Louisiana Medical Group Management Association



Healthcare reform: Senate update

After Tuesday’s passage of a procedural vote to move forward with debate, the Senate entered day two of deliberation on how to dismantle the Affordable Care Act (ACA). So far, the Senate has failed to repeal any part of the ACA or pass alternative legislation. More votes are expected. If the Senate passes legislation, it would need to be reconciled with the House-passed American Health Care Act (AHCA). See MGMA’s healthcare reform principles here

-This article originally published in the 7/26 edition of MGMA Washington Connection

Long-awaited MIPS special status information now on CMS website

This week, CMS updated its MIPS look up tool with much-anticipated information about unique circumstances that trigger preferential MIPS rules. For instance, non-patient-facing clinicians are exempt from the EHR component of MIPS, called advancing care information. Other special statuses include clinicians in small practices, rural areas, Health Professional Shortage Areas, as well as clinicians determined to be hospital-based. For information about how these statuses impact MIPS requirements, review MGMA’s “MIPS Exclusions and Preferential Scoring” fact sheet

MGMA has been critical of CMS’ significant delays in releasing essential program eligibility information, including this information, and will continue to call on the agency to make basic MIPS information available prior to the start of the performance year so practices have sufficient time to prepare. 

-This article originally published in the 7/26 edition of MGMA Washington Connection

2018 MSSP deadlines on horizon

Medicare Shared Savings Program (MSSP) applications for the 2018 performance year are due July 31 at 12 pm ET. This includes applications for the new Track 1+, which will qualify as an Advanced Alternative Payment Model and is open to new applicants as well as Accountable Care Organizations (ACOs) in Track 1. 

Aug. 30 is the deadline to add new participating Tax Identification Numbers (TINs) for the 2018 performance year. Many individual ACOs have set internal deadlines over the coming weeks. Primary care practices that bill qualifying services or employ qualifying specialty physicians must be exclusive to one ACO. Applicable non-physician providers who bill primary care services can trigger this exclusivity requirement. CMS will inform ACOs which TINs are considered primary care practices during the application process. ACOs have until Oct. 20 to edit or remove TINs from participation lists, after which they are locked until 2019. Learn more here.     

-This article originally published in the 7/26 edition of MGMA Washington Connection

MGMA calls for improvements to reporting website

MGMA, along with a broad group of healthcare stakeholders, sent a letter to Department of Health and Human Services (HHS) Secretary Tom Price, MD, recommending that the public website listing organizations who had experienced a breach of patient data of more than 500 individuals be modified. The letter responds to the declared intention of HHS to review the implementation of the breach reporting portal. Recommendations included: (i) Maintaining consumer notification efforts; (ii) Continuing to build a security partnership with industry; (iii) Differentiating between victims of cyberattacks and organizations with poor security practices; (iv) Providing consumer-friendly information on the level of risk associated with a breach; and (v) Creating a mechanism for HHS to remove physician practices and other organizations from the breach reporting website once they have demonstrated that they have resolved their security issues.

-This article originally published in the 7/26 edition of MGMA Washington Connection


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MGMA-Louisiana State Office / Phone: (985)290-8020/ 1527 Gause Blvd. #105/ Slidell, LA 70458

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