HMH Maestro

Delivering digital tools and information to those who orchestrate the best care.

Payor Updates

Customize your news by selecting a specialty and/or location from the lists below.

Filter

All Payor Updates Posts


HackensackAlliance ACO 2018 MIPS Final Score, Feedback Reports Available

Hackensack University Medical CenterJohn Theurer Cancer CenterJoseph M. Sanzari Children's Hospital

The Centers for Medicare & Medicaid Services’ (CMS) final 2018 Merit-Based Incentive Payment System (MIPS) Performance Year results are now available.  If you participated in a MIPS Alternative Payment Model (APM) in 2018, specifically in a Medicare Shared Savings Program

Read more

Meridian ACO 2018 MIPS Final Score, Feedback Reports Now Available

Bayshore Medical CenterHackensack Meridian Health Medical GroupJersey Shore University Medical CenterK. Hovnanian Children's HospitalOcean Medical CenterRaritan Bay Medical CenterRiverview Medical CenterShore Rehabilitation InstituteSouthern Ocean Medical Center

The Centers for Medicare & Medicaid Services’ (CMS) final 2018 Merit-Based Incentive Payment System (MIPS) Performance Year results are now available. If you participated in a MIPS Alternative Payment Model (APM) in 2018, specifically in a Medicare Shared Savings Program

Read more

JFK Health ACO 2018 MIPS Final Score, Feedback Reports Available

JFK Johnson Rehabilitation InstituteJFK Medical Center

The Centers for Medicare & Medicaid Services’ (CMS) final 2018 Merit-Based Incentive Payment System (MIPS) Performance Year results are now available. If you participated in a MIPS Alternative Payment Model (APM) in 2018, specifically in a Medicare Shared Savings Program

Read more

When to Perform a Security Risk Analysis for MIPS

Hackensack Meridian Health Partners

What You Need To Know While a Security Risk Analysis (SRA) is not a Promoting Interoperability (PI) stand-alone measure for 2019, MIPS-eligible clinicians must attest YES to conducting or reviewing a security risk analysis and implementing security updates as necessary

Read more

2019 MIPS Group Participation Guide Now Available

Hackensack Meridian Health Partners

What You Need To Know The Centers for Medicare and Medicaid Services (CMS) has posted a new MIPS resource to the QPP Resource Library to answer questions and provide additional information on 2019 group participation in MIPS.  The 2019 MIPS

Read more

Reporting is Now Open for Promoting Interoperability

All SpecialtiesHackensack Meridian Health Partners

What you need to know All practices must report the “Promoting Interoperability” category by April 2, 2019. This category is part of your overall MIPS score, which determines your additional incentive percentage reimbursement for all eligible Part B services. How to

Read more

2 New CEHRT Use Requirements for Performance Year 2019

All LocationsAll SpecialtiesHackensack Meridian Health Partners

What you need to know CMS requires all Medicare-eligible clinicians in 2019 to use an electronic health record that meets the 2015 certification standards. In addition, CMS has replaced quality measure “ACO-11: Use of Certified Electronic Health Record (EHR) Technology” with

Read more

2019 MIPS requirements: 4 ways to prepare

All LocationsAll Specialties

What you need to know Several new provider types are now eligible to participate, including physical and occupational therapists, speech-language pathologists and audiologists. New low-volume threshold exclusion criterion also takes effect. Several other changes will also take effect. Four ways

Read more

Meridian ACO Extends Agreement to June 30, 2019

All LocationsAll Specialties

What you need to know CMS has released the final 2019 Medicare Physician Fee Schedule rule. This rule revises the Medicare Shared Savings Program (MSSP) and allows MSSP ACOs the opportunity to extend their current agreements by six months. The

Read more

MIPS Deadline: Security Risk Analysis Due by Dec. 31

Uncategorized

What you need to know Physicians who intend to submit data for the 2018 Promoting Interoperability (PI) category must complete a Security Risk Assessment (SRA) by December 31. The SRA can be completed by an outside organization or by someone

Read more

Horizon Requires Prior Authorization for Specialized Procedures  

All LocationsOrthopedics

What you need to know Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) will begin conducting Prior Authorization & Medical Necessity Determination (PA/MND) reviews for certain specialized orthopedic surgeries, many of which may require the use of an implantable

Read more

CMS Changes 2019 MIPS Payment Adjustment

All LocationsAll Specialties

Overview: Hackensack Meridian Health’s payment adjustment for our Medicare Shared Savings Program ACOs will decrease in 2019 as the result of corrections that the Centers for Medicare & Medicaid Services made to its scoring logic. Physician impact: Payment adjustments will take

Read more