Advantages of One Umbrella

Billing, MIPS, and Patient Satisfaction Surveys all under one umbrella

The Advantage of Having your Billing, MIPS, and Patient Satisfaction Surveys All Under One Umbrella

When you go to a restaurant, most patrons would agree that having to pay separately for an appetizer, entrée and dessert is just not quite as appealing as getting all three as part of your meal charge. The same can be said for anesthesia vendor services. Practices want simplicity and transparency in pricing, to include Billing, MIPS reporting, and Patient Satisfaction Surveys, all under one umbrella and for a single, low fee.

Advantages of a Holistic Approach

The advantages to such a holistic solution are as follows:

First, it simplifies the invoicing process. Instead of having to make multiple payments each month to different vendors, groups have a single rate, which is automatically deducted from their billing collections.

Second, it’s a more efficient process. MIPS and Patient Satisfaction Survey vendors rely on extract files from billing companies to perform their respective tasks. When these functions are handled by the same entity, both time and money are saved, which can be passed on to the client.

Third is data integrity. When a single firm is handing everything, information is linked by a unique case identifier, which makes the output cleaner. This is especially important for MIPS numerator and denominator calculations, as it pertains to a practice’s overall composite score (determines CMS’ annual incentive payments or penalties).

MSN Healthcare Solutions

MSN Healthcare Solutions is one of the only Revenue Cycle Management companies that has invested in the development of these value-adds for our clients.

Groups using our billing service have the peace of mind knowing that in addition to optimizing collections, MSN can seamlessly collect MIPS and survey data on their behalf. This allows practices to focus on clinical care and to leave the rest to their trusted billing partner.

Value of Reporting MIPS

The value proposition for reporting MIPS is an easy one. Like it or not, value-based insurance payments are here to stay. Unless you’re exempt from reporting (i.e., part of an Alternative Payment Model), you must participate to avoid a large Medicare penalty two years down the road.

The 2022 CMS Final Rule increased the composite score performance threshold from 60 to 75 points, which must be met to avoid a payment adjustment of up to -9%.

Conversely, the exceptional performance threshold increased from 85 to 89 points, making it more challenging to benefit financially from the program (+4% to +15%) without a carefully selected measure set.

Value of Reporting Patient Satisfaction Surveys

The value proposition for Patient Satisfaction Surveys includes retaining existing contracts through proof of exceptional customer service, having an advantage over competitors in the RFP process with prospective sites, using survey-related MIPS measures such as AQI 48 and ePreop 30, negotiating higher hospital stipends and managed care unit rates, and changing the narrative on less than ideal patient experiences through outreach programs, which can improve your practice’s social media reviews.

MSN's Anesthesia MIPS Measures

MSN’s licensed Anesthesia MIPS measures for CY 2022 are listed below and are available to all clients. We can also license and report on other measures, upon request.

  1. AQI48: Patient-Reported Experience with Anesthesia

  2. AQI56: Use of Neuraxial Techniques and/or Peripheral Nerve Blocks for Total Knee Arthroplasty (TKA)

  3. AQI62: Obstructive Sleep Apnea: Patient Education

  4. AQI65: Avoidance of Cerebral Hyperthermia for Procedures Involving Cardiopulmonary Bypass

  5. AQI68: Obstructive Sleep Apnea: Mitigation Strategies

  6. AQI69: Intraoperative Antibiotic Redosing

  7. AQI71: Ambulatory Glucose Management

  8. AQI72: Perioperative Anemia Management

  9. AQI73: Prevention of Arterial Line-Related Bloodstream Infections

  10. EPREOP30: Ultrasound Guidance for Peripheral Nerve Block with Patient Experience

  11. EPREOP31: Intraoperative Hypotension among Non-Emergent Noncardiac Surgical Cases

  12. QUANTUM31: Central Line Ultrasound Guidance

MSN Healthcare Solutions is approved by CMS as a QCDR (Qualified Clinical Data Registry)
for reporting of MIPS measures on behalf of our clients.

Our team of MIPS experts guide our anesthesia practices through the entire process, from measure selection to documentation and reporting. Priced significantly below commercial registries, reporting through MSN’s QCDR allows our clients to avoid penalties and earn bonuses, while lowing costs.


For more information on MSN Healthcare Solutions and our robust suite of service offerings with discounted package pricing, please contact Hal Nelson at

Hal Nelson, Vice President Anesthesiology Services


Hal Nelson, CANPC
has 30 years experience on both the payer and RCM side, with a focus in Anesthesia. He formerly worked as a senior claims approver at United Healthcare, as well as a compliance officer for multiple national billing companies. He has also taught the CPC coding curriculum collegiately in Atlanta. His broad based experience ensures that MSN clients will have a resource for documentation and billing issues. His past speaking engagements include ASA, MGMA, Dartmouth, and Johns Hopkins. 

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