BMN Blog

NOV 27
The Cost Category Returns for 2018 By Tammie Lunceford, CMPE CPC, Healthcare Consultant at Warren Averett in Business

As we finalize 2017 participation in the Merit Based Incentive Program, most of us focused on improved performance in quality since the category carried the highest weight of 60%. Those who had previous success in Meaningful Use found the Advancing Care category easy to address.  The Practice Improvement category is new and somewhat vague, but many practices were already performing tasks that qualified as an improvement activity.  It is important to document the approach to improvement and track success because this category is subject to audit in the future.

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SEP 14
Physician Workflow and Coding Specificity- The Effect on Value By Tammie Lunceford, CMPE CPC at Warren Averett in Business

It has now been two years since the implementation of ICD-10, everyone survived! While denials have been minimal, the goal of implementing ICD 10 to acquire more specificity and a complete picture of health has not been fully achieved.  Physicians and managers have created a new set of shortcuts to assure payment of claims, relying on paper superbills or inappropriate conversions from ICD 9 to ICD 10.

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JUL 05
MACRA Quality Payment Program Year 2 Proposed Rule By Beth Pitman, CHPC, Counsel at Waller, Lansden, Dortch & Davis, LLP in Regulatory

On June 20th, CMS issued its proposed rule for year 2 of the Quality Payment Program (QPP) under Medicare Access and CHIP Reauthorization Act of 2015( MACRA).  Comment period ends August 20. 

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MAY 17
The Merit Based Incentive Program- Small Practices-Big Decisions By Tammie Lunceford, CPC Healthcare Consultant, Warren Averett in Business

As we approach the beginning of summer, our minds are likely not on summer vacation. The process of assessing our electronic medical record vendor, absorbing the details of MIPS, and making the decisions on how to prepare, is overwhelming for small practices.  The transition to value based medicine has been evolving over the last 10 years in stages; adopting electronic health record, Quality Reporting, and Meaningful Use.  Many administrators and physicians did not realize the importance of each project; from choosing the right EMR, to implementing it properly, therefore achieving best practice workflows.

 

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