PrivaPlan partner QVH Systems releases MIPS Navigator™ 

This week we’re sharing some news from one of our partners, QVH Systems, a consulting, technology and data analytics company in Tulsa. QVH recently released a new software solution to help physicians and other health professionals achieve success under Medicare’s new Merit-based Incentive Payment System (MIPS). 

“At $49.95, the MIPS Navigator is the best value for physicians and other health care providers facing MIPS,” said QVH COO Brad Cost.

Medicare paid clinicians nearly $70 billion in 2015, an amount Congress and CMS think should be reduced through changes in the payment system.  Since the ACA was passed, Medicare has transitioned from paying clinicians a fixed fee for each service provided to paying a fee adjusted for “value.”  MIPS is the latest program along these lines.  

The stakes are huge for clinicians with potential penalties starting at -4% of Medicare revenue to -9% over the next 5 years. “Understanding MIPS is incredibly difficult; but doing well under MIPS is relatively easy with the right support,” said QVH CEO Michael Sexton, M.D.  “MIPS Navigator makes it easy for physicians and other health professionals to create the best path under MIPS for their unique circumstances.”

Catherine Hanson, J.D., QVH Chief of Strategic Solutions, said, “I find it outrageous that physicians are being charged thousands of dollars in consulting fees and spending countless hours trying to learn about MIPS when they should be spending that time and money focused on the specific measures and activities that will help them improve quality of care and the patient experience.”

PrivaPlan President David Ginsberg explained why he recommends the new software solution. “The MIPS Navigator takes the complexity of determining the impact of MIPS on Medicare Part B payments and creates a self-directed navigation tool to determine appropriate strategies,” he said. “PrivaPlan intends to incorporate the navigator in our affordable Meaningful Use/MACRA-MIPS consulting services.”

For more information or other services PrivaPlan provides, contact our HIPAA experts at or call 877-218-7707.

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