Health Language Blog

The Strategic Role of Health Plans and Providers in the Opioid Battle

Posted on 01/29/20 | Comments

Is your organization equipped with the right code sets?

The opioid crisis remains a critical public health issue. Every day more than 130 die from overdosing on opioids, and current industry estimates suggest that the total economic burden related to misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement.


Topics: value sets, MIPS, CMS, quality measure reporting, HEDIS, opioid epidemic, opioid crisis, PQA Quality Measures

Maximizing MIPS Reimbursement

Posted on 06/08/16 | Comments

MACRA Part 2

Maximizing MIPS Reimbursement

Laying the Right Foundation for Data Management

In the first edition of this two-part series covering MACRA and MIPS, we provided an overview of MIPS and its impact on terminology management and quality reporting. Part 2 will discuss why terminology management is critical to maximizing reimbursement under the new rule.

The stakes for quality and cost performance continue to rise. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 is a prime example of why providers need to prioritize data access and management on a higher level than ever before.

Semantic interoperability—or the ability of two systems to exchange data in a meaningful way—remains a barrier to accurate data analytics and reporting. As pointed out in the first installment of this series, effective data normalization and terminology management is critical to accurately capturing data. Below I outline why terminology management must become a priority to maximize reimbursement within MACRA’s Merit-Based Incentive Payment System (MIPS).


Topics: MIPS, MACRA, Reimbursement

MIPS Raises the Stakes on Clinical Documentation and Quality Reporting

Posted on 06/01/16 | Comments


MIPS Raises the Stakes on Clinical Documentation and Quality Reporting

Is your data ready?

In this two-part series, we will explore the basics of MIPS and its impact on terminology management and quality reporting.

It’s no secret that quality reporting has presented notable challenges to hospitals and physicians. Access to clean, accurate data is necessary for reporting, yet providers continue to struggle with full and consistent capture of data and strategic management of patient information for forward-looking initiatives.