We can help you maximize the well-being of your patients and staff while staying financially viable.
Serving New Mexico, Nevada, Oregon and Utah
HealthInsight is ready to help practices take an integrated approach to the Quality Payment Program. We have studied the rules and stay informed on updates, clarifications and CMS learning opportunities. Some of the support we can offer:
Strategies to address multiple aspects of QPP while building your practice's capacity to achieve long-term success under alternative payment models
Guidance on how to use new revenue codes to build your practice's capacity to succeed across many newer payment programs
Support on how to advance through the stages of QPP to succeed initially and as the requirements build
Resources to help meet program requirements
Linkage to HealthInsight initiatives to count toward meeting QPP requirements
Connecting with your state health information exchange to help support QPP
Support for measure selection that aligns to your goals and priorities across MIPS categories
Health Care Practitioners in Nevada, New Mexico, Oregon and Utah:
HealthInsight is offering technical assistance and strategies to ensure success in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program. This support is available at no cost to your practice. We have studied the rules and stay informed on updates, clarifications and learning opportunities from CMS.
New Mexico providers with 15 or fewer eligible clinicians
For New Mexico practices with 15 or fewer health care practitioners, particularly those in medically underserved and rural areas, the Health Services Advisory Group, Inc., (HSAG) headquartered in Phoenix, Arizona, has been selected to provide this support, also at no cost to the practice. HealthInsight intends to work collaboratively with HSAG in developing a smooth hand-off process to seamlessly assist smaller practices on their Quality Payment Program efforts. HealthInsight will continue to assist practices in New Mexico with 16 or more health care practitioners.
No Cost Online MIPS Estimator Use this free online MIPS Estimator to determine which measures and data submission methods give you the highest baseline Merit-based Incentive Payment System (MIPS) composite score. Then, make workflow changes to improve patient outcomes and work towards improving your MIPS score to achieve the highest possible reimbursement in 2017.
Quality Payment Program (QPP) in 2017: Pick Your Pace – A CMS Module How do you know if your medical practice needs to participate in the Quality Payment Program in 2017? The Medicare Learning Network Management Systems offers a simple, online and self-paced course on participating in the Quality Payment Program and picking a pace that works for your practice. The course provides information on:
The basics of the Quality Payment Program
Steps to take to actively participate in the Quality Payment Program to avoid a payment penalty and possibly earn a positive payment adjustment
Factors to consider in choosing how to participate in the program through either the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (APM).
Users will be required to create an account in the Medicare Learning Network Management System to view the course.
ACCME Designation Statement: The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM
2016 Quality and Resource Use Reports (QRUR) and 2018 Value Modifier CMS will make the Annual Quality and Resource Use Reports (QRURs) available for 2016. This page will contain additional links to templates, methodologies and supporting information for the 2016 Annual QRURs and the 2018 Value Modifier.
Merit-based Incentive Payment System (MIPS) Data Submission The Merit-based Incentive Payment System (MIPS) program data submission is comprised of three performance categories: Quality, Advancing Care Information and Improvement Activities. This video shows users who represent groups and/or individual clinicians how to submit data for these categories in a few specific ways.
MIPS EIDM Guide This guide is for users who need an Enterprise Identity Data Management (EIDM) account and/or ‘Physician Quality and Value Program’ role to submit or access QPP data.
MIPS Submission Process This video provides a thorough review of the MIPS attestation web site. It includes information on scoring, the 3 domains being scored for 2017, along with information on how to utilize it and fill out your attestation information. It also includes information on how the system works with your registry if you are using one.
CMS has published a table displaying the Alternative Payment Models (APMs) that CMS operates. In the table CMS identifies which of those APMs CMS has determined to be MIPS APMs or Advanced APMs.
APM Lookup Tool Curious to know how QPP lookup tools for APM and MIPS Clinicians work? Clinicians simply enter their National Provider Identifier and receive their QPP APM eligibility and participation requirements. APM participants should use the APM Lookup Tool to check their status, not the MIPS Lookup Tool. The MIPS Lookup Tool doesn't reflect APM participation. If conflicts arise between the QP and MIPS Lookup Tools, CMS will base APM clinician status on results from the APM Lookup tool.
Join this information session to understand what it means to participate in MIPS with a test, partial and full reporting submission, and the benefits to participating to the greatest extent possible this year. Leave the session with a clear plan for gathering and reporting your performance data in each MIPS category. The first part of this session will include a review of all the steps you need to take to report for 2017. The second half will be an open question and answer session with MIPS experts.
This session will include information on using the eCQI process to select areas for improvement and how to use a methodology to guide the improvement process.
This session will include a deeper dive into two components of the MIPS portion of QPP, including costs and advancing care information. Tools you can use today to assess your costs will be reviewed, along with ways to improve interoperability.
This session will include a deeper dive into the MIPS portion of QPP, including information on how you can be successful in the MIPS program, how to choose quality measures, how to improve quality measures, documentation and reporting, and how to complete an improvement activity.
QPP Webinar Series - QPP Overview May 9, 2017- Recording This session will include a broad overview of the QPP program including who it impacts, what it is, when it will start, how it fits into the big picture and how to be successful in the QPP program.
Quality Payment Program