In the battle against thinning margins, it’s more critical than ever for healthcare organizations to focus on value-based program reporting and performance including Meaningful Use (MU). It’s also becoming increasingly difficult to continue to manage these programs via a manual process with spreadsheets where the margin for error is extensive. Now add additional complexities surrounding the Merit-Based Incentive Payment System (MIPS) and it becomes a necessity for organizations to automate.
Not only will there be obvious gains in accuracy, but also in communication amongst key stakeholders in terms of how providers are performing, where action needs to be taken and what the financial risks/benefits will be, inclusive of all these programs.
In January 2017, the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) effectively merged the MU program, PQRS and VBM into the Merit-based Incentive Payment System (MIPS). MU will represent 25 out of 100 total points for MIPS starting in 2017.
MU is also key to Medicaid incentives worth $63,750 per provider through 2021 for Federally Qualified Health Centers (FQHC), Health Center Controlled Networks (HCCN) and other providers reporting MU through the Medicaid program. Non-compliance means money left on the table.
To capture 100 percent of available Medicaid incentives, providers must be participating in MU as of 2016. Skipping a year means a loss of revenue stream as well as a heightened risk of non-compliance due to increasing MU thresholds. These issues, coupled with a lack of dedicated resources, providers switching programs and a significant amount of provider turnover, can cause a loss of incentive payments if processes aren’t in place to manage MU efficiently.
MU ASSISTANT® software runs on SPH Analytics’ IgniteQ platform allowing you to build a single database of provider information to manage your entire MU and/or PQRS value-based program(s) end-to-end.
MU ASSISTANT software:
Our MU experts also review and interpret ever-changing rules and regulations as they are released and apply the changes to MU ASSISTANT software’s rules engine.
With the predictive power of MU ASSISTANT software, you’ll be better positioned to increase revenue, avoid penalties, improve scores and gain efficiencies — in as little as four weeks.
Along with powerful cloud-based analytics and program management software, SPH Analytics’ unmatched team of Meaningful Use experts provide advisory services to help you understand regulatory implications, make strategic decisions, and create a plan for success.
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