LOGIN FAILED - Invalid User Name / Password. Please Try Again
You have been logged out. Thank you
This is a warning feedback message
HomeInsights Blog

HICN Use Discontinued - Practices Must use MBI for Medicare Reimbursement

For the past 21 months, The Centers for Medicare & Medicaid Services (CMS) has issued MBIs (Medicare Beneficiary Identifiers) to Medicare recipients, replacing the HICN – Health Insurance Claim Number.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required CMS to remove Social Security numbers (SSN) from all Medicare cards by April 2019. CMS replaced the HICN with a new, randomly generated MBI.

MIPS Promoting Interoperability: How to Earn Bonus Points

Practices may have the opportunity to secure bonus points in the Promoting Interoperability category with Merit-based Incentive Payment System (MIPS) reporting as long as your practice is using e-prescribing for controlled substances and your electronic health record (EHR) vendor is able to track the measures.

MIPS: Quality Bonus Points

There are several opportunities for bonus points in the Quality category for Merit-based Incentive Payment System (MIPS) submissions, which if earned, will be applied to your final category score. The points can be earned simultaneously and are worth up to six points for each bonus category.

MIPS: Cost Category, Feedback Reports and Targeted Reviews

In the Cost category under the Merit-based Incentive Payment System (MIPS), practices do not need to submit data as the Centers for Medicare & Medicaid Services (CMS) relies on using administrative claims data. If your practice met the case minimum for at least one Cost measure, you can access any feedback reports from the Quality Payment Program portal.

MIPS: What You Need to Know About a HARP Account

HARP (HCQIS Access Roles & Profile) replaces the EIDM (Enterprise Identity Management) account on the Centers for Medicare & Medicaid Services’ (CMS) Quality Payment Program portal. The account provides users with a user ID and password to be utilized in the secure identity management portal to access applications like the Quality Payment Program (QPP), Internet Quality Improvement Evaluation System (iQIES) and potentially more in the future.

MIPS: What You Need to Know About the Cost Category

The Cost category for the Merit-based Incentive Payment System (MIPS) may be one of the most misunderstood categories, according to the Quality Reporting Engagement Group.

The Cost category is proposed to increase by 5% each year to eventually be 30% of the MIPS composite score by 2022, as mandated under the MACRA law.  Practices will not have to submit data for this category as the Centers for Medicare & Medicaid Services (CMS) uses administrative claims data to attribute patients and score, so there is no way to avoid being scored in this measure if you meet the case minimum requirements.

MIPS: Direct Messaging

Direct messaging is a way to send encrypted emails for securely exchanging health information between physicians, hospitals, labs and other healthcare providers in a trusted network. Direct messaging is a complicated process, especially as you try to connect with other providers in your area who may not be aware of the responsibilities on their end.

MIPS: 2019 Scoring

Practices may find it difficult to navigate the Merit-based Incentive Payment System (MIPS) scoring process as category weight changes can happen year over year.

From 2018 to 2019, the Quality category for weight of the performance score decreased from 50 percent to 45 percent of overall score, while the Cost category increased from 10 percent to 15 percent of your MIPS score. There were no changes in category weights for Promoting Interoperability or Improvement Activities during that same time period. For those practices participating in an Alternative Payment Model (APM), there were no changes in the category weights.

USP Issues Clarification on General Chapter <800>

Specialty practices have been preparing for USP General Chapter <800>, the standard on the safe handling of hazardous drugs, to go into effect on Dec. 1, 2019. However, in a recent clarification, the United States Pharmacopeia (USP) stated that because USP <800> is cross-referenced to the standards that only pertain to compounded drugs (<795> and <797>) the changes under <800> may not apply to specialty practices that only handle hazardous drugs.

Why Your In-Office Dispensing Program Should be Accredited

As oncology providers see an increasing benefit to dispensing medications directly to patients, especially with the rise in oral oncolytics, the practice is also tasked with maintaining high levels of standards to stay in the narrow networks of payers or pharmacy benefit managers. The pharmacy team at ION Solutions can help your practice stay in payer networks so you can increase patient convenience and improve outcomes by dispensing oral oncolytics.

|<   <   1 2 3 4 5 6 7   >   >|