Quality Payment Program Articles and Resources

News and Important Information

Quality Measures Finalized for 2019

The Money in MIPS

The Quality Payment Program is Medicare's performance based payment system for Medicare Part B services. Providers may participate by choosing one of the following two tracks:

  1. The Merit-based Incentive Payment System (MIPS)
  2. Advanced Alternative Payment Models (APMs)

CLICK HERE to check your participation status, research applicable measures, and to review guidance on MIPS, APMs, etc.

CLICK HERE to go to CMS' new QPP Resource Library.

Additional information regarding this program can be found in a specialty-specific Reimbursement Guide available in the online store.


General Links and Resources

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Select the title to see a summary and a link to the full article.

Impact of 2021 Proposed Medicare Fee Schedule on Chiropractic Offices


On August 3, 2020, the proposed Medicare Physician Fee Schedule for 2021 was released. This 1,355 page document includes some sweeping changes to the Medicare program. There are a few items in particular which should be noted by chiropractic offices.

COVID-19 Clinical Trial Participation Helps Providers Earn MIPS Credit


All healthcare providers who are currently participating in the MIPS portion of Medicare’s Quality Payment Program may want to participate in the new COVID-19 Clinical Trials improvement activity. Read more about it here.

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How to Report MIPS

If eligible, you need to start reporting for MIPS by October 2th, 2017. Do you know who is exempt? Are you familiar with the quality measures that apply to chiropractors? Do you understand how to report on the Advancing Care Information or Improvement Activities? Don’t worry, Dr. Gwilliam has done all your homework and, in this presentation, you will get the crib notes containing just what you need to know. You don’t need to feel overwhelmed with Medicare regulations, you just need to know what to do.

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How to Convert Your Medicare Patients to Cash to Avoid the Penalties of MACRA

The #1 concern reported by CMS about chiropractors is that, as a profession, we do a poor job of understanding maintenance care. Of course, that is THEIR definition of maintenance care. When you better understand the rules of medical necessity in Medicare, you begin to see what they are talking about. The truth is that there is a “gray” area between the distinct “white” of active treatment and the “black” of maintenance treatment, and that gray area is confusing when defining “covered” vs. “not covered” chiropractic care in Medicare. Join us to find out the following critical information in time for the MACRA Section 514 implementation January 1, 2017: Find out exactly what Medicare deems as maintenance care and how to recognize it with our patients Learn what your options are for treating your Medicare patient’s maintenance care for cash Hear scripting that is vital to your patient understanding what’s going on with their coverage, or lack thereof Properly document the difference between active and maintenance care Better manage those little incidents that come up for chronic, Medicare patients

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Mighty MACRA!

Mighty MACRA!

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