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	James L. Holly, M.D.

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Letters - MIPS Payment Adjustment in 2019

Payment adjustment made up of four parts shown below.

1.   Quality - This will be gleaned off of the CQMs that we report which are the new PQRS. Measures are physician selected and we have many very good ones to report.
2.   Advancing Care Information - This is the next phase of Meaningful Use. All of our providers meet these measures and will continue to do so.
3.   Clinical Improvement Activities - “Clinicians participating in medical homes earn *full credit* in this category.” We meet this.
4.   Cost - The will be gleaned off of claims data. There is nothing to do on our part for this.

So, in summary, we have all of the pieces under control already.

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	Clinical Quality Measures (CQM) - Part of the Future of Healthcare PQRI and PQRS - Part of the Past which Created the Future Part I Four categories defined by MIPS Correlate with Four Strategies SETMA Defined in 2000-2005 Part II Four categories defined by MIPS Correlate with Four Strategies SETMA Defined in 2000-2005 Part III Four categories defined by MIPS Correlate with Four Strategies SETMA Defined in 2000-2005 SETMA’s Innovations Over the Past Twenty Years Have Prepared Us for MACRA & MIPS What are MACRA and MIPS? Why Should I care?
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	SETMA’s Merit-Based Incentive Payment System (MIPS) Quality Metric Tool Tutorial
Related Letters

	CMS Quality Resource and Utilization Report (QRUR) data for 2015 for SETMA CMS Quality Resource and Utilization Report (QRUR) data for 2015 for SETMA - Final Four Categories Defined by MIPS Correlate with SETMA’s Four Strategies for Transforming SETMA and Healthcare In 2000 SETMA Anticipated Four MIPS Categories MACRA and MIPS: An Analysis of the Final QRUR for the Full Year 2015 MACRA MIPS Where Does SETMA Stand MIPS September 2016 Advanced Care Information (MU) & Clinical Practice Improvement (PC-MH) MIPS September, 2016 Nursing Home Population – Pneumonia, Urinary Tract Infection, Dehydration SETMA's Prescient Preparation for MACRA and MIPS September 2016 SETMA: MACRA and MIPS - October 3, 2016 The Requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) What is Post Acute Care?

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