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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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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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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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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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Industry News Diligently Drive Quality Documentation With Updated Resources

Diligently Drive Quality Documentation With Updated Resources

July 10, 2018 by Cathy Hess , BSN, RN, CWCN, VP, Chief Clinical Officer for Wound Care

In case you missed it, the Centers for Medicare & Medicaid Services1 updated the Merit-based Incentive Payment System (MIPS) Fact Sheets mid-May 2018. Let’s take a look at the criteria for each MIPS category. Remember, documentation details determine your dollars.

MIPS Participation Status

Includes eligible clinicians or groups who bill more than $90,000 in Medicare Part B–allowed charges for covered professional services and furnish covered professional services to more than 200 Part B–enrolled Medicare beneficiaries:

  • physicians
  • physician assistants
  • nurse practitioners
  • clinical nurse specialists
  • certified registered nurse anesthetists
  • any clinician group that includes 1 of the professionals listed above.

You can use the Participation Status Look-up tool (www.qpp.cms.gov/participation-lookup) to verify your status.

Promoting Interoperability (PI)

This performance category promotes patient engagement and the exchange of health information using certified electronic health record technology (CEHRT). In 2018, there are 2 measure set options to report PI Objectives and Measures or 2018 PI Transition Objectives and Measures. The option you should use to send in data is based on your CEHRT edition. Here are the minimum requirements:

  • use CEHRT;
  • submit the performance period (a minimum of 90 consecutive days in 2018);
  • submit a “yes” to the Prevention of Information Blocking Attestation and the Office of the National Coordinator Direct Review Attestation; and
  • submit a “yes” for the security risk analysis measure, and at least a 1 in the numerator for the remaining base score measures or submit an exclusion for the base score measures.

Check the PI Fact Sheet to see if you qualify to have your PI score reweighted. In 2018, this performance category is worth 25% of your MIPS Final Score.

Improvement Activity

This category gauges your participation in activities that improve clinical practice, such as expanding practice access. In the 2018 performance period, MIPS-eligible clinicians can choose from 100+ activities.

For groups or virtual groups with 15 or fewer clinicians, non–patient-facing clinicians, and/or clinicians located in a rural area or Health Professional Shortage Area, each activity is weighted either medium or high. To achieve the maximum 40 points, pick 1 of these combinations:

  • 1 high-weighted activity (any subcategory) or
  • 2 medium-weighted activities (any subcategory).

For individuals, groups, or virtual groups with more than 15 clinicians who are not in a rural area or Health Professional Shortage Area, each activity is weighted either medium or high. To get the maximum score, pick:

  • 2 high-weighted activities (any subcategory)
  • 1 high-weighted activity and 2 medium-weighted activities (any subcategory)
  • 4 medium-weighted activities (any subcategory)

The required performance period is at least a continuous 90-day period in 2018, up to and including the full calendar year. This category counts for 15% of a clinician’s MIPS final score, unless the clinician, group, or virtual group is subject to the Alternative Payment Model (APM) Scoring Standard.

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 is Chief Clinical Officer for WoundExpert® and Vice President at Net Health, and in addition to being the MIPS Clinical Consultant for WoundExpert. She gained over 30 years of expertise in various acute care, long-term care, sub-acute care facilities, home-health agencies, and outpatient wound care department settings. Cathy is the author of Clinical Guide to Skin and Wound Care (also translated into Italian and Portuguese) – Eighth Edition published in September of 2018.

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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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