Focus on Your Patients. We’ll Help You Handle the Rest!

At Eye Care Leaders, we’re on a mission to be your ideal partner by helping to create a well-equipped eye care practice—one that gives you freedom to care for your patients and succeed financially. To attain that kind of practice, the right tools and expertise are needed, especially when it comes to revenue and compliance. Let Eye Care Leaders’ myCare Revenue Cycle Management help you effectively and efficiently address the financial side of your business, so you can focus on what you were trained to do: deliver high-quality eye care.

Protect Revenue, Reduce Compliance Risk, and Receive Custom Support

Managing the revenue cycle workflow and ensuring proper claims compliance are two of the most important aspects of running a successful practice. Yet many practices lack the staff time and expertise to ensure patient visits are properly coded and the practice is properly reimbursed. This lack of focus both reduces revenue and increases the risk of audits due to improper coding. Let Eye Care Leaders show you how our advanced myCare RCS packages can maximize your revenue and compliance.

• Identifying all available cash opportunities
• Claims submissions
• Electronic remittance and payments posting
• Denial’s analysis and handling
• Accounts receivable follow-up and collections
• Detailed reporting
• Advanced myCare Revenue Cycle Management consists of two packages – myCare RCS Partner and myCare RCS Evolve.

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The Help You Need to Secure the Reimbursement You Deserve.

Are you keeping up with MIPS? Let’s hope so, as failure to adapt to changing CMS requirements could cost your practice in the not-so-distant future. The MIPS “Performance Threshold” (the MIPS Final Score needed to avoid a negative payment adjustment) has gone up from 15 in 2018 to 30 out of a 100 in 2019, and payment adjustments, which will range from -5% to an estimated +2.06% for the 2020 Medicare payment year based on your 2018 MIPS performance, will range from -7% to an estimated +5.67% for the 2021 Medicare payment year based on your 2019 MIPS performance. Even more importantly, CMS has entirely revised the MIPS “Promoting Interoperability” (formerly known as “Advancing Care Information”) measures and scoring, making it much more difficult to get a perfect MIPS Final Score. MIPS Improvement Activities also require documentation which is subject to being audited!

If your ophthalmology practice is not one that is already fully on track to deal with the changing MIPS regulations, myCare MIPS Assurance can help your practice overcome the economy-of-scale problem facing most small practices nationwide. CMS estimated that almost 80% of solo practices and almost 70% of small group practices with fewer than 10 providers would fail MIPS in the sense of earning negative payment adjustment. CMS estimated that 83.4% of enterprise-size organizations with over 100 physicians would earn positive MIPS payments adjustments – funded by the negative payment adjustments applied to small practices!

Position Your Practice to Thrive in the Value-Based Era

myCare MIPS Assurance guides you through the entire MIPS process – so that you can maximize your MIPS Final Score and thus your future Medicare Part B reimbursements. Our MIPS Assurance specialists have expertise in the MIPS regulations, electronic workflows on your certified EHR technology, and eye care. Our value proposition is to make these expert resources to be part of your practice team on a part-time basis. MIPS Assurance assists you before, during, and after a given MIPS performance year:

• Prior to the performance year, we analyze your past performance, educate the practice on CMS rule changes to the MIPS program, and plan out your custom-tailored MIPS performance and reporting strategy.
• During the performance year, we guide you through the workflows and improvement activities needed to maximize your score, monitor your MIPS performance measures, and coordinate any issues related to MIPS performance, whether related to your software or third parties such as registries.
• After the performance year, we assist you with attestations and registry reporting, verify the MIPS Final Score and payment adjustments awarded to your practice by CMS, and assist you with any appeals or audits.

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