Medical Billing Blog

Stay up to date with the latest revenue cycle news, trends, and policies.

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Medicare



Should I participate in the Quality Payment Program and MIPS?


The following information is provided by the Centers for Medicare & Medicaid Services:


You may have heard that the Centers for Medicare & Medicaid Services (CMS) is reviewing claims and letting practices know which clinicians should take part in the Merit-based Incentive Payment System (MIPS). MIPS is an important part of the new Quality Payment Program.

The Quality Payment Program works to make Medicare better by keeping patients at the center of healthcare while paying clinicians based on their performance. It replaces the Sustainable Growth Rate formula, which threatened clinicians participating in Medicare with potential payment cuts for 13 years. This program combines and streamlines many existing Medicare quality programs. It also gives new ways to improve care delivery by supporting and rewarding clinicians who:

  • Find new ways to engage patients, families, and caregivers.
  • Improve care coordination and population health management.

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Reporting Deadline for PQRS 2016 Data: March 31, 2017


We at The Valletta Group want to remind all medical providers that it’s not too late to meet the 2016 reporting deadline for PQRS. In order to avoid a 4-6% reimbursement penalty on Medicare Part B claims in 2018, medical providers must submit certain 2016 PQRS data no later than March 31, 2017.

There are three reporting options to choose from, all of which require providers to submit data on a specific amount of 2016 patient interactions. Providers can choose to report individually or as a group.

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Preparing for MIPS: The Key Elements


MIPS – Merit-based Incentive Payment System

MIPS is one of the latest developments in Healthcare. As MIPS approaches, The Valletta Group wants to make sure that its clients are fully informed. Below are some key facts about MIPS, including information about its implementation, like qualification and exemption details, as well as important dates and deadlines.

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