Value Based Modifiers

Value Based Modifiers

The Centers for Medicare and Medicaid Services (CMS) value modifier differentiates Medicare payments to physicians or practices based upon “the quality of care furnished compared to the cost of care during a performance period,” a program that will expand to adjust Medicare payments to non-physician eligible professionals on a per-claim basis beginning in 2018.

Physicians are increasingly asked to perform assessments, accounting, and informatics management for every patient they see, with the threat of being penalized rather than reimbursed for their extra duties. Furthermore, providers are compared with other physicians that a governmental algorithm – not a group of colleagues -- identifies as their peers.

There is not enough time in the day for doctors to treat patients, collect and analyze data to identify benchmarks proving the quality of care they just provided, and then submit all the documentation as proof of their diligence and expertise. One good solution is to allow The Bienville Group to leverage your investment in technology to increase your productivity. We do this through modifications to the workflow process. We can help you capture the data necessary for you to receive all of the reimbursement to which you are entitled.

The Bienville Group provides tools, technology, and strategic plans for independent physicians to continue to provide the best possible quality of care in an ever-changing regulatory environment. We develop relationships with our clients that allow us to understand the complexity of their practice and allow them to provide more efficient, comprehensive care.