decisionhealth Newsletters, Part B News - 2017 Issue 5 (May)
Adopt 4 changes to increase your success with MIPS
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Article Overview
This article explains how the Merit-based Incentive Payment System fits into the Quality Payment Program and why it matters for physicians and practices participating in Medicare. It focuses on the broad operational areas practices should review, including quality reporting readiness, data collection, contract coordination, and electronic health record capability. The piece is aimed at physicians, practice leaders, and coding or compliance staff who need to understand the program’s reporting and workflow implications.
Why This Topic Matters
MIPS affects Medicare Part B payment adjustments, so practices need to understand the program’s reporting demands and operational impact. Reviewing preparedness in advance can help organizations evaluate whether their current workflows, contracts, and systems support participation.
Article Sections
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Overview of MIPS and the Quality Payment Program
Introduces the Quality Payment Program framework and the role of MIPS within Medicare payment reform. It also situates the discussion within the broader shift from prior physician reporting programs.
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Practice operations to support MIPS
Summarizes the main operational areas practices are encouraged to review in preparation for participation. The section addresses reporting readiness, internal processes, outside relationships, and health information systems at a high level.
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Resources
Lists reference links related to the Quality Payment Program and obtaining reporting information.
What You Will Learn
- How MIPS relates to the Quality Payment Program
- Which parts of practice operations may need review before reporting begins
- Why data collection and system readiness matter for participation
- What types of external and internal workflows can affect reporting preparedness
Who Should Read This
- Physicians
- Practice administrators
- Compliance staff
- Revenue cycle and coding professionals
- Healthcare attorneys and consultants
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