Understanding MIPS-APMs

Certain Alternative Payment Models (APMs) include MIPS eligible clinicians as participants and hold their participants accountable for the cost and quality of care provided to Medicare beneficiaries. This type of APM is called a “MIPS APM,” and participants in MIPS APMs receive special MIPS scoring under the “APM scoring standard.” As finalized in the Quality […]

Update on APMs as of 1/18/2017

  Reposting this CMS Pressrelease CMS NEWS FOR IMMEDIATE RELEASE January 18, 2017 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries   New Participants Join Several CMS Alternative Payment Models Numbers demonstrate provider commitment to a health care system with better care, healthier people, and smarter spending Today, the Centers for Medicare & […]

Index Admission / ReAdmission

While reading up on Resource Use Performance Category I had to get some clarification on the two types of admissions for understanding the scoring under Medicare Spending Per Beneficiary.   Index Admission: An index admission is an admission in a hospital with a principal diagnosis of a specified condition that meets the inclusion and exclusion […]