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Pursuing meeting the MACRA Quality Payment Program (QPP) utilizing MIPS?
Two methods for submitting data for MIPS are the Qualified Registry (QR) and the Qualified Clinical Data Registry (QCDR) developed by third-party vendors that require approval by CMS. ABC recommends use of a QCDR to submit data for the MIPS. A QCDR supports both MIPS and non-MIPS measures, more accurately reflecting the way that most CRNAs practice.
The MiraMed MACRA MadeEasy certified QCDR platform guides clients through MIPS and ensures that a practice is not only protected from penalties, but puts itself in line for incentive payments.
Join the 3,000,000+ patients and 6,000+ clinicians already reporting their performance through the MiraMed certified QCDR program.
View MiraMed's 2017 MiraMed Non-MIPS Measure Specifications
Risk adjustment is a growing source of untapped profit potential; however, meeting CMS’s reimbursement requirements requires intensive resources. The guidelines associated with risk documentation standards require the submission of meticulously chosen and verified data for the risk scoring of patients (i.e. patient risk profiles).
The payer has the responsibility to provide the risk score information to CMS. The payers, in turn, are dependent on the physicians’ to diagnose and properly link the document for each high risk patient according to a strict protocol of necessary information needed for reimbursement. Working together, MiraMed can aid providers in understanding and providing the required documentation according to risk model methodology.
MiraMed has a robust, thorough process for conducting retrospective auditing which involves reviewing documentation and encounter data on past dates of service (within the current or previous reporting year) that have already been submitted through the clearinghouse to health plans.
Yearly, face-to-face, annual HCC assessments by practitioners for the evaluation and medical management of patient chronic conditions play a significant role in the maintenance of quality clinical practices. MiraMed will facilitate the program entirely or implement the program so that the providers can manage the program internally.
Note: The office medical assistant can help the physician prepare for the visit by getting a list of the diagnostic codes previously used for reference.
Practioners receive satisfaction when maintaining quality patient care, providing ongoing services and improving chronic condition follow-up with their patients.