Our team of reporting and quality experts is prepared to assist your practice in a number of ways to meet the challenges of value-based reimbursement head-on.
As the U.S. healthcare system navigates toward value-based reimbursement, providers face both opportunity and risk in their arrangement with payers. Value-based reimbursement is demanding that providers meet certain quality thresholds, while containing costs, in order to be optimally reimbursed.
Merit-Based Incentive Payment System
The Merit-based Incentive Payment System (MIPS) is a new payment model that provides eligible clinicians financial adjustments based on quality, outcomes and efficiency. MIPS consolidates the existing quality reporting systems—Physician Quality Reporting System (PQRS), the Value-based Payment Modifier and the EHR Incentive Program (Meaningful Use)—into one scoring system that is based on four categories: Quality, Advancing Care Information (ACI), Improvement Activities and Cost.
Quality and Resource Use Report
The Centers for Medicare & Medicaid Services (CMS) provides Quality and Resource Use Reports (QRUR) to help practices understand the care they deliver to Medicare beneficiaries and identify opportunities for improvement. Reviewing your practice’s QRUR gives you information that can help your practice enhance quality, improve your scores and maximize payments.
Let IntrinsiQ Specialty Solutions help you transition from fee-for-service to value-based care while avoiding costly missteps that you may encounter when trying to meet these demands on your own.