Rate (SGR) formula, physician reimbursement needed to be cut by at least 21% to keep the Medicare program from going under financially....
Wound Care Reimbursements

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