Category: CMS

A Step-By-Step Checklist to Succeed with CMS’ APM Performance Pathway (APP)

The Centers for Medicaid and Medicare Services (CMS) programs are changing, in many ways for the better. If you are a Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) or a Merit-based Incentive Payment System (MIPS) eligible clinician that participates in a MIPS APMs, you have likely heard of the changes as part of…
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CMS’ New APM Performance Pathway (APP): What It Is & Why It Matters

The Centers for Medicaid and Medicare Services (CMS) has created a new reporting pathway in an effort to encourage the transition to alternative payment models by tying financial incentives to broader value-based care goals. The Alternative Payment Model (APM) Performance Pathway (APP) is a new reporting and scoring option for Medicare Shared Savings Program Accountable…
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Are You Ready for Digital Measures?

Viewpoints of quality measures can evoke images of coding value sets, manual chart reviews or perhaps even excel spreadsheets. While these mental images may not necessarily be incorrect, they do fail to capture the technology side of the situation by neglecting how health data is captured – digitally. Most healthcare organizations and teams want less…
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New Changes Apply to CMS’ Merit-based Incentive Payment System (MIPS) in Response to COVID-19

Since the COVID-19 pandemic hit last year, we have been keeping our pulse on changes and updates to value-based program requirements. Here are three of the recent policy updates that apply to providers and groups participating in Centers for Medicare and Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS). #1 Cost Reweighting The most significant…
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KPI Ninja’s Alerts and Notifications: Hospital Discharge Example

Care alerts are at the core of high-quality, coordinated health care. Every notification is a moment of insight about a patient’s health, so each and every one is of critical importance. Stay compliant with Centers for Medicare and Medicaid Services’ (CMS) new Interoperability and Patient Access Final Rule (CMS Final Rule). This rule finalizes seven new policies…
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