The New Business of Medicine

HPP Management Group, Corp.

Responsive phone and email support 

 

The New Medical Reimbursement

 

PQRS -2015                                                                Meaningful Use

HEDIS                                                                         Core Measures

Quality Indicators                                                       Value Based Modifier 

 

Whether we like it or not , it is the new way of doing business in the medical field.

 

The Value Modifier provides for differential payment to a physician or group of physicians under the Medicare Physician Fee Schedule (PFS) based upon the quality of care furnished compared to the cost of care during a performance period. In the future, the Value Modifier will be used to adjust Medicare PFS payments to non-physician eligible professionals (EPs), in addition to physicians. The Value Modifier is an adjustment made on a per claim basis to Medicare payments for items and services under the Medicare PFS. It is applied at the Taxpayer Identification Number (TIN) level to physicians (and beginning in 2018, to non-physician EPs) billing under the TIN.

 

Section 3007 of the Affordable Care Act mandated that, by 2015, CMS begin applying a Value Modifier under the Medicare PFS. We are phasing in the Value Modifier gradually to different sizes of physician group. In terms of the phase in, we are applying the Value Modifier in 2015 based on performance in 2013 for groups of 100 or more eligible professionals (EPs).  In 2016, we will apply the Value Modifier to groups of physicians with 10 or more EPs based on 2014 performance.  The Affordable Care Act requires CMS to apply the Value Modifier to all physicians and groups of physicians starting in 2017.  For 2015 and 2016, the Value Modifier does not apply to groups of physicians in which any of the group’s physicians participate in the Medicare Shared Savings Program, the Pioneer ACO Model, or the Comprehensive Primary Care initiative during 2013 and 2014, respectively.  For 2017, the Value Modifier applies to participants in the Medicare Shared Savings Program, Pioneer ACO Model, and Comprehensive Primary Care Initiative.  For 2018, the Value Modifier will also apply to Medicare PFS payments made to non-physician EPs.  

 

The time is NOW, and HPP Management Group, Corp., is the solution in navigating all the Quality Indicators that will allow and guarantee your correct reimbursement. If you are involved in RISK Management or Fee For Service, call our experts for details.

 

From Our Clients :

 

ü  I recommended this solution to my colleagues and they're signing up too!  

 

ü  We used a popular, more expensive PQRS Registry last year and had issues with the website but could not get anyone on the phone and had to leave voicemail and follow-up with an email.  For the money that we paid, they should have better customer service. HPP customer service is a Cadillac compared to the Hyundai I experienced last year. When I called, I spoke to someone right away!

MD,  Private Internal Medicine Practice , Miami, FL 

ü  After trying for a couple years to receive the bonus, we finally received it this year using your system.

ü  We are very satisfied with your process and service and confident that our practice will benefit from the incentive and avoid the penalties.

Family Medicine Practice,  San Antonio, TX

 

 

HPP Management Group, Corp.

5201 Blue Lagoon Drive

Suite 815

Miami, Florida 33126

Phone: (305) 227-2383