BE LIKE A LOTUS

Quality Payment Program - MACRA

2017-11-14T13:48:00.001+05:30

The Quality Payment Program that is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) improves Medicare by helping Providers focus on care quality and the one thing that matters most — making patients healthier. The Quality Payment Program is focused on moving the payment system to reward high-value, patient-centered care.

The Quality Payment Program has two tracks you can choose from:

1). Advanced Alternative Payment Models (APMs)

2). The Merit-based Incentive Payment System (MIPS).

Participate in the Advanced APM track:

If you receive 25% of Medicare covered professional services or see 20% of your Medicare patients through an Advanced APM in 2017, then you earn a 5% Medicare incentive payment in 2019.

You are eligible to participate in the MIPS track of the Quality Payment Program if you bill more than $30,000 to Medicare, and provide care to more than 100 Medicare patients per year, and you are a : Physician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist. If 2017 is your first year participating in Medicare, then you are not required to participate in the Quality Payment Program in 2017.

Participate in the MIPS track:

If you choose the MIPS track of the Quality Payment Program, you have four options.

Don't Participate

Not participating in the Quality Payment Program: If you don't send in any 2017 data, then you receive a negative 4% payment adjustment.

Submit Something

Test: If you submit a minimum amount of 2017 data to Medicare (for example, one quality measure or one improvement activity), you can avoid a downward payment adjustment.

Submit a Partial Year

Partial: If you submit 90 days of 2017 data to Medicare, you may earn a neutral or small positive payment adjustment.

Submit a Full Year

Full: If you submit a full year of 2017 data to Medicare, you may earn a moderate positive payment adjustment.

The size of your payment adjustment will depend both on how much data you submit and your quality results.

Retrieved from https://qpp.cms.gov/

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2011-04-01T15:18:00.001+05:30

All that we are is the result of what we have thought. The mind is everything. What we think we become.

Buddha

2011-04-01T15:16:00.001+05:30

Peace comes from within. Do not seek it without.

Buddha

2011-04-01T15:08:00.001+05:30

I am a part of all that I have met.

Famous Saying by Alfred Lord Tennyson

Faith

2010-06-07T12:27:00.000+05:30

Happiness keeps you Sweet,
Trials keep you Strong,
Sorrow keeps you Human,
Failure keeps you humble and
Success keeps you glowing,
but only Faith and Attitude keeps you going...

Nothing Exists

2009-11-06T22:25:00.000+05:30

Yamaoka Tesshu, as a young student of Zen, visited one master
after another. He called upon Dokuon of Shokoku. Desiring to
show his attainment, he said: "The mind, Buddha, and sentient
beings, after all, do not exist. The true nature of phenomena is
emptiness. There is no realization, no delusion, no sage, no mediocrity.
There is no giving and nothing to be received."

Dokuon, who was smoking quietly, said nothing. Suddenly he
whacked Yamaoka with his bamboo pipe. This made the youth
quite angry.

"If nothing exists," inquired Dokuon, "where did this anger come from?"

Die without blinking an Eye

2009-10-23T17:51:00.001+05:30

During the civil wars in feudal Japan, an invading army would
quickly sweep into a town and take control. In one particular
village, everyone fled just before the army arrived - everyone
except the Zen master. Curious about this old fellow, the
general went to the temple to see for himself what kind of man
this master was. When he wasn't treated with the deference
and submissiveness to which he was accustomed, the general
burst into anger. "You fool," he shouted as he reached for his
sword, "don't you realize you are standing before a man who
could run you through without blinking an eye!" But despite the
threat, the master seemed unmoved. "And do you realize," the
master replied calmly, "that you are standing before a man
who can be run through without blinking an eye?"

Tea or Iron

2009-10-23T17:47:00.001+05:30

The Zen master Hakuin used to tell his students about an old
woman who owned a tea shop in the village. She was skilled
in the tea ceremony, Hakuin said, and her understanding of Zen
was superb. Many students wondered about this and went to
the village themselves to check her out. Whenever the old
woman saw them coming, she could tell immediately whether
they had come to experience the tea, or to probe her grasp
of Zen. Those wanting tea she served graciously. For the others
wanting to learn about her Zen knowledge, she hid until they
approached her door and then attacked them with a fire poker.
Only one out of ten managed to escape her beating.

The Present Moment

2009-10-23T17:32:00.001+05:30

A Japanese warrior was captured by his enemies and thrown
into prison. That night he was unable to sleep because he feared
that the next day he would be interrogated, tortured, and
executed. Then the words of his Zen master came to him,
"Tomorrow is not real. It is an illusion. The only reality is now."
Heeding these words, the warrior became peaceful and fell asleep.

The Moon and the Thief

2009-10-23T17:28:00.001+05:30

A Zen Master lived the simplest kind of life in a little hut at
the foot of a mountain. One evening, while he was away,
a thief sneaked into the hut only to find there was nothing
in it to steal. The Zen Master returned and found him.
"You have come a long way to visit me," he told the
prowler, "and you should not return empty handed.
Please take my clothes as a gift." The thief was
bewildered, but he took the clothes and ran away.
The Master sat naked, watching the moon.
"Poor fellow," he mused,
" I wish I could give him this beautiful moon."

May be

2009-10-23T17:22:00.000+05:30

There is a Taoist story of an old farmer who had worked his crops for
many years. One day his horse ran away. Upon hearing the news, his
neighbors came to visit. "Such bad luck," they said sympathetically.
"May be," the farmer replied. The next morning the horse returned,
bringing with it three other wild horses. "How wonderful," the neighbors
exclaimed. "May be," replied the old man. The following day, his son
tried to ride one of the untamed horses, was thrown, and broke his leg.
The neighbors again came to offer their sympathy on his misfortune. "May
be," answered the farmer. The day after, military officials came to the
village to draft young men into the army. Seeing that the son's leg was
broken, they passed him by. The neighbors congratulated the farmer on
how well things had turned out. "May be," said the farmer.

