RevCycle Intelligence May 1, 2017

CMS developed specialized MIPS eligibility and reporting requirements to help eligible clinicians in small and rural hospitals successfully participate.

In light of the unique challenges eligible clinicians in small and rural hospitals face, CMS developed special Merit-Based Incentive Payment System (MIPS) eligibility and reporting requirements for the clinician group.

Through MIPS, CMS aims to transition Medicare fee-for-service payments to value-based reimbursement across all provider types. But many small and rural hospitals view value-based purchasing implementation as a major pain point.

MIPS consolidated several Medicare value-based purchasing programs, such as the EHR meaningful use initiative, the Physician Quality Reporting System (PQRS), and the Value-Based Payment Modifier (VM) program. However, small and rural hospital participation and success in these programs have...

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Topics: CMS, Health System / Hospital, MACRA, Medicare, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, RCM (Revenue Cycle Mgmt)
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