Are you ready for MIPS in 2019? Ok, don’t give me that look. I know 2018 isn’t over yet, but it’s never too early to prepare! The good news is that MIPS Year 3 doesn’t look all that different from this year. That being said, the risk/reward factor is different. In addition to having to score more points in 2019 to avoid a penalty, you could lose up to -7% to your Medicare reimbursements if you don’t … ouch.

It’s officially November, which means you definitely have the right to get a head start on holiday decorating. And in the health care world…it means that CMS has finalized their proposed changes to the Quality Payment Program (QPP) for 2019.

Reaching a high level of trust in your organization’s performance measurement data is dependent on people, processes and technology all working together to ensure the highest levels of data quality possible. Data quality is crucial for properly measuring, managing and improving your organization’s clinical or financial performance…and it’s a lot like preparing a meal.

Measures and requirements for the major regulatory programs are continually changing—and next year is no exception.

If you read through the 2019 IPPS final rule that was published this summer (without falling asleep…wait, what?), you learned that CMS is striving to reduce the regulatory reporting burden by removing measures from the Hospital Inpatient Quality Reporting (IQR) program. In fact, for 2019, they adopted a new measure removal factor (justification for removing a measure) that helps boost the count of measures removed from the IQR program to 39 eliminated measures between 2019 and 2021.

Reporting your quality data to the Hospital Inpatient Quality Reporting (IQR) program takes time and ample planning…so why scramble at the last minute?

Ensure a smooth and stress-free reporting process in 2019 by starting your prep now. To make it easier, we’ve laid out the seven requirements your hospital will need to know to successfully complete the 2019 IQR program in this FREE 31-page eBook.

Just when it feels like you’re nearing the end of your regulatory reporting duties for 2018...the time comes to start thinking ahead to a brand-new year of quality reporting. I know, the struggle is real. But by getting your research and planning done in advance, you’ll feel more confident about achieving quality reporting success in 2019.

In a previous post, we discussed the changes that have been finalized for the 2019 CMS Inpatient Quality Program (IQR) program. Today, we’re switching gears and reviewing what’s in store for another major regulatory program—The Joint Commission ORYX® initiative for quality improvement program.

You know plenty about the CMS IQR program...or do you??

Let’s find out! This quiz will provide a refresher on the 2019 requirements while testing your knowledge of the recent finalized changes to the 2019 CMS Inpatient Quality Reporting (IQR) program structure.

Is your hospital ready for quality reporting next year? Yes, I said next year! I know it may sound a little early, but when it comes to successfully fulfilling regulatory reporting requirements, it’s never too soon to start preparing.

Quality reporting is no quick task. By starting now, your hospital can avoid last-minute scrambling and carefully take the time needed to review updated requirements, assess performance, make a game plan, decide which team member(s) will be responsible for overseeing each task and implement the proper technology.

Did you know that a whopping 751 hospitals were penalized for their high Hospital-Acquired Condition (HAC) rates this year?

The HAC program is one of the CMS programs that can hit hospitals with a penalty and significant revenue loss. And this year, the HAC scores look a little different than they have in years past. Before we share which states landed on the list of the worst HAC performers, let’s dive into how the HAC program works and what it means to get a HAC penalty.

When it comes to MIPS, hard work pays off…literally. But how? And what can do you to ensure that you are maximizing your chances of receiving a nice large reimbursement?