Knowing Fish

2009-10-23T17:17:00.000+05:30

One day Chuang Tzu and a friend were walking by a river.
"Look at the fish swimming about," said Chuang Tzu, "They are really
enjoying themselves."
"You are not a fish," replied the friend, "So you can't truly know that
they are enjoying themselves."
"You are not me," said Chuang Tzu. "So how do you know that I do not
know that the fish are enjoying themselves?"

Everyone you meet

2008-10-02T17:39:00.000+05:30

Word spread across the countryside about the wise Holy Man who lived in a small house atop the mountain. A man from the village decided to make the long and difficult journey to visit him. When he arrived at the house, he saw an old servant inside who greeted him at the door. "I would like to see the wise Holy Man," he said to the servant. The servant smiled and led him inside. As they walked through the house, the man from the village looked eagerly around the house, anticipating his encounter with the Holy Man. Before he knew it, he had been led to the back door and escorted outside. He stopped and turned to the servant, "But I want to see the Holy Man!"

"You already have," said the old man. "Everyone you may meet in life, even if they appear plain and insignificant... see each of them as a wise Holy Man. If you do this, then whatever problem you brought here today will be solved."

Not Dead Yet

2008-10-02T17:34:00.000+05:30

The Emperor asked Master Gudo, "What happens to a man of enlightenment after death?"
"How should I know?" replied Gudo.
"Because you are a master," answered the Emperor.
"Yes sir," said Gudo, "but not a dead one."

One

2008-05-14T13:54:00.001+05:30

Where one sees nothing but the One,

hears nothing but the One,

knows nothing but the One--there is the Infinite.

Where one sees another, hears another,

knows another--there is the finite.

The Infinite is immortal, the finite is mortal.

It is written, He who has realized eternal Truth

does not see death, nor illness, nor pain;

he sees everything as the Self, and obtains all.

Chandogya Upanishad 7.23, 27

Let it be

2008-05-14T13:24:00.001+05:30

Do not try to become anything. Do not make yourself into anything.

Do not be a meditator. Do not become enlightened.   When you sit, let it be. When you walk, let it be.

Grasp at nothing. Resist nothing.   from  'A Still Forest Pool'  by Ajhan Chah

Life

2008-02-21T11:45:00.001+05:30

You must understand the whole of life, not just one little part of it. That is why you must read, that is why you must look at the skies, that is why you must sing and dance, and write poems, and suffer, and understand, for all that is life.

J.Krishnamurti

Conditioning

2008-02-21T11:42:00.001+05:30

When you look into a mirror you see your face as it is; you may wish that some parts of it were different, but the actual fact is shown in the mirror. Now, can you look at your conditioning in a similar way?

J. Krishnamurti

Abandon Every Idea About Enlightenment

2008-01-31T12:52:00.001+05:30

In order to be successful in your quest for Freedom, it is imperative that you unconditionally abandon every idea that you have about Enlightenment. As long as you think that Enlightenment is something that can be understood by the mind, the cycle of blindly perpetuating your own ignorance will never cease.

from "Enlightenment is a Secret" By Andrew Cohen

Q & A

2008-01-31T12:34:00.000+05:30

     Emperor Wu of Liang asked the great teacher Bodhidharma, "What is the ultimate meaning of the holy truths?" Bodhidharma replied, "Empty, without holiness."

'The emperor said, "Who is in my presence? Bodhidharma answered, "Don't know."

From: Kensho - The Heart of Zen,  Ed. Thomas Cleary

Discrimination

2008-01-25T13:27:00.000+05:30

All that you are attached to, all that you Love, all that you know, someday will be gone.

Knowing this, and that the world is your mind which you create, play in, and suffer from, is known as discrimination.

Discriminate between the real and the unreal. The known is unreal and will come and go so stay with the Unknown, the Unchanging Truth.

All which appears and disappears is not real, and no nectar will come from it so don't cling to it, and once you let go do not turn back to it. Stay as Eternity in your own Being.

Papaji 'The Truth Is'

SO WHAT IS THERE TO REALIZE?

2008-01-25T13:14:00.001+05:30

Peonies bloom on peony trees. A cat doesn't become a chicken. Tulips are tulips, not roses. Why can't we realize this true fact? That to be me is great. I don't have to be anyone but me. I am blooming as I am in my life, just as a peony blooms on a peony tree. Further, a beautiful peony flower does not worry about when it will wilt and fall to the ground. It does not compete with the flower next to it; rather it blooms with its whole self.

Sensie Ogui from "Zen Shin Talks"

Believe

2008-01-05T12:32:00.000+05:30

Acquire the courage to believe in yourself. Many of the things that you have been taught were at one time the radical ideas of individuals who had the courage to believe what their own hearts and minds told them was true, rather than accept the common beliefs of their day.

Ching Ning Chu

Through Love

2008-01-05T12:29:00.001+05:30

Through Love all that is bitter will sweet
Through Love all that is copper will be gold.
Through Love all dregs will turn to purest wine
Through Love all pain will turn to medicine.
Through Love the dead will all become alive.
Through Love the king will turn into a slave!

Translated by Annemarie Schimmel, 'Look! This is Love'

You

2008-01-05T12:14:00.001+05:30

The whole world is you yet you keep thinking there is something else.

Hsueh-Feng