Providers Quality Payment Program
The Providers Quality Payment Program is a federal program implemented by the Centers for Medicare and Medicaid Services (CMS) that aims to incentivize and reward healthcare providers for delivering high-quality care to their patients.
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Providers Quality Payment Program
The Providers Quality Payment Program (QPP) is a Medicare payment program that rewards healthcare providers for delivering high-quality patient care. The QPP was established under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and is designed to shift the payment model from a fee-for-service system to a value-based system.
The QPP consists of two tracks:
- The Merit-based Incentive Payment System (MIPS)
- The Advanced Alternative Payment Models (APMs).
MIPS is designed for eligible healthcare providers who bill Medicare Part B and measures performance based on four categories: Quality, Promoting Interoperability, Improvement Activities, and Cost. Advanced APMs are payment models that require participants to take on financial risk for providing high-quality, coordinated care.
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Charge capture
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Claims submission
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Payment posting
Ensure accurate and timely payment posting with our reliable payment posting services
Denial management
Avoid costly claim denials with our effective denial management services
Insurance verification
Verify insurance eligibility and maximize reimbursement with our thorough insurance verification services
Patient billing and collections
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Why is it important
The QPP incentivizes healthcare providers to deliver high-quality care to patients. By focusing on quality measures, providers can improve patient outcomes and help patients to achieve better health outcomes.
The QPP encourages providers to reduce unnecessary healthcare costs by promoting preventive care and reducing hospital readmissions. This can help to lower overall healthcare costs and improve the sustainability of the healthcare system.
Why chose us
Choosing our Provider’s Quality Payment Program (QPP) can help your healthcare practice improve the quality of care provided to your patients, while also maximizing your reimbursements from Medicare. Our program provides a flexible and streamlined approach to meeting the reporting requirements of the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs).
Our QPP team has extensive experience in navigating the complex regulations and requirements of the program and can provide personalized support to help you succeed. We offer a range of services, including data analytics, performance improvement strategies, and technical assistance, to ensure that you are meeting the program's objectives and maximizing your financial incentives.
