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15

Dec

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Under The Value-based Umbrella
  • Tina Colangelo
  • Dec 15 2017

MACRA is an evoluntionary process that will take place over many years. There are many moving parts under the value-based umbrella that are vital to the business models of  healthcare organizations across the country. To excel, they must understand and implement all of the moving parts to stay ahead of the competition. Under the value-based umbrella, you will find MACRA requirements, patient engagement, clinician/organization public reputation, and chronic care management. It's not enough to just learn the first component of value-based ca...

13

Nov

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MACRA's Final Rule 2018: 3 Things To Know
  • Tina Colangelo
  • Nov 13 2017

Clinicians participating in the Merit-based Incentive Payment System (MIPS) probably spent the month of October collecting performance data, in hopes to avoid the four percent penalty and earn an incentive. Many may have been too busy to notice that the Centers for Medicare and Medicaid Services (CMS) had actually released the 2018 Quality Payment Program (QPP) Final Rule a day late. While MIPS 2017 has been deemed the transitional year, it was expected that CMS would up the ante in 2018, which they did, in the quality and cost categories. Clin...

31

Aug

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The Countdown For MACRA Data Collection Is ON
  • Tina Colangelo
  • Aug 31 2017

The last day to start collecting data is October 2, 2017. That is only thirty-one days away. It is crucial to take action now and schedule a MACRA practice assessment. At the very least, these four questions need to be answered: 1. Which payment track will I participate in 2017, the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (AAPM)? Noncompliance will result in a negative 4% penalty to all Medicare Part B charges in 2019. 2. Which pick your pace option are you most comfortable with? Your participation...

06

Jul

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MACRA's 2018 Proposed Rule: 7 Things To Know
  • Tina Colangelo
  • Jul 06 2017

On June 20, 2017 The Centers for Medicare and Medicaid (CMS) released the highly-anticipated 2018 Quality Payment Program's (QPP) proposed rule. The 1,058-page document shows how well CMS had listened to clinician feedback requesting more flexibility, less administrative burdens and most importantly, additional opportunities to earn bonus points.  Here is a sneak peek at what you will need to know: The low volume threshold has been expanded to $90,000 Medicare Part B charges and 200 patients. This helps clinicians who may or may not be...

09

Apr

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MACRA: The Tidal Wave That Hit The Healthcare Industry
  • Tina Colangelo
  • Apr 09 2017

MACRA is the tidal wave that has hit the medical community. Yet many physicians and healthcare clinicians don't understand how beneficial or how devastating this can be for their business. Physicans need to find the balance between patient care and their bottom lines. The new MACRA system is shrouded in secrecy, mainly because providers don't know what to expect. It has proven to be both complicated and overwhelming to most people in the healthcare industry. But covering your eyes and ears in fear will not make MACRA disappear. It's unders...

03

Mar

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Ready or Not, MACRA is Here.
  • Tina Colangelo
  • Mar 03 2017

Clinicians have the same look on their faces every time I turn around. They look like they have lost their puppy. It usually comes after I inform them that they will now be penalized for non-compliance in MACRA. Despite being deep into the first quarter of the MACRA race, there are a high percentage of clincians who still have not heard of MACRA. Or if they have heard of it, do no know what it is. Hitting the pause button will only instill feelings of regret later on. The clinicians who comply will start to reap the benefits that MACRA provides...

19

Feb

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Now Trending: Telehealth Visits
  • Tina Colangelo
  • Feb 19 2017

The new trend in primary care and chronic care is telehealth. A medical practice considered living in the dark is one who is digitally disconnected. If your medical practice is not offering telehealth medicine it's going to lose revenue. Patients are looking for convenient ways to communicate with their medical office, especially since technology allow for it. Patients want the option to use technology to schedule  appointments, pay medical bills and have lab results sent by email. Telehealth is rapidly growing in popu...

16

Feb

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Breaking News: All Eyes on Tom Price
  • Tina Colangelo
  • Feb 16 2017

On February 10th, Tom Price was sworn in as the new Secretary of Health and Human Services. A question that is weighing heavily on my mind is does he have what it takes to change our already dysfunctional healthcare system and more importantly, what are his intentions for the future of our healthcare system? America's healthcare system has become progressively worse. It seems severely dysfunctional and the saddest part is that it's not even affordable. Amercias require medical care but cannot afford it. The number one thing that has to be done...

11

Feb

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MACRA Update: Virtual Groups in the Quality Payment Program
  • Tina Colangelo
  • Feb 11 2017

The Medicare Access CHIP Reauthorization Act of 2015 (MACRA) released its final rule last October. The Centers for Medicare and Medicaid (CMS) had acknowledged the unique challenges that small practices may face with the implementation of MACRA's Quality Payment Program. Therefore, CMS has vowed to be flexible and supportive to small practices and practices in rural areas. Starting in 2018, and staying true to that promise, solo practitioners and gorups of 10 or less eligible clinicians can join virtual groups as another option to participate i...

27

Jan

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3 Healthcare Laws Explained
  • Tina Colangelo
  • Jan 27 2017

The last decade has brought a lot of changes to the healthcare industry. There has been three different healthcare laws passed: The Patient Protection and Affordable Care Act of 2010 (PPACA) nicknamed Obamacare was signed into law. It promised to give 95% of Americans access to care. It also attempted to curb healthcare spending. Anyone who signed up for Obamacare will receive new benefits, rights and protection. Obamacare is a huge topic today for many reasons. Many believe that their healthcare is not affordable under this law because many p...

