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Part II of the five-part series on the Quality Payment Program in 2020 authored by Michael Stearns, MD, CPC, CRC, CFPC, founder and CEO of Apollo HIT, LLC, has been published. It is available here. This article addresses the requirements for the quality performance category of the the Merit-based Payment Incentive System (MIPS) in 2020.Read More
Posted February 5, 2020 The Journal of the American Health Information Management Association (JAHIMA) published an article titled Quality Payment Program: 2020 Changes and Requirements Part 1, the first of a five-part series on the Quality Payment Program for 2020. The article was authored by Michael Stearns, MD, CPC, CRC, CFPC, founder and CEO of Apollo HIT,Read More
CMS will allow clinicians to choose from a number of hardship exceptions for the Promoting Interoperability performance category of MIPS. On the 2019 MIPS Promoting Interoperability Fact Sheet has as one of the choices, “You are in a small practice.” The application process has similar language, simply asking clinicians to attest to being in aRead More
CMS and the ONC released simultaneous proposed rules tied to information blocking and a number of related topics. Key concepts are summarized here: CMS and ONC Proposed Rules on Information Blocking – Key Considerations . The article was written by Apollo HIT CEO Michael Stearns, MD, CPC and two invited coauthors (Bhavesh Modi, JD and SarahRead More
Author: Michael Marron-Stearns, MD, CPC, CFPC (Michael@ApolloHIT.com) This article discusses how a large percentage of clinicians eligible for MIPS will receive MIPS Scores in 2017 and 2018 based on what are called “MIPS APMs” that use a distinctly different scoring methodology than the MIPS, referred to as the APM Scoring Standard. This article discusses theRead More
This article was published in the September 2017 addition of the Journal of AHIMA and became available online in August 2017. A large number of MACRA professionals have reported that many providers are enrolled in an aspect of the MACRA Quality Payment Program called MIPS APMs without their awareness. Providers who agreed to participate inRead More
This article discusses the Additional Positive Payment Adjustment for exceptional performance under MIPS. The article requires membership to AHIMA however for reprints please reach out to us at firstname.lastname@example.org in summary, the article discusses the $500 million fund available annually for the first six years of the MIPS program. These funds are used to rewardRead More
This article was published in March of 2017 and identifies how health information management (HIM) professionals, including administrators, clinical documentation integrity specialists, compliance specialists, coding specialists, coordination of care specialists, informaticists, and those engaged and related services play an essential role in organizational performance under the Quality Payment Program (MACRA). It identifies the key rolesRead More
This article discusses how to prepare for the Quality Payment Program (MACRA). It was written in June of 2016 in advance of the 2017 Final Rule for the QPP and a number of items were changed in the final rule. It was authored by Michael Marron-Stearns, MD, CPC, CFPC, the CEO and founder ofRead More
MACRA Strategies for 2017: Advantages and Disadvantages of Four OptionsRead More