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Outpatient Therapy

Grow Your Rehab Therapy Practice Using Paid Ads and Search Engine Marketing

When done right, paid advertising and search engine marketing are amazing tools to reach new patients and grow your business. By applying several basic tactics, you can start using powerful digital advertising platforms like Google and Facebook to target specific audiences and help ensure a steady flow of business for your practice. Click to View […]

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Hospice

Five Key Stressors Hospice Professionals Face, with Guidance for Support

Hospice professionals help others face death and loss, while juggling interdisciplinary communications, quality compliance regulations and ever-evolving technologies. You are continually there for families and their dear ones who are passing away. But what about you? Get the eBook In caregiving professions, it is easy to get swept up in the needs of others and forget […]

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Leadership

Net Health’s CIO discusses diversity and how it can build a stronger organization

Diversity in the workplace is an on-going issue but it’s an issue with solutions. To build diversity, it takes forward-thinking initiatives, a reexamination of the hiring philosophy, and the support of the company’s decision-makers.  One such supporter of diversity in the workplace is Net Health’s CIO, Jason “JJ” James.  Recent social movements like Black Lives […]

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Our Culture

Tough Questions | Real Answers: Net Health’s Fireside Chat about Race

Net Health did something different recently. Nearly two hundred employees and their families gathered around their computer screens to take part in a landmark event in our company’s history – we called it a “Fireside Chat about Race”.  The purpose of this event was to have a truly open conversation about the controversial but relevant […]

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 (formerly WoundExpert)

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Wound Care

2019 in Review: Snapshots for Strategy to Refine Workflows

December 6, 2019 by Cathy Hess , BSN, RN, CWCN, VP, Chief Clinical Officer for Wound Care

It has been quite a busy year! Although this column is not intended to exhaustively cover all rules and regulations, let’s look back at what we learned this year about the Quality Payment Program (QPP) and other documentation approaches to plan ahead using smart strategies. And remember, it is your responsibility to understand the rules and regulations that govern your business while mapping the coding and coverage guidelines into your practice as appropriate.

QPP and Your Workflow

The CMS is required by law to implement a quality payment incentive program that rewards value and outcomes via the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models. Clinicians are included in MIPS if they are an eligible clinician type and meet the low-volume threshold. Beginning in payment year 2019, the low-volume threshold encompassed allowed charges, the number of beneficiaries who receive services, and the number of services provided. Clinicians must participate in MIPS (unless otherwise exempt) if, in the determination period, they bill more than $90,000 for Part B-covered professional services, see more than 200 Part B patients, and provide 200 or more covered professional services to Part B patients.

The Eligible Clinician Type list that must report this year has expanded to include physical therapists, occupational therapists, clinical psychologists, qualified speech-language pathologists, qualified audiologists, and registered dietitians or nutrition professionals. To determine participation status, use the QPP Participation Status Tool and ensure you review your eligibility data at multiple points throughout the year to help you plan your program participation. Remember, if you are eligible and do not score at least 30 points, you can lose up to 7% of your Medicare fee reimbursement to your 2021 payments.

Next, ensure you understand the configuration of your workflow and verify you have incorporated all documentation requirements. Check your MIPS documentation progress often to verify documentation requirements are being met. Last, remember that change in process always brings an opportunity to review and refine documentation workflow(s) in general. Note: The submission window for reporting payment year 2019 opens January 2, 2020, and closes March 31, 2020.



To read the full article in “Advances in Skin & Wound Care” by Cathy Thomas Hess, click here.

Read previous articles in “Advances in Skin & Wound Care” by Cathy Thomas Hess in the link.

Download a brochure and learn how Net Health 360 professional services programs conquer the most complex problems in specialized lines of work.


Cathy Thomas Hess is VP, Chief Clinical Officer for Wound Care at Net Health.  She has over 30 years of experience in wound care, authored hundreds of journal articles, spoken at both national and international events, and has authored book chapters and the best-selling handbook titled Product Guide to Skin and Wound Care, 8th edition. She continues to be influential in the wound care community today and serves on the Editorial Advisory Boards for Advances in Skin and Wound Care, authoring a monthly column entitled Practice Points, and Today’s Wound Clinic.

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Filed Under: Industry News, Wound Care

About the Author

Cathy Hess , BSN, RN, CWCN

VP, Chief Clinical Officer for Wound Care

Cathy oversees clinical and professional services for Net Health. Cathy gained over 25 years of expertise in various acute care, long-term care, sub-acute care facilities, home-health agencies, and outpatient wound care department settings. She is the author of The Clinical Wound Manager™ Manual Series, Clinical Guide to Skin and Wound Care – Seventh Edition (also translated into Italian and Portuguese).


See all posts by Cathy Hess , BSN, RN, CWCN

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