27

Jan

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Breaking News: A Replacement For Obamacare Is On The Way!
  • Tina Colangelo
  • Jan 27 2017

Obamacare as we know it may end shortly. This week Republican lawmakers headed to Philadelphia for two days in hopes to brainstorm a replacement for Obamacare. They are seeking consultation for their ideas from the new secretary of Health and Human Services. Of course, President Donald Trump's plans will also be factored into the final decison.  In fact, many are waiting for his heathcare plans to be announced. One of the ideas is to give individual states the power to choose if it should stay an Obamacare state.  However,...

23

Jan

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Is Our Healthcare System Going Back In Time?
  • Tina Colangelo
  • Jan 23 2017

It's official! The Trump Administration is in office. Naturally there is much speculation about Trump's plans for our healthcare system. Although very little has been said, here's what we do know. Trump is serious about giving more power to the states and having the federal government pay for it. If this does not sound familar, I'll share some background information.  In the beginning, the government relinguished almost all power to the states to come up with funding for healthcare. It was the a states's responsibility. The go...

22

Jan

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The Future Of Healthcare Rests In President Trump’s Hands
  • Tina Colangelo
  • Jan 22 2017

How is our healthcare going to change under the Trump Administration? That is the million dollar question.  Will they just repeal it without a replacement, leaving 18 million people without health insurance? I doubt it. Despite Tom Price's comments about possibly soften the financial blow with savings accounts and high-risk pools to keep people insured. I still think Trump has already said his intentions for the future of our healthcare system, but nothing official has been announced. In 2000, Trump wrote a book called, “The Amer...

18

Jan

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Breaking News: New Next Generation ACO Model 2018
  • Tina Colangelo
  • Jan 18 2017

The primary goal of MACRA's Quality Payment Program (QPP) is to deliver quality care while reducing costs. This may seem like a tall order to fill, but statistics show we are already on the right track. The other strategic goals of QPP are: To improve beneficiary outcomes, to enhance clinician experience and to increase adoption of Advanced APMs. There are many other goals however this blog is focusing on those three strategies specificially. Here is why. Today,the Centers for Medicare and Medicaid (CMS) have released s...

17

Jan

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4 Steps to MACRA Success
  • Tina Colangelo
  • Jan 17 2017

To be successful in MACRA's Quality Payment Program, it is easiest to follow the bouncing ball. First step in the process is awareness of the new law. Next, an understanding of the expectations and requirements. Third, repercussions for noncompliance and rewards for successful compliance. And lastly, a check list of everything one needs to do in order to get started today. Only you can decide whether this is a heavy workload. Many will find it depending on the resources and support available. The current statistic is that fifty percent of clini...

14

Jan

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Just In: 3 Ways to Embrace Our New Healthcare System
  • Tina Colangelo
  • Jan 14 2017

As the U.S. healthcare system continues to transition into value-based care, some clinicians may be struggling to get on board. Here are three approaches one can take in order to embrace the value-based trend with open arms. A shift in mindset is necessary to understand that a completely new world of opportunities is out there, for all clinicians, and I am not just talking about the financial ones. I am talking about making the shift in mindset to envision the different ways to practice medicine. In...

12

Jan

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MACRA MIPS: 4 Reasons To Start Reporting Now
  • Tina Colangelo
  • Jan 12 2017

If it feels as though our healthcare system has literally changed overnight, it may be because it has! The healthcare system you see before you today, is by far completely different from the one we've seen in 2016. Gone are the days were clinicians will be reimbursed on the volume of patients seen in a day's time. Clinicians will now be reimbursed on their performance and the value of care that they provide. They will actually be paid more just by spending the necessary amount of time it takes to treat each patient, even if it takes ...

11

Jan

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New in MACRA Healthcare: 2017 Complex CCM Codes
  • Tina Colangelo
  • Jan 11 2017

Time commitment is key when billing complex CCM codes. The Centers of Medicare and Medicaid (CMS) is now recognizing the time and effort that it takes for clinicians to care for elderly patients, our sickest patients. Better late than never, right? Their recognization comes in the form of new CCM codes that can be used when billing on a monthly basis. The process of billing these new codes goes something like this; if your a clinician that provides complex CCM services such as: Diabetes, hypertension, glaucoma due ...

06

Jan

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Check It Out: New MACRA Opportunities Released in December 2016
  • Tina Colangelo
  • Jan 06 2017

The last month of 2016 was a busy one and it was not due to the holiday fesitivies. MACRA did not slow down.  It seemed like everytime I turned around, the Centers for Medicare and Medicaid (CMS) had released something different every week. On December 8th, new complex chronic care management codes were made available for reimbursement effective January 1, 2017. CMS is allowing for clinicians to use 99487 and 99489 as these codes demonstrate the time and effort that goes into treating mulitple chronically ill patients. They felt that twe...

31

Dec

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MACRA: A New Healthcare World
  • Tina Colangelo
  • Dec 31 2016

As 2016 comes to a close, we look toward 2017 with promising thoughts about Medicare's Access and CHIP Reauthorization Act of 2015 (MACRA).  MACRA's Quality Payment Program has alot of opportunities to improve our healthcare system for our patients, our clinicians, our administrators and our staff. Together, we have the power to change our system for the better. MACRA law allows us the opportunities to improve patient outcomes, to foster physician-patient relationships and to take a team approach between our administrato...

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