2020 IPPS Final Rule: 10 Things to Know

CMS dropped the 2020 Inpatient Prospective Payment System (IPPS) final rule, which focuses on measure adjustments to reduce quality reporting burden, supporting quality care in rural areas and revising policies related to new technology add-on payments.

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FHIR for the Busy Quality Manager

By Scott Allen Posted Aug 09, 2019 in Quality Reporting, Academy

FHIR is a new data format standard promising to expand the flow of healthcare data, improve healthcare outcomes, lower healthcare costs, and introduce a new era of world peace.

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2020 MIPS Proposed Rule: Key Highlights

What’s in store for MIPS 2020? Earlier this week, CMS dropped the 2020 Physician Fee Schedule (PFS) proposed rule. The rule provides a pretty good snapshot of the future for MIPS over the next several years. They are evening out the category distribution and upping the threshold requirements. Also of note, they plan to post 2018 MIPS performance to Physician Compare. Keep in mind that these are just the proposed changes. The final rule will come out in late fall.

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Speeding up the Abstraction Process: An Interview with Thibodaux Regional Medical Center

By Erin Heilman Posted Jul 26, 2019 in Quality Reporting, Academy, IQR Program
Ever have someone call you "Sha bae bae?" Or maybe they've said to you,  “Would you like another cup of coffee, Mae Sha?” No? Well, me either. That is, until I headed way down south into Louisiana to learn some of the Cajun way. Here I found a hospital so dedicated to its employees and community, that it's not uncommon to find employees with tenures longer than 20 years.
 
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The Problem Facing Emergency Departments: Improving ED Throughput

The Emergency Department has become the Grand Central Station of the American Healthcare System. ­­­­­­­Multitudes of people are coming and going in an extremely hectic environment every single day.

Emergency Department visits have reached epidemic proportions. Here are some staggering statics around ED visits in the US. 

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50 Quality Reporting Resources for 2019

Happy 4th of July everyone! We hope you had a great day full of hot dogs and hamburgers, apple pie and ice cream and fireworks, friends and family.

In honor of Independence Day, we’ve gathered a list of 50 resources for your quality reporting needs.

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An Overview of the 2019 Quality Payment Program: MIPS vs Advanced APMs

There are two different tracks to the Quality Payment Program: MIPS and Advanced APMs. By now, we are all pretty familiar with the terms. But did you know that if you participate in an APM (such as an ACO) you may still be required to report to MIPS?

Preparing for a successful QPP participation can be challenging, especially if you wait until the last minute to do your research and make a game plan. Keep in mind that the reporting period for QPP has already begun. 

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Am I Eligible for MIPS 2019?

By Erin Heilman Posted Jun 21, 2019 in Quality Reporting, Academy, IQR Program

MIPS 2019 is in full swing! In case you missed it, there are several changes to the rules around MIPS eligibility this year. If you weren’t eligible last year you may be this year.

CMS included a handful of newly eligible titles and also established one more criterion for eligibility. Additionally, even if you are not eligible, you may still voluntarily report in order to get rewarded for your performance.

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Super IQR World: Deadlines for the 2019 IQR Program

By Erin Heilman Posted Jun 14, 2019 in Quality Reporting, Academy, IQR Program

Major deadlines for reporting to the CMS Inpatient Quality Reporting (IQR) program are rapidly approaching, but it's not game over just yet! Power-up your education by transporting into the Super IQR World.

Navigate through pipe portals, underground dungeons, lava and open water to avoid gaps in your submissions. What obstacles will you encounter on your way to the Castle of Submission Success? Will you earn some cash (or gold coins) on your journey? Or will you be defeated by the big, bad CMS boss (don't tell CMS we said that). There’s only one way to find out grab your red hat and let's get started!

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The Hybrid Readmission Measure: Understanding How It Works

Have you heard about the new hybrid measure from CMS? In the 2020 IQR proposed rule, the hybrid measure is on track to go from voluntary to mandatory by 2023. And what’s more is that your measure performance will be publicly reported on Hospital Compare shortly thereafter.

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