Skip to main content

Get to Know Quality Payment Program -Avontix



For a healthy medical practice, it is necessary that there is a proper revenue cycle management system in place. An important aspect of the revenue cycle management is receiving payments for the services provided by the healthcare facilities. Programs like Medicare and Medicaid help the healthcare providers in receiving payments without any delays and help in reducing bad debts that arise from the self-paying patients.  The Centers for Medicare & Medicaid Services has launched a new data submission system on 2nd January 2018 for clinicians participating in the Quality Payment Program. This new system is brought out with the aim of making the submission of data easier for clinicians and reducing the administrative burden on them. According to the CMS, this new system makes the work of clinicians easier in meeting MACRA’S reporting requirements and they can spend more time in providing quality care to patients rather than doing paperwork and filling forms.

Quality Payment Program:
The Quality Payment Program improves Medicare by helping the healthcare providers to focus on providing quality care to patients and making them happy. If your facility is participating in Medicare, you are serving around 55 millions of the citizens and this QPP program will provide you with new resources to give the patients best possible care. You can participate in this program in one of the two tracks on the basis of your practice size, specialty, number of patients and location.

  • Advanced Alternative Payment Models (APMs)
  • Merit-based Incentive Payment System (MIPS)


Who is eligible?
Your facility will be a part of the Quality Payment Program in 2017 if your bills to Medicare are more than $30000 in part B allowed charges a year and provide care to more than 100 Medicare patients in a year. Or, you can be a part of this program if you are an in an advanced APM. To be able to participate in the program, you have to meet both minimum billing and number of patients’ criteria.
For the performance period of January 1, 2017, to December 31, 2017, the deadline to submit the data as to how you used technology to support the practice is March 31, 2018. This will potentially give you a positive adjustment under MIPS which you can earn in 2019.

At Avontix, we provide the best revenue cycle management services availing which you can concentrate on providing quality healthcare to patients.

Post a Comment

Popular posts from this blog

That’s Hilarious! Funny Must-Read Medical Transcription Errors!

Doctors every now and then come across some very critical bloopers from medical transcriptionists. Some of these can be downright funny! It’s common for transcription errors to creep in for various reasons like the dictation might not be clear, too many medical terms stuffed in, or misunderstanding at the transcriptionist’s end. Medical transcriptionists vary in experience and skill and may not be well versed with some medical terms. Here is a compilation of some very funny transcription mistakes you could note to avoid being on the receiving end of the laughter! 

   ·"Eyes and nose continue to be within normal limits" (I & O).    ·"History of sick as hell disease" (sickle cell)    ·"She was a bitch and grinned" (a bit chagrined).    ·"The last day the patient took their meds was for beaver."  (forever).    ·“49 year old occasional male”(Caucasian male).    ·“Borderline respectable pancreatic cancer”. (Resectable).    ·“Patient is alert and orien…

Working in the night shift? Here's how you can be double productive! -Avontix

Waking up and stretching at 4 PM. Having breakfast around 6 PM, rushing to office at 8 PM, when others are having a cozy dinner with family. Is this you?
Although there will be initial hiccups in adjusting to the night world, with time we understand that night shift work can be as smooth as day shift, provided we take care of few things.
Train your mind: The first and foremost feeling that we have to inculcate in us is that we are not doing anything different from routine. We ought to get used to and train our mind that night shift life is similar to that of the day shift life. With this. it gets much simpler for us to get accustomed to the new lifestyle. Winning our mind is winning half the battle.
Eat healthy: Work schedule affects our eating habits and vice versa. With sudden changes in work timings, our eating pattern gets disturbed and this results in health disorders which in turn reduce our productivity.
Pack home food:  Be a little stringent with yourselves and pack home cooked …

Location isn’t a Matter for Coding and RCM -Avontix

The technological developments in the healthcare management industry have facilitated and increased the outsourcing of medical coding and RCM among many healthcare facilities. The healthcare facilities need not bother about from where the support for their RCM and medical coding jobs is coming from. What they need to think about is only if these service providers have the latest technology, training and subject expertise. These days most of the outsourcing companies are well equipped with high-speed internet connectivity, coding and RCM software with security features that make the importance of the location of the service provider negligible.
The lower reimbursement rates and diminishing margins are forcing the different healthcare facilities to think for ways to reduce costs. One of the best ways for hospitals and other facilities to minimize costs is outsourcing their medical coding jobs along with their revenue cycle management. The significant task for a hospital is to identify …