As the healthcare industry shifts to value-based care, PRMS is committed to ensuring easy transitions for its clients. We closely monitor QPP policy developments and make sure our clients are kept up to speed. We provide our physicians with detailed explanations, so they understand what actions are needed to avoid costly reimbursement penalties.
In 2016 the CMS launched the Quality Payment Program. This was a new value-based reimbursement system. Physicians treating Medicare patients must participate in one of two programs with the QPP. MIPS is the more general, broadly utilized system.
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The second of two participation options within the Quality Payment Program, APMs stands for Alternative Payment Models. Clinicians treating Medicare patients can opt to participate in this more extensive version of the QPP. Clinicians that are eligible and participate can earn larger reimbursement bonuses.
PRMS provides advanced strategies to protect our clients from costly audits and legal penalties. Our staff works extensively with the Healthcare Business Management Association (HBMA) to keep our billing services totally HIPAA compliant. We happily offer our clients advice on how to stay compliant on the front-end.
In recent years, healthcare costs have shifted. Patients have taken on a greater percentage of costs. Now, more than ever, practices must take action to ensure timely patient payments. PRMS has procedures in place to assist our clients.
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