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Private practices are good for healthcare. Unfortunately, there is no shortage of "sharks in the water" for these clinics.
Between heftier insurance requirements and the complexity of co-managing sick patients, the operational load is higher than ever. But the margins are thinner than ever.
One of those big sharks is MIPS: the government's attempt to slay the fee-for-service (FFS) dragon (sorry for switching metaphors). MIPS often ends up being an afterthought—something that only gets addressed when penalties roll in.
We know of clinics that are pushing through despite taking a hit from last year.
While the Calvient team can't fix every woe, we like to understand where our customers are coming from. And so we wanted to bring this topic up and show how our tooling can help.
We can't address everything, so let me describe the root cause and a few practical ways clinics can succeed.
The Reality
Many clinics find themselves scrambling to meet MIPS measures because the process of capturing required data is cumbersome. More often than not, the work is done, but it's simply not documented in the EHR. And if it's not documented, it doesn't count.
I’ve seen practices suffer a reimbursement reduction simply because their workflow couldn’t keep up with the required documentation for things like post-discharge follow-up, referral loop closure, screenings, and patient-reported outcomes (PROMs).
The Solution: A Care Coordination Tool That Plays Well With Your EHR
Instead of treating MIPS as a bolt-on afterthought, why not integrate a solution that centralizes, integrates, and automates the critical pieces of your workflow? This is where a tool like Calvient comes into play.
Centralize Everything
Calvient centralizes communication across your care team. Whether it's capturing data for follow-ups, coordinating referrals, or flagging patients who need screenings or PROMs pre-visit, everything is brought together in one unified platform. No more sifting through disparate systems or relying on manual processes.
Integrate With Your EHR
Calvient sits on top of your existing EHR, treating it like the source of truth. With a tight integration, it ensures that every interaction—from post-discharge summaries to referral completions—is documented accurately and in real time. This means your team can access comprehensive, up-to-date information without the extra administrative burden.
Automate the Communication Pieces
Automation is the key to proactive care. All the time that MIPS measures try to take from you, a care coordination platform like Calvient takes back. Here are a few practical examples relating to MIPS measures:
- Closing the Referral Loop: Automated tracking and notifications ensure that every referral is followed through to completion, leaving no room for missed data or incomplete documentation. For specialty clinics, automating note or records distribution can help your referring partners for the same reasons—strengthening that patient pipeline.
- Post-Discharge Follow-Up: Automated scheduling and reminders ensure that both primary care and specialty clinics stay on top of required follow-ups, enhancing care coordination and compliance.
- Pre-Visit Patient Identification for Screenings & PROMs: Automated systems flag patients who are due for preventive screenings or need to provide outcome measures before their next visit, ensuring that your quality measures are always up to date. Calvient's pre-visit and survey features make this a breeze. Plus, we can flow this information directly into the chart, so your MIPS reports are always current.
Why It Matters
By using a centralized, EHR-integrated, and automated tool like Calvient, clinics can transform how they approach MIPS:
- Stay Proactive: No more last-minute scrambles to capture data. With automated processes, you’re always ahead of the curve.
- Reduce Errors and Save Time: Centralized data and automation eliminate manual entry errors and free up your staff to focus on patient care.
- Protect Your Revenue: Ensure every required measure is documented accurately and on time, so you avoid those painful reimbursement reductions.
Conclusion: Time to Act
MIPS doesn't have to be an afterthought that drains your revenue. With Calvient, you can centralize, integrate, and automate critical care coordination tasks—from closing referral loops to ensuring timely follow-ups and capturing necessary patient data. This isn’t just about compliance—it’s about transforming your practice to be more efficient, proactive, and focused on what matters most: quality patient care.
Ready to streamline your workflow and safeguard your revenue? Schedule a demo today and discover how Calvient can help you stay ahead of MIPS challenges.