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MIPS Final Rule 2023

The MIPS program has undergone significant adjustments due to the new legislation, according to consultants at MedICD. Clinicians must adhere to the rules to the fullest extent possible this year to prevent fines and quality score decreases in the future. The minimum performance level is now 75 points. To keep track of developments that could affect their MIPS 2023 compliance, doctors and practice managers should read this informative guide. The new regulation has been made simpler by MedICD consultants so that our member practices can compete successfully for a high MIPS score.

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Maximize MIPS Registry Compliance

Joining our MIPS registry will help you maximize MIPS compliance with the least amount of work. For the practices of our member organizations to receive extraordinary bonus reimbursements while lowering their risk of fines, our consulting team will assist in data analysis and the selection of high-performing measures. You can get the most out of MIPS reporting with the aid of our integrated MIPS registry. Member practices receive frequent legislative updates and training to ensure maximum compliance. Member practices have achieved maximum scores and have surpassed performance threshold requirements for 2021 reporting.

Member practices have improved their scores by an average of 24.5 points.

The biggest point increase was 47.75.

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MIPS

Clinicians may find it challenging to keep up with ongoing program law changes. MIPS has recently become complicated and can make it challenging to avoid negative payment adjustments due to new measurements, point benchmarks, and performance criteria. Clinicians frequently experience difficulty putting new program requirements into practice, and failing to do so might result in a 9% reduction in reimbursement. A group of highly qualified advisors is provided to MedICD member practices, assisting them in exceeding program reporting criteria. Our advisers are with you every step of the way, from measure selection to final data submission, during the MIPS process. Due to this system, member practices of MedICD have been reimbursed for performance bonuses of approximately $66 million.

What can MedICD Do for Your Practice?

  • Save you Time, and let you Focus on Core Areas
  • Dramatically Reduce Excessive Paperwork
  • Ensuring Full and Swift Payments
  • Constant Follow-Ups
  • Instantaneous Access to all Portals

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MIPS Specialties 2023

MedICD is aware of the requirements for reporting each MIPS performance category because reporting for each of them is required for a certain time period. We are more than just a medical billing provider, and we have successfully implemented PQRS in the past. The simplest way to submit MIPS data as a plastic surgeon, dentist, orthopedic, pediatric, family medicine doctor, physical therapist, urologist, psychiatrist, ophthalmologist, nephrologist, neurologist, pain specialist, optometrist, gastroenterologist, cardiologist, chiropractor, pathologist, cardiothoracic surgeon, radiologist, physiologist, gynecologist, obstetrician, or rheumatologist, is by partnering with MedICD professionals.

Key Components

Full Service Throughout the Year

Join our registry as a partner to receive service for the entire program year. All different kinds of practices, including solo practices, multi-speciality groups, and ACOs have been worked with by us. Our ability to deliver MIPS service across all client sizes is made possible by our 200 years of combined MIPS experience, which spans over 30 specialities.

To ensure complete compliance with ever-changing statutory requirements, we continually communicate with the practices of our member organizations. Regular biweekly meetings are held to examine the status of our members’ progress toward their objectives and to provide advice and in-depth training on areas that need improvement. Our assistance goes beyond just submitting data; it also includes assisting our members with any upcoming MIPS audits.

OUR CORE RCM SERVICES

MEDICAL BILLING AND CODING

Medical billing and coding is the process of converting patient charts and clinical data to medical claims, which are then submitted to payers for reimbursement.

Accounts Receivable

Accounts Receivable (AR) is the money owed to Providers or medical billing companies for the medical care rendered to patients. Every business must track and obtain their A/R during the medical billing process.

Credentialing Service

Credentialing is the primary step to consider for physician practices. This process gets you enrolled in a provider network of an insurance company. Only verified insurance companies include healthcare providers to serve their customers.

Denied Claims Management

The denied claims management process gives an understanding of the claim's issues and an opportunity to fix them. We take care of your denied claims and attain the highest reimbursement rates.

Payment Posting

Payment posting, also known as cash posting, allows the viewing of payments while providing a snapshot of the practices of the financial picture by making it easy to identify problems and resolve them quickly.

Collaborating with Medical Professionals Across All Fields and EHRs

The MIPS metrics for all categories and all specializations are areas of expertise for our advisors. We possess the expertise and knowledge necessary to properly teach clinicians and your team to satisfy all criteria and surpass performance thresholds. To make sure that our registry is always in compliance with new program requirements, we frequently review CMS legislation. We are here to ensure that all of our member practices are fully MIPS compliant, and we have done so for six years running with a success rate of 100%.

Collaborating with Medical Professionals Across All Fields and EHRs

The MIPS metrics for all categories and all specializations are areas of expertise for our advisors. We possess the expertise and knowledge necessary to properly teach clinicians and your team to satisfy all criteria and surpass performance thresholds. To make sure that our registry is always in compliance with new program requirements, we frequently review CMS legislation. We are here to ensure that all of our member practices are fully MIPS compliant, and we have done so for six years running with a success rate of 100%.

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Frequently Asked Questions

MIPS, or the Merit-Based Incentive Payment System, is a CMS program evaluating healthcare professionals’ performance in areas like quality, interoperability, activities, and cost to incentivize high-quality care delivery and improved outcomes.

MIPS, or the Merit-Based Incentive Payment System, is a healthcare program that evaluates providers’ performance based on quality, interoperability, activities, and cost to incentivize enhanced patient care and outcomes.

MIPS stands for “Merit-Based Incentive Payment System” in healthcare. It’s a program that assesses providers’ performance across various categories to encourage quality care and efficient practices.

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