TMA Practice ConsultingGet personalized quality improvement services and tailored practice support to help your practice succeed under the Medicare Access and CHIP Reauthorization Act (MACRA).MACRA Readiness AssessmentIdentifies specific clinical processes, electronic health record optimizations, and workflow improvement opportunities to help practices improve MIPS scores. TMA is dedicated to helping practices earn incentive payments, not just avoid penalties. E-mail practice[dot]consulting[at]texmed[dot]org
TMF Networks improve health care quality across the continuum of care. Join a network to receive free assistance on quality improvement efforts in your practice or health care organization.
The data submission period for the Merit-Based Incentive Payment System (MIPS) under the 2019 Quality Payment Program ends Thursday, April 30. However, because of COVID-19 you might qualify for an exception that would result in a neutral payment adjustment, meaning neither a MIPS bonus nor a 7% payment penalty in 2021.
The 2020 calendar year is an educational and operations testing period for the new Appropriate Use Criteria (AUC) Program by the Centers for Medicare & Medicaid Services (CMS). Under this new program, when an advanced imaging service is ordered for a Medicare patient, the ordering professional will be required to consult AUC through a qualified clinical decision support mechanism. In preparation for full implementation in 2021, CMS encourages physicians to learn about the AUC program, inform their billing staff and vendors about the new codes and modifiers, and take advantage of the testing period. For claims processing requirements, refer to this CMS guide. For complete details, visit the AUC Program website. Note: Physicians who consult AUC for at least 90 days can receive credit for the MIPS Improvement Activities category under the 2020 QPP performance year by attesting to this high-weighted activity: “Consulting AUC Using Clinical Decision Support when Ordering Advanced Diagnostic Imaging.” For details, visit the QPP website.
The shift to value-based payment models has not been easy on small practices. But new ideas within the Texas Medicaid program have spurred hope and excitement. Physicians, hospitals, and health plans are collaborating on innovations that not only could save millions, but also make medicine more patient-centered and more rewarding.
Learn about reimbursable care management services from the Centers for Medicare & Medicaid Services.
Physicians looking for help navigating the Centers for Medicare & Medicaid Services requirements for the Quality Payment Program can benefit from TMF’s Quality Payment Program Network.
The Patient Centered Medical Home (PCMH) is a coordinated approach to providing comprehensive care for patients.
Find Out More
Got Clinical Quality and Payment questions? Call or e-mail the Knowledge Center.