Healthcare Intelligence Network
Accountable Care Organizations
Best Sellers
Behavioral Healthcare
Benchmarking
Bundled Payment
Care Coordination
Care Transitions
Case Management
Chronic Care Management
Coaching
Coming Soon
Community Health
Compliance
Consumer-Driven
Cultural Diversity
Data Analytics
Diabetes Management
Disease Management
Dual Eligibles
e-Books
eHealthcare
Emergency Medicine
Health Literacy
Health Risk Assessments
Health Risk Stratification
Healthcare Reform
Healthcare Trends
HIN Benchmark Reports
HIN Case Studies
HIPAA
Home Health
Home Visits
Hospice
Hospital
Hospital Readmissions
Hospitalist
ICD-10
Infection Control
Infographics
Information Technology
Long-Term Care
MACRA
Managed Care
Medicaid
Medical Home
Medical Neighborhood
Medical Practice
Medical Records
Medicare
Medication Adherence
Nurse Management
Palliative Care
Patient Engagement
Patient Experience
Patient Registry
Pay for Performance
Physician Practice Transformation
Physician Organizations
Physician Quality Reporting Initiative
Population Health Management
Post-Acute Care
Predictive Modeling
Pre-Publication
Quality Improvement
Reimbursement
Remote Patient Monitoring
Revenue Cycle Management
Safety
Social Health Determinants
Telehealth
Training DVDs
Transparency
Value-Based Reimbursement
Webinars
Wellness
What's New
Subscribe to the Free
'Healthcare Business Weekly Update' e-Newsletter and receive the latest trends, news and analysis in healthcare.
Email:

Click here to view this week's issue
Home > Physician Practice Transformation
Physician Chronic Care Management Reimbursement: Roadmap to MIPS Success Under MACRA
Physician Chronic Care Management Reimbursement: Roadmap to MIPS Success Under MACRA
Be the first to review this item
Price
Your Price:
$90.00
Choose Format and Quantity
Format Recommended: Print and Adobe Acrobat
Print
Adobe Acrobat PDF
HIN Case Study Series Member
Enterprise PDF Site License
Save on Multi-User PDFs*
Quantity Price Per Copy
2-5 $58.50
6-10 $49.50
11-25 $22.50
Contact us for multiple print pricing or to order 25+ copies.
Quantity
Add to Wish List
Description

Like the convenience of an instant PDF download but still want a hard copy of this book? Order both and save 25 percent!

Frequent Case Studies Buyer?Save more than $500 annually with our Healthcare Case Studies Membership. Click here for details.

A 2015 adopter of Medicare's Chronic Care Management (CCM) reimbursement program, The Center for Primary Care (CPC) quickly expanded its CCM initiative to qualifying Medicare beneficiaries at its nine locations. Today, with a detailed profile of its CCM population and the health improvements and revenue that resulted, the CPC is leveraging this Chronic Care Management experience for participation in MACRA. 

Physician Chronic Care Management Reimbursement: Roadmap to MIPS Success Under MACRA describes how early adoption of Medicare's CCM Reimbursement program enhanced the Center's MACRA-readiness, laying the foundation for success under the Merit-based Incentive Payment System (MIPS) path.

In this 22-page special report, Barry Allison, chief information officer, the Center for Primary Care, describes his organization's CCM rollout, and how this experience refocused the CPC from near-term revenue and health gains achieved in the Medicare population to long-term impacts—not only on patients' lives, but on the way the CPC physicians will be paid in the next three years.

An ideal roadmap for healthcare organizations using CCM as a stepping-stone to MIPS participation, this report details the following:

  • The Center for Primary Care's rollout of Chronic Care Management;
  • A detailed look at The Center for Primary Care's CCM program, including patient base, resource allocation, staffing, and revenue;
  • Critical considerations for potential MACRA participants for assessing current and future Medicare populations;
  • Comparison of MIPS and Advanced Alternate Payment (APM) MACRA participation paths and anticipated reimbursement levels;
  • The critical role of CMS Quality Resource Use Reports (QRUR) as a map to future MACRA expectations;
  • How Chronic Care Management overlays MACRA, and why CCM is integral to MACRA and the shift from volume to value;
  • Using technology to identify patients who need CCM interactions and interventions;
  • The Center for Primary Care expectations for CCM expansion under the 2017 Physician Fee Schedule;
and much, much more, including goals for top-performing MIPS performers, the role of providers in identifying candidates for CCM and lessons learned from a CCM audit.

Physician Chronic Care Management Reimbursement: Roadmap to MIPS Success Under MACRA offers a convincing business case for leveraging Medicare CCM participation for MACRA success.

Table of Contents:

  • Physician Chronic Care Management Reimbursement: Setting MACRA's MIPS Path for 2017
    • Building and Evaluating a Medicare Population
    • Recent Changes to the MACRA Landscape
    • Exploring MACRA's MIPS Option
    • Evaluating MIPS Performance
    • Lessons from QRUR Data
    • CCM as MACRA Foundation
    • Using CCM to Drive Medicare's Risk Adjustment Factor
    • Digesting Recent CCM Changes
    • Importance of Documentation in CCM
  • Q&A:
    • Hallmarks of Top-Performing MIPS Physician Practices
    • Chronic Care Management without Technology
    • Guidelines for Using QRUR Data
    • Preparing for a CMS CCM Audit
    • Patient Outreach in Chronic Care Management
    • The CCM Reimbursement Experience
    • CCM and the Medicare Annual Wellness Visit
  • Glossary
  • For More Information
  • About the Contributor
Publication Date: January 2017
Number of Pages: 22
ISBN 10: 1-943542-38-4 (Print version); 1-943542-39-2 (PDF version)
ISBN 13: 978-1-943542-38-3 (Print version); 978-1-943542-39-0 (PDF version)
Frequently Bought Together
Chronic Care Management Reimbursement Compliance:  Physician Requirements for Value-Based Revenue
Chronic Care Management Reimbursement Compliance: Physician Requirements for Value-Based Revenue
Your Price: $95.00
Buy
Physician Reimbursement in 2016: 4 Billable Medicare Events to Maximize Care Management Revenue and Results
Physician Reimbursement in 2016: 4 Billable Medicare Events to Maximize Care Management Revenue and Results
Your Price: $95.00
Buy
MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System
MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System
Your Price: $90.00
Buy
Browse Similar Items
e-Books
Quality Improvement
Physician Organizations
Medicare
Managed Care
HIN Case Studies
Medical Practice
Reimbursement
Healthcare Reform
Pay for Performance
Value-Based Reimbursement
Chronic Care Management
Care Coordination
Data Analytics
Healthcare Trends
Population Health Management
MACRA
What's New

Centralized Care Management to Reduce Readmissions and Avoidable ED Visits in High-Risk Populations
3 Embedded Care Coordination Models to Manage Diverse High-Risk, High-Cost Patients Across the Continuum
2018 Healthcare Benchmarks: Population Health Management
2017 Healthcare Benchmarks: Chronic Care Management
2018 Healthcare Benchmarks: Post-Acute Care

Copyright Healthcare Intelligence Network. All Rights Reserved. eCommerce Software by 3dcart.