Clinical, Financial and Administrative Insights For Physicians

6 Questions You Must Ask Your EHR Vendor to Optimize your EHR for MACRA

Posted by Suzanne Prasad

Optimize EHR for MACRA - What Does it Mean?

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) marks an entirely new era in physician reimbursement—one characterized by quality, cost containment, and population health management. MACRA essentially shifts Medicare payments from fee-for-service to pay-for-performance that rewards participation in risk-bearing payment models.

To participate in MACRA, physicians must choose one of the following two tracks:

  1. Advanced Alternative Payment Models (APM)
  2. Merit-Based Incentive Payment System (MIPS)

The choice that physicians make today will affect their payment beginning in 2019. Physicians participating in MIPS will see a sliding-scale bonus or penalty ranging from 4% in 2019 to 9% in 2022. The bonus or penalty derived from 2017 data is based on a composite score that includes these components: Quality measures (60%), advancing care information (25%), and clinical improvement activities (15%). Physicians participating in APMs will see a bonus of 5% of Part B professional services payments between 2019 and 2024.

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EHR Interoperability & National Patient Identifier - Are they Related? If so, how?

Posted by Suzanne Prasad

Relationship Between EHR Interoperability and NPI

With a population of more than 321,000,000 people, it’s not surprising that patient identity mix-ups continue to plague the U.S. healthcare industry. The push for electronic health record (EHR) interoperability has only magnified the problem. Without a unique national patient identifier (NPI), the likelihood for errors and patient safety implications grows significantly as providers continue to engage in larger-scale health information exchange (HIE).

This article addresses four important questions about the NPI and what it could mean for EHR interoperability.

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EHR Interoperability? | Benefits of EHR Interoperability | RevenueXL

Posted by Suzanne Prasad

What is EHR Interoperability?

'EHR interoperability' refers to any technology which enables the secure exchange of electronic health information between two EHR Systems without special effort on the part of the user and allows for complete access, exchange, and use of all electronically accessible health information for authorized use under applicable laws.

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