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Integrating Health Information Exchange & Claims/Billing Data to

RAJ LAKHANPAL, MD, FACEP CEO, SPECTRAMEDIX   Our personal information accumulates in nanoseconds. Data is gathered by banks, credit cards, smart devices, healthcare systems. Taken together it’s big data. From where we stop for our morning coffee, to whether we follow our PCP’s directives. Big data can be individualized to determine discrete behavior or analyzed […]

2019 MIPS Final Rule: Changes the Player & The Playing Field

In November, 2018, CMS released the final rule in its Quality Payment Program for the Merit-based Incentive Payment System (MIPS) program.  With each passing year, CMS pulls providers uphill toward ever-greater risk, with less guarantee of reward. For calendar year 2019, eligible clinicians have been added, points and percentages changed.  It’s part of the Affordable Care Act that is unlikely to go away soon.

CMS Releases 2017 Final MIPS Payment Numbers

CMS jumped on a special call with MIPS Registry vendors on July 5 to discuss scoring, benchmarking and the cost performance category. Here’s what you need to know: At the meeting it was brought up that maximum MIPS payment adjustment (where the EC had a MIPS score of 100) for calendar year 2017 (payment year […]