Dec 4, 2024
QPP Webinar: 2025 PFS & QPP FINAL RULE CLIENT-ONLY FIRST LOOK*
Tuesday DECEMBER 17, 2024 @ 12PM ET
On November 1st, 2024 the Centers for Medicaid and Medicare Services (CMS) published the finalized regulatory update to the 2025 Physician Fee Schedule (PFS), The Quality Payment Program (QPP), and Medicare Shared Savings Program (MSSP) Reporting Requirements impacting Medicare Parts A&B payment policies.
Kentucky REC expert advisors will share details on important aspects of the 2025 Final Rule, including discussing the items below.
This CMS ruling details important updates to all tracks of the QPP and Merit-based Incentive Payment System (MIPS) program. MIPS Value Pathways or MVP expansion continues with the addition of 6 new MVPs available for reporting in performance year 2025, and the consolidation of two previously finalized MVPs into a single neurological MVP.
CMS further expanded the Cost Performance Category by adding 6 new episode-based cost measures for inclusion into the program. CMS finalized the performance threshold of the program through performance year 2025 to remain at 75 points, impacting the issuance of positive and/or negative payment adjustments to Medicare reimbursements in the 2027 payment year.
The MSSP finalized updates related to Shared Savings Pre-Payments, incentivizing and rewarding successful ACOs with upfront dollars based on historical shared savings performance to aid in offsetting costs associated with patient-care and population health infrastructure support.
CMS finalized the proposed APM Performance Pathway (APP) Plus measure set. This is a mandatory measure set for CMS MSSP ACOs, building on further strategic alignment across all CMS programs through the reporting of the Adult Universal Foundation Measure Set.
Interested in becoming a QPP client? As a client, you receive exclusive access to our analysis of all aspects of the Quality Payment Program. To speak with the team on how we can best support you, feel free to contact us HERE.
Mark your calendars for “2025 PFS & QPP FINAL RULE CLIENT-ONLY FIRST LOOK*” on Tuesday, DECEMBER 17th at 12pm EST.
The CMS 2025 Physician Fee Schedule Final Rule overview, QPP, and MSSP Fact Sheets are available through the links below.
PFS Fact Sheet
MSSP Fact Sheet
QPP Fact Sheet: https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3057/2025-QPP-Policies-Final-Rule-Fact-Sheet.pdf
Contact YOUR Experts at the Kentucky REC for all your QPP, MIPS/MVP, and APM Track questions. We are here to help. Call us at 859-323-3090.
*This webinar is for Kentucky REC contracted QPP clients only. If you are interested in this topic and would like to learn more about becoming a client, please contact us at (859) 323-3090 or email us at KYRec@uky.edu. We aim to be your trusted healthcare advisor!
Nov 15, 2024
TEAM Model APM – Transforming Episode Accountability Model for Acute Care Hospitals
Available Now: Friday Nov 15, 2024
On November 15th, your trusted REC experts released a webinar focusing on CMS’s recently announced new MANDATORY payment arrangement: Transforming Episode Accountability Model (TEAM). This model is set to launch January 1st, 2026 for selected acute care hospitals in 188 core-based statistical areas (CBSAs).
Many Kentucky hospitals will be required to participate in this first phase, specifically hospitals located in:
Bowling Green
Corbin
Glasgow
Lexington-Fayette
Middlesboro
This model is a 5-year project beginning January 1, 2026, and ending December 31, 2030.
You will receive regulatory analysis of this new program and information on: episodes of care; timelines; financial up-side and down-side risk glidepaths; and other need-to-know elements set forth by CMS in this new model.
For further information:
CMS TEAM Model Hospital Registration (Primary Hospital Contact for FY26 Mandatory Participants).
For more information on the upcoming TEAM Model
To receive future CMS announcements, join the CMS Listserv.
REGISTER TODAY to be in-the-know on this very important topic impacting clinicians and Acute Care Hospitals across Kentucky and the nation.
For details and more information on TEAM from CMS, visit HERE.
Contact YOUR experts at Kentucky REC with all your QPP, MIPS/MVP, and APM Track questions. We’re here to help: 859-323-3090.
Sep 30, 2024
QPP Webinar: HIDDEN QUALITY MEASURES: UNDERSTANDING IMPACTS OF ADMINISTRATIVE CLAIMS QUALITY PERFORMANCE*
Tuesday OCTOBER 15, 2024 @ 12PM ET
Did you know that your practice may be scored on more than the six required quality measures you submit to the Quality Payment Program (QPP)? While eligible clinicians and group practices are required to submit six clinical quality measures to receive a score for the quality performance category, there are an additional four administrative claims-based measures that may potentially impact your overall performance in the QPP.
Learn how these measures are triggered for inclusion and what you need to know to best prepare for evaluation. You will gain insight into the linkages between these “hidden” measures and their influence in the overall MIPS performance and future payment adjustments for your organization.
Interested in becoming a QPP client? As a client, you receive exclusive access to our analysis of all aspects of the Quality Payment Program. To speak with the team on how we can best support you, feel free to contact us HERE.
Mark your calendars for “HIDDEN QUALITY MEASURES: UNDERSTANDING IMPACTS OF ADMINISTRATIVE CLAIMS QUALITY PERFORMANCE*” on Tuesday, October 15th at 12pm EST.
*This webinar is for Kentucky REC contracted QPP clients only. If you are interested in this topic and would like to learn more about becoming a client, please contact us at (859) 323-3090 or email us at KYRec@uky.edu. We aim to be your trusted healthcare advisor!
Aug 22, 2024
QPP Webinar: CLAIMS-BASED QUALITY REPORTING OPTIMIZATION FOR SMALL PRACTICES & INDIVIDUAL ECS*
Tuesday SEPTEMBER 17, 2024 @ 12PM ET
Participation in CMS’s Quality Payment Program (QPP) often poses a reporting challenge to individual clinicians and small practices without an electronic health record or other CMS-approved quality reporting mechanisms. One of the flexibilities CMS provides to these clinicians and small practices is the option of claims-based reporting for the quality performance category.
This method allows practices to report on clinical quality measures using data collected from Medicare Part B Claims submission, reducing financial burden often associated with the program.
Kentucky REC advisors will share valuable insights and practical guidance on how to navigate the QPP and achieve success through claims-based reporting.
KEY TOPICS:
• Understanding Part B Claims Reporting: Gain valuable insight as we cover specific requirements and processes for reporting clinical quality measures using claims data.
• Preparing for Success: Participants will learn best practices for readying their organization for claims-based reporting, including workflow modification, quality performance monitoring, and data validation.
• Navigating Part B Claims: This session will review how to interpret claims measure specifications to better compare your billing practices and measure requirements for the quality performance category of Traditional MIPS and MIPS Value Pathways (MVPs).
Interested in becoming a QPP client? As a client, you receive exclusive access to our analysis of all aspects of the Quality Payment Program. To speak with the team on how we can best support you, feel free to contact us HERE.
Mark your calendars for “CLAIMS-BASED QUALITY REPORTING OPTIMIZATION FOR SMALL PRACTICES & INDIVIDUAL ECS*” on Tuesday, September 17 at 12pm EST.
*This webinar is for Kentucky REC contracted QPP clients only. If you are interested in this topic and would like to learn more about becoming a client, please contact us at (859) 323-3090 or email us at KYRec@uky.edu. We aim to be your trusted healthcare advisor!
Jul 29, 2024
QPP Webinar: 2025 CMS QPP NOTICE FOR PROPOSED RULEMAKING (NPRM)*
Tuesday August 20, 2024 @ 12PM ET
CMS released the calendar year 2025 Physician Fee Schedule and Quality Payment Program (QPP) Proposed Rule on July 10th, 2024. This proposed rule is set to expand the MIPS Value Pathways (MVP) track of program with the addition of 6 new pathways for participation. CMS is also proposing changes related to both MIPS and APM Tracks of the QPP (including updates to the Medicare Shared Savings Program).
Learn about CMS’s potential timeline for the sunset of Traditional MIPS, the transition to MVP/APP-only reporting for the MIPS program, and other need-to-know proposals impacting your clinical practice.
Join our experts at the Kentucky Regional Extension Center on August 20th, 2024 for a live, client-access only roundtable discussion. We will cover the major proposed updates and potential impacts to eligible clinicians and practices in Program Year 2025 and beyond.
Interested in becoming a QPP client? As a client, you receive exclusive access to our analysis of all aspects of the Quality Payment Program. To speak with the team on how we can best support you, feel free to contact us HERE.
Mark your calendars for “2025 CMS QPP NOTICE FOR PROPOSED RULEMAKING (NPRM)” on Tuesday, August 20 at 12pm EST.
Contact YOUR Experts at the Kentucky REC for all your QPP, MIPS/MVP, and APM Track questions. We are here to help. Call us at 859-323-3090.
*This webinar is for Kentucky REC contracted QPP clients only. If you are interested in this topic and would like to learn more about becoming a client, please contact us at (859) 323-3090 or email us at KYRec@uky.edu. We aim to be your trusted healthcare advisor!
Jul 7, 2024
Most Common SRA Findings From 2023 / HIPAA Security Updates Announced for 2024
With the number of healthcare data breaches continuing to rise, it’s important that healthcare organizations address oversights in their HIPAA security compliance program. Kentucky REC advisor Amy Daley and guest speakers share important updates from HHS regarding new goals for enhancing cybersecurity in the healthcare and public health sectors.
Our presenters discuss the most common “high risk” findings from the security risk assessments conducted in 2023.
Contact the experts at Kentucky REC with all your HIPAA Privacy and Security questions. We’re here to help: 859-323-3090.
