MIPS reporting system scores near perfect for Grandview Radiology

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As a smaller practice, Grandview Radiology Associates in Sellersville, Pa., Often struggled through all of the required paperwork and reporting actions mandated by the Centers for Medicare and Medicaid Services regarding new goals and initiatives in based care. on value, although the practice understood and appreciated their importance in the health sector.

THE PROBLEM

“In 2016, we received a penalty notice for our submission to the Physician Quality Reporting System,” said Karen Beer, office manager at Grandview Radiology Associates.

“Then when Medicare launched the merit-based incentive payment system, we knew we had to look for experts who could help us ensure the accuracy of our reports in the future, that we could receive the bonuses and the premiums. Incentive rewards offered as part of the program and, more importantly, freeing up time for our firm to focus on other administrative tasks within the billing department while improving our MIP score, ”she explained .

PROPOSAL

It was then that Grandview started looking for providers to help him and found one called Mingle Health through a partnership with the Pennsylvania Medical Society, also known as PA Med.

“We reached out to our contact at PA Med to ask for references for a vendor who could help us with MIPS reporting and we found out about Mingle Analytics, now Mingle Health, and its platform,” Beer said. “They mentioned that the MIPS Solutions platform was the best fit for us and that they would be able to provide us with a dedicated representative who would walk us through the start-up and through the reporting process. “

A compelling point for Grandview was that Mingle offered a concrete, personalized plan to avoid penalties, which also analyzed and improved performance, important data to extract for Grandview, especially as a smaller practice with limited bandwidth.

“We also liked that we could easily integrate the platform into our existing technology tools and get started with a reduced ramp-up time,” Beer explained.

MARLET

There are a variety of MIPS reporting systems on the market today. Suppliers of these systems include AdvancedMD, Healthmonix, Medisolv, Medusind, Premier, and SPH Analytics.

TRY THE CHALLENGE

Before Grandview began to integrate the Mingle platform into its workflow, the firm was happy to learn that as part of MIPS Solutions, it would have a dedicated consultant to guide it through the program and the complex requirements of MIPS reporting.

“Our consultant, Lisa Morin, created a plan to organize ourselves and put all of our information together, explaining the plan for making our submission well in advance of logging into the portal,” Beer said. “Then, with our plan in place, Lisa settled us into the Mingle portal. The portal itself was very simple and easy to navigate.

Grandview staff had never attended webinars or hands-on training for MIPS reports, so this was a completely new experience for all staff, and as a small practice, had very little time to learn. upgrade.

“When it came time to start the reporting process, we were following the portal’s instructions and entering our data – it was that simple and straightforward,” Beer explained. “We were also able to manage the dashboard ourselves to find metrics that applied to our practice, with descriptions. Lisa then helped us with our quarterly report to see where we could make improvements, fix a few bugs through the platform, and pick the right metrics.

Grandview staff liked the personal touch as they were able to learn about the reporting process every step of the way. After just a few phone calls and a shift of data entry, staff said they were like, “We have this. They said they were totally confident in the success of MIPS.

“The specific dashboard feature that I felt like included the ability to look at our results right in the submission dashboard and make edits there,” Beer said. “For example, we were able to see a report code that was entered incorrectly and download correct files to resolve the issue. Being able to do everything from one place saved me a lot of time and helped me get organized a lot.

Mingle also provided quarterly reports throughout the year via the dashboard, so Beer was able to get an update on the status of the reporting process as things unfolded, This saved time and helped Grandview better anticipate the additional changes it needed to make.

“I also appreciated being able to jump on GoToMeeting with Lisa for conference calls where we could share screens and she could watch me go through the dashboard, pointing out any missteps or inaccuracies,” Beer said. “It contributed to the overall learning process and the time spent with her was invaluable in ensuring that our report was on track. “

RESULTS

After using the system for its 2017 reports, Grandview achieved an almost perfect MIPS score of 96.27 – earning 81.27 points in the Quality Performance category and 15 points in the Improvement Activities category.

“We attribute this to both our consultant Lisa and the platform – it was very clear what was needed, what format was appropriate for the data and how the data should be sent,” Beer explained. “The platform has helped us spot reporting errors that we may never have seen on our own. Our coders were using an incorrect diagnostic code which was detected through the MIPS Solutions reporting process and we were alerted so we could fix it and then resubmit.

It’s thanks to little catches like these in the platform that came together to help Grandview build their score, she added. These incentives ultimately help the practice get better returns on every claim, as well as knowing the practice is on track and avoiding penalties, she said.

“In addition to improving our MIPS score, we also received a positive incentive and bonus as part of our Medicare Part B fees in 2019,” she said. “The knowledge and experience we have gained with the platform has provided us with historical data which is now used to make improvements to the 2018 and future reports. “

TIPS FOR OTHERS

“If you get penalties or don’t see results you know you should be on MIPS, invest in a solution like this,” Beer advised. “We found that this gave us a lot of confidence in our reporting results and allowed us to focus on other urgent administrative tasks within the invoicing department. “

Twitter: @SiwickiHealthIT
Email the author: [email protected]



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