Practice Management

 View Only

  • 1.  MIPS and MAPS

    Posted 05-29-2019 16:41
    Question:  does anyone know if MAPS have to pay MIPS incentive payments.
    If so - can you point me to the regulation?????
    thanks

    Geeze, flipping acronyms in healthcare, enough to make you think we are all speaking gibberish.

    ------------------------------
    Douglas Kraus CPA
    Chief Financial Officer
    South Texas Radiology Group, PA
    San Antonio TX
    (210) 616-7700
    ------------------------------


  • 2.  RE: MIPS and MAPS

    Posted 05-29-2019 16:59

    Acronyms – same challenge in MBA school.

     

    Regards,

     

    Tony Armand

     




    Original Message


  • 3.  RE: MIPS and MAPS

    Posted 05-29-2019 17:15

    My favorite medical abbreviations book is titled: 

    Medical Abbreviations: 32,000 Conveniences at the Expense of Communication and Safety

    (Neil M. Davis, MD)

     

    Donna Richmond, BA, RCC, CIRCC, CPC
    Senior Healthcare Consultant

    P 651-424-4225  / C 337-412-2272
    www.panaceainc.com

    /Volumes/Shares/Marketing/1 - Asset Library/Logos/Continuing Education/Panacea/Panacea Logo-05.png

     




    Original Message


  • 4.  RE: MIPS and MAPS

    Posted 05-29-2019 17:14
      |   view attached
    Hi Doug

    If by MAPS you mean Medicare Advantage plans, the answer is maybe!  Depends on the plan type, and whether you or not you are contracted.

    If it's a Private Fee For Service Plan, and you are out of network/non-contracted, they have to pay the MIPS incentive. See attached.  Of course, there are several other types of Medicare Advantage Plans, and PFFS plans are becoming less prevalant.

    If you have a contract, it's whatever the contract says.  I personally have been working to amend contracts with mixed results, though at least I have started educating the plans about the issue...they seemed ignorant in the beginning.  As the incentive gets bigger, obviously we'll be pushing harder.  

    If you don't have a contract, and it's not a Private Fee for Service Plan, then I believe it's whatever the plan's normal rate is...i.e. all bets are off.

    Hope this helps!

    Dave


    ------------------------------
    David Smith FACMPE
    Executive Director
    United Imaging Consultants
    Mission KS
    (785) 393-8387
    ------------------------------

    Attachment(s)

    pdf
    2019 MIPS HPMS Memo (04-27-2018).pdf   100 KB 1 version
    Original Message


  • 5.  RE: MIPS and MAPS

    Posted 05-29-2019 18:02
    Thanks Dave and too funny on the acronym comments Donna.and Tony.
    Dave - was there an attachment or link i missed??
    And yes I agree, the dollars in play start to add up so trying to address this now.
    As you can imagine some non-contracted maps pay, some don't, but want to make sure i have the regs in hand when we approach the non-compliant ones.


    ------------------------------
    Douglas Kraus CPA
    Chief Financial Officer
    South Texas Radiology Group, PA
    San Antonio TX
    (210) 616-7700
    ------------------------------

    Original Message


Related Content