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Posts tagged "MIPS"

MIPS Performance Optimization: How to Score Well in All Four Categories and Avoid Payment Penalties

January 15, 2026 / Alex J. Lau / Articles, MIPS, Value-Based Payment
Young doctor looking to maximize his MIPS

The Merit-Based Incentive Payment System (MIPS) determines annual Medicare reimbursement adjustments for nearly 800,000 eligible clinicians through a four-category scoring framework. Quality performance accounts for 30% of the final score, Cost accounts for 30%, Promoting Interoperability accounts for 25%, and Improvement Activities accounts for the remaining 15%. Final scores translate directly into payment adjustments applied […]

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MIPS, Value-Based Payment

Medicare Reimbursement: Understanding the Labyrinth

April 3, 2024 / Alex J. Lau / Articles, Geographical Practice Cost Index, Inpatient Prospective Payment System, IPPS, Medicare, Medicare Coverage, Medicare Reimbursement, Medicare Severity Diagnosis Related Groups, MS-DRG, OPPS, PPS, Prospective Payment Systems
Medicare Labyrinth

If you’re a healthcare provider or facility dealing with Medicare, one thing is certain, getting properly reimbursed is a maze filled with complex rules, convoluted paperwork, and often, sheer frustration. Medicare reimbursement is the lifeblood that keeps many healthcare operations afloat, but navigating its serpentine pathways can feel like a daily battle. Buckle up as […]

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APC, APCs, CMS, Geographical Practice Cost Index, Healthcare, Healthcare Billing, Inpatient Prospective Payment System, IPPS, Medical, Medical Billing, Medicare, Medicare Billing, Medicare Part A, Medicare Part B, Medicare Part C, Medicare Part D, Medicare Physician Fee Schedule, Medicare Reimbursement, Medicare Severity Diagnosis Related Groups, MIPS, MS-DRG, OPPS, Prospective Payment Systems, Revenue Cycle, Revenue Cycle Management

4 (Medical Billing) Techniques that Can Assist Your Practice

August 22, 2019 / Alex J. Lau / Articles, Best Medical Billing Company, Denials Managements, Healthcare Delivery, Medicaid, Medical Billing, Medical Billing Companies, Medical Billing Customer Service, Medicare, Patient Billing, Patient Medical Billing, Top Medical Billing Companies
Medical Biller Techie

Medical Billing Techniques that Can Be Installed to Help Your Medical Practice Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be […]

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AI, Automation, EHR, Medicaid, Medical Billing, Medicare, MIPS, Outsource Medical billing, Pittsburgh Medical Billing

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