by Caroline Fife, M.D. | May 5, 2016 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program
I’m picking up where I’d left off before SAWC Spring – 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...
by Caroline Fife, M.D. | Mar 24, 2016 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program
Each performance year, CMS sets a “performance threshold” (PT) which is the number of points at which a provider receives 0% adjustment to their Medicare Part B payments. If, just for the sake of illustration, the PT threshold is 50 points, then a provider earning 50...
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....
