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The healthcare industry is always on the move, old conventional reimbursement patterns have evolved to incorporate value based healthcare. CMS along with many commercial payers make quality data reported by providers publicly available via star ratings and physician compare portals. CMS & NCQA are two major bodies playing vital roles to monitor, hence reward or penalize providers on reimbursements connected with the quality of healthcare services furnished by providers to their patients. Beside Credentialing and Medical Billing, PQRS, Meaningful Use, MIPS, Value Based Modifier, MACRA, Pay for Performance, HEDIS, PCMH, PCSP, Patient Centered Connected Care, GRIP are such advanced value based healthcare programs for providers to adopt advance technologies and quality care programs to improve patient health.
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