Just 2% of clinicians will earn lucrative value modifier bonus in 2018

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers the 2018 Medicare payment impact of CMS’s value modifier program, including the distribution of payment cuts, neutral adjustments, and bonuses across clinician and practice groups. It is aimed at physicians, practice managers, and medical coders who follow Medicare reimbursement policy and CMS quality-reporting changes. The piece places the results in the context of the transition from the value modifier program to MIPS and summarizes the broad categories of performance outcomes discussed in the report.

Why This Topic Matters

It helps readers understand how a now-retired CMS payment program still affected Medicare reimbursement in 2018 and why prior performance continued to influence payment outcomes for many provider groups.

What You Will Learn

  • How the value modifier program affected Medicare payments in 2018
  • How payment outcomes were distributed across provider groups
  • How CMS’s quality-reporting approach changed with the move to MIPS
  • What broad categories of reimbursement adjustments were reported

Who Should Read This

  • Physicians
  • Practice managers
  • Medical coders
  • Billing staff
  • Healthcare administrators

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