MIPS and Mergers

Are you considering joining a new practice? Are you acquiring practices? Are you hiring a new physician? Previous MIPS scores should play a role in your decision to merge – or not.

As MIPS continues to impact the healthcare financial landscape, one of its key features is that a performance year’s score affects a physician’s financial “bottom line” for an entire year two years later. A physician’s MIPS Final Score for 2022 applies to an entire year’s worth of Medicare Part B claims in 2024. This can occur even if that physician merges with a new group. What MIPS “baggage” are you bringing to a merger? What MIPS “baggage” are you inheriting? MIPS brings an entirely new set of considerations to the merger decision-making process.

Not only is there the financial aspect to consider, there’s also the performance predictor value of past scores. Does the new physician understand current regulatory requirements? Will your new group decrease your future MIPS performance scores and reimbursements?

The nuances of MIPS reporting eligibility play a large role in the potential financial outcomes of mergers and acquisitions.

Clinical Quality Experts will present a webinar entitled “MIPS and Mergers” for its June “Webinar Wednesday” on 6/29/22 at 1 pm EDT. If a merger is on the horizon, or if you’re hiring new physicians, this webinar is for you.

Here are some of the topics that we will present:
  • When are the determination periods for a performance year? Who reports with whom?
  • If I close my practice and join another clinic, how will my financial reimbursements be affected?
  • When hiring new clinicians or acquiring/absorbing practices, what do I need to consider?
  • If I am considering being hired by a clinic, what questions should I ask?
  • How do past MIPS performance scores help predict future performances?

We look forward to having you with us!

Register to watch this webinar now
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About the Speaker

Katie Buckholtz has led and assisted hundreds of clinicians across the United States towards maximizing their MIPS and APM payment incentives for the CMS Quality Payment Program. Prior to this, Katie had a 10-year clinical background in ophthalmology and optometry, which included experience with managing the practice’s participation in the Meaningful Use, PQRS, and MACRA programs. She is currently the Director of Business Development for Clinical Quality Experts.

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