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About lynnmaples

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So far lynnmaples has created 39 blog entries.

Resources for Specialist: Which Registry is Right for Your Practice

2019-08-13T07:35:47-05:00August 7th, 2019|

Are you having trouble finding MIPS measures relevant to your specialty? Your first resource should be the Explore Measures & Activities tool on the QPP website, which offers Specialty Measure sets composed of relevant MIPS quality measures for 39 different specialties. Another great resource to consider is your national specialty association’s Qualified Registry (QR) or

Webinar | Maximizing Your Quality Score: Beyond the Basics for Solo, Small Group Practices

2019-08-13T07:36:27-05:00August 7th, 2019|

As the Quality Payment Program matures, many solo and small group practices, including specialty practices, are realizing that earning a high-quality score is becoming more challenging as some quality measures are becoming topped-out, preventing providers from earning a higher than average score. Each year practices should reassess which quality measures will work best for them

CMS Releases 2020 Proposed Rule for QPP

2019-08-07T09:57:34-05:00August 7th, 2019|

The Centers for Medicare & Medicaid Services (CMS) released its proposed policies for the 2020 performance year of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). Key proposals for 2020 performance year of the Quality Payment Program include: Increasing the performance threshold from 30 points to 45

Proposed Rule to Set Performance Threshold for 2020, 2021

2019-08-07T09:54:39-05:00August 7th, 2019|

Every year the most significant news that comes from the proposed rule and later the final rule is the increase in the performance threshold, otherwise known as the minimum score an eligible clinician must achieve to stay penalty-free. The proposed rule in 2020 aims to set the performance threshold for both 2020 and 2021, moving

What Are HIPAA Operating Rules?

2019-08-02T11:31:08-05:00August 2nd, 2019|

Mandated for adoption by the Administrative Simplification provisions of the Patient Protection and Affordable Care Act of 2010 (ACA), operating rules are defined as “the necessary business rules and guidelines for the electronic exchange of information that are not defined in a standard or its implementation specifications.” Operating rules support the standards that streamline electronic

Tutorial Webinar: RFA Application Portal

2019-08-02T10:55:10-05:00August 2nd, 2019|

The Center for Medicare and Medicaid Innovation (CMMI) and the ET3 Model team are pleased to announce that the RFA Application Portal will be available the week of August 5th, 2019. Another announcement will notify you when it is officially open and available on the ET3 Model web page. The ET3 Model team will be

ESRD, DMEPOS CY 2020 Proposed Rule

2019-08-02T10:42:18-05:00August 2nd, 2019|

On July 29, CMS issued a proposed rule that proposes to update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2020. This rule also: Proposes updates to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis

Proposed Rule: OPPS, ASC Payment System for CY 2020

2019-08-02T10:39:03-05:00August 2nd, 2019|

On July 29, CMS proposed policies that follow directives in an Executive Order, entitled “Improving Price and Quality Transparency in American Health Care to Put Patients First,” that lay the foundation for a patient-driven health care system by making prices for items and services provided by all hospitals in the United States more transparent for

Proposed Policy, Payment and Quality Provisions Changes for CY 2020

2019-08-02T10:27:30-05:00August 2nd, 2019|

On July 29, CMS issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020. This proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a health

2020 Proposed Physician Fee Schedule Rule Released

2019-08-05T09:38:41-05:00August 2nd, 2019|

The Centers for Medicare & Medicaid Services (CMS) is proposing major policy changes to ensure clinicians spend more time providing high-value care for patients instead of filing cumbersome paperwork. As part of CMS’s annual changes to the Medicare Physician Fee Schedule and Quality Payment Program, the agency’s proposals are aimed at reducing burden, recognizing clinicians