Healthcare IT Services

ITMedRx is a specialized Healthcare IT company that offers fully customizable solutions to healthcare practices. We can install and maintain everything you need to be in compliance with federal mandates and avoid penalties.

We have experienced consultants that will work with your office staff to review your current systems, determine the solutions needed to improve workflow, meet requirements, and provide all the training you need to be successful.

Our services include:

  •   EHR Implementation, Customization, and Training
  •   Medical Coding and Billing – Revenue Cycle Managment
  •   Meaningful Use registration, compliance, and Filing
  •   Quality Care Programs (MIPS, APM, MU, PQRS, VBM, CCM)
  •   Staff training to improve Office Efficiency & Workflow
  •   Lab and Imaging Integration
  •   Device Application and Mobile Technology Solutions (Wireless BP Cuffs, Pulse Oximeters, EKG, and iPads)

We know that switching your practice to an Electronic Health Record (EHR/EMR) is one of the biggest changes and challenges you’ll face today as a healthcare provider. Implementing all-new technology, training your staff, trying to meet government requirements, and understanding all the rules and regulations that go along with it can be overwhelming!

That’s why we’re here: we can help guide you every step of the way. Contact us today and we can help you get started!


What is the MACRA Quality Payment Program?

MACRA is designed to move toward the goal of paying for value and better care. The program has two paths:

  1. Merit-based Incentive Payment System (MIPS)
  2. Alternative Payment Models (APMs)

What is MIPS?

MIPS consolidates Medicare Meaningful Use, PQRS, and VBM incentives and penalties while continuing to measure provider performance as specified by those three component programs.

MIPS sunsets separate MU payment adjustments starting with the 2019 payment year (the 2017 MU performance year), but continues MU for purposes of MIPS.

MIPS will annually measure Medicare Part B providers in four performance categories to derive a “MIPS score” (0 to 100), which can significantly change a provider’s Medicare reimbursement in each payment year.  The performance categories are: Promoting Interoperability (25 points), Quality (45 points), Cost (15 points), and improvement activities (15 points).

The financial impacts of the MIPS scoring system can be very significant. With training from our staff, we can help you receive payments instead of penalties.

Top-performing physicians have the potential to receive up to a 3x bonus payment adjustment. By 2022, there is the potential to receive up to +27% in bonus payment adjustment! In 2022, MIPS scores can impact your Medicare reimbursement from -9% to +27%.

Who is eligible for MIPS?

  • Physicians and physician assistants
  • Nurse practitioners
  • Clinical nurse specialists
  • Nurse anesthetists

In 2019, the definition of MIPS-eligible professionals expanded to include the following additional types:

  • Physical therapists
  • Occupational therapists
  • Qualified speech/language pathologists
  • Qualified audiologists
  • Clinical psychologists
  • Registered dietitians or nutrition professionals

Consumers will be able to see their provider’s rating on a scale of 0 to 100, and how their providers compare to peers nationally.

Each MIPS-eligible professional’s score will be available on the Medicare Physician Compare website, including the ranges of all scores for eligible professionals across the country.

Program timeline


What is APM?

The Advanced Alternative Payment Model is for providers who go the furthest in delivering high-quality and efficient care.

The Centers for Medicare & Medicaid Services (CMS) will provide a list of care models each year that qualify for APM incentive payments. Clinicians who meet the criteria for APM incentive payments do not receive a payment adjustment under the Merit-based Incentive Payment System (MIPS), and instead receive a 5% Medicare Part B incentive payment.

Almost all Medicare Part B clinicians should expect to report through MIPS in the first year.

MIPSAPMS
PurposeMIPS streamlines current Medicare value and quality program measures into one program. Clinicians will receive a MIPS score to assess payment adjustment.Qualifying APMs go further than MIPS to deliver high-quality, efficient care, requiring clinicians to take on more risk. Only a subset of alternative payment models qualify for APM bonus payments.
ParticipationAll providers should plan on receiving a payment adjustment through MIPS for the first performance year. Clinicians who do not meet APM criteria will be given a MIPS score instead.All providers should plan on receiving a payment adjustment through MIPS for the first performance year. CMS will inform clinicians at end of first performance year if they qualified for an APM bonus payment.
Payment-4% to 12% payment adjustment depending on MIPS score for 1st performance year. Increases every year until hitting a -9% to 27% payment adjustment in 4th performance year.5% Medicare Part B incentive bonus payment. Will receive MIPS adjustment if clinicians don’t meet APM requirements.

What is Meaningful Use?

Meaningful Use is a set of specific objectives that eligible professionals (EPs) and hospitals must achieve to avoid the penalties set by the Centers for Medicare & Medicaid (CMS). These objectives require the use of certified electronic health record (EHR) technology, and are designed to:

  • Improve quality, safety, and efficiency
  • Engage patients and their families
  • Improve care coordination and public health
  • Maintain the privacy and security of patient health information

What is PQRS?

The Physician Quality Reporting System (PQRS) is a quality reporting program that requires eligible professionals (EPs) to report on the quality of care to Medicare by choosing and reporting on at least 9 quality measures.

This program will apply a negative payment adjustment to individual EPs and PQRS group practices who did not satisfactorily report data on their quality measures.


We know that switching your practice to an Electronic Health Record (EHR/EMR) is one of the biggest changes and challenges you’ll face today as a healthcare provider. Implementing all-new technology, training your staff, trying to meet government requirements, and understanding all the rules and regulations that go along with it can be overwhelming!

That’s why we’re here: we can help guide you every step of the way. Contact us today and we can help you get started!

Contact Us

Give us a call or fill in the form below and we will contact you. We endeavor to answer all inquiries within 24 hours on business days.

    The contact form currently does not work properly; this is a known issue and we’re working on resolving it. In the meantime, please direct any inquiries to the address at the top of the page.