CareCloud MIPS Guarantee Accelerates Transition to Value-Based Care
Wednesday, March 29, 2017 | Product Releases
CareCloud is making it easier for eligible clinicians to integrate the new Merit-based Incentive Payment System (MIPS) regulations from the Centers for Medicare and Medicaid Services (CMS) into their clinical quality management programs, according to a company news release. A combination of efficient workflows and the integration of clinical quality templates will streamline MIPS reporting for CareCloud clients. Through a new guarantee program announced today, the company also promises that its medical practice clients will avoid costly penalties.
Eligible clinicians who do not submit MIPS data in 2017 will face a 4 percent fee adjustment penalty to their Medicare Part B reimbursements in 2019. To support these clinicians, CareCloud is issuing a MIPS Success Guarantee as part of its clinical technology offering. The guarantee ensures that all of the company’s existing clients and any new providers using the latest version of its CareCloud Charts EHR as of September 31, 2017, will receive no penalties from CMS under MIPS. CareCloud’s support goes beyond penalty avoidance to flip MIPS into an opportunity to enhance quality reporting and care management. All clients will receive ongoing performance coaching and service throughout the 2017 performance year to maximize their chances at qualifying for bonuses in 2019, at no additional cost.
“Value-based care is fundamentally changing how medical practices get paid,” Ken Comée, CEO of CareCloud, said in a company news release. “These shifts are aimed to strengthen the link between quality and reimbursement, but the transition is tough. We are proud to be offering this guarantee and new support programs to help make MIPS participation easy for eligible clinicians. Our clients will be on the forefront of earning incentives and delivering outstanding patient experience in this new program for value-based care.”
Healthcare Informatics reports that there are “alarmingly low levels of knowledge” among physicians about Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its core components, including MIPS. An estimated 600,000 physicians will be subject to the MIPS program this year. MIPS penalties could have a significant impact on U.S. physicians if they are not prepared. The severity of the penalties increases based on the percentage of Medicare Part B patients being treated within a specific practice.
For example, a primary care provider could see their reimbursements from Medicare be reduced by $5,000 to $15,000, an orthopedic surgeon could see a reduction of $15,000 to $25,000, and an ophthalmologist could see a reduction of $20,000 to $30,000, based on average net collections per provider tracked by the American Medical Group Association (AMGA) and assuming 40–60 percent Medicare Part B patient share.
As a cloud-based platform, CareCloud’s technology is designed to quickly update and adapt to changes in the healthcare landscape. The company is experienced in aiding clients through large regulatory shifts, previously taking its base of high-growth medical groups through the 2015 ICD-10 coding transition. Platform updates are deployed monthly, so clients can stay current on their individual reporting requirements.
CareCloud is hosting a complimentary webinar on Thursday, March 30, 2017, at 3:00 p.m. ET for all eligible clinicians interested in learning more about the guarantee and meeting qualifications for MACRA and MIPS.
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