By Richard F. Grosso, Jr.

Primary Care Physician Practices will now require a minimum score of 75 MIPS points in order to avoid the 9% reduction in the practice’s entire Medicare fee schedule. It just keeps getting more difficult! Only Next Gen CCM with Health eFilings can help you achieve the outcomes data to score big on all areas of MIPS reporting.

Next Gen CCM monthly involvement with patients and comprehensive documentation will improve quality and meet inoperability measures. Next Gen CCM Care Managers work from within practice software to track and schedule all wellness care required to meet MIPS requirements. Monthly feedback from patients enhances the patient experience, while achieving better population outcomes, reducing health care costs and improving physician satisfaction as defined by the Quadruple Aim of health care transformation and reform. Patient safety is likewise improved.

The monthly CCM calls to patients establish trusting relationships with the care manager. Patients share more information, have personal concerns addressed and feel a closer relationship to the practice. Increased patient contact improves communication, thus improving care coordination, efficiency and better use of medical resources.

The needed 50% performance participation will be met, with greater ability to focus on meeting each measure with the required 70% of applicable patients. Care Managers can focus more attention on areas where goals need to be met, while continuing to address the remaining patient needs.

Exceptional performance bonus point reimbursement is now achievable, as meeting the 85-point MIPS threshold has become a more realistic goal. Next Gen CCM is an extension of the practice with the time and the focus to succeed with MIPS.

Having a relationship with a care manager assists in uncovering a variety of clinical issues that arise between office visits. The patient is happier, healthier and avoids expensive hospitalization.

For more information, please contact Richard F. Grosso, Jr. at (561) 888-9971 or rich.g@ydit.care.