Tag: physician reimbursement

Clinicians Serving Socially At-Risk at a Disadvantage Under MIPS

Clinicians Serving Socially At-Risk at a Disadvantage Under MIPS

  Clinicians who served more patients with social risk factors such as low income performed worse in the Merit-Based Incentive Payment System’s inaugural payment year, and therefore, received unfavorable value-based reimbursement, according to a new study. The study recently published in Health Affairs found that out of 510,020 clinicians participating in the Merit-Based Incentive Payment System (MIPS) in […]
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New ICD-10-CM Code Rationales

New ICD-10-CM Code Rationales

Rationales for ICD-10-CM updates are key to improved medical coding, data reporting, and physician reimbursement. Many of the ICD-10-CM updates for 2020, presented at the ICD-10 Coordination and Maintenance Committee meeting on Sept. 11-12, 2018, provide insight into the purpose of subsequent code changes, which can help you to use the updated code set more […]
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Medicare Access and CHIP Reauthorization Act

Thinking Strategically About MACRA and MIPS: Will it Be Sink or Swim in 2019?

In Part One of this two-part article exploring the implications of MACRA for healthcare providers, healthcare leaders and health IT experts discuss why it’s critical for clinicians to think strategically, rather than tactically, about MACRA compliance. Numerous industry surveys have highlighted that U.S. physicians, by and large, remain unprepared for managing and executing Medicare Access […]
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