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Randy Marsden

Randy Marsden is the founder of the MIPS consulting firm MarsdenAdvisors.

Recent Posts

Updating your Direct Addresses in NPPES

By Randy Marsden on May 5, 2020 11:27:18 AM

Have you had difficulties finding a referring provider's direct address? You are not alone! The NPPES system now supports updating your providers' NPI registration with their direct address. This will contribute to a national directory that should improve the use of direct messaging. While there is no requirement in MIPS to update your registration at the time of publication, CMS will post a list of providers without direct messaging capabilities in the second half of this year. 

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Continue your medical practice operations with telehealth

By Randy Marsden on Mar 19, 2020 5:06:50 PM

Telehealth (or telemedicine) is highly regulated, and as a result, has been difficult to fully adopt. Over the past week, CMS has made changes to broaden access to telehealth services. 

Implementing Medicare Telehealth visits allows providers to get reimbursed at the same rate as an E/M visit.

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2020 Top Measure Changes for Ophthalmology

By Randy Marsden on Jan 3, 2020 5:00:00 PM

Using a combination of the 2020 Final Rule and the 2020 Measure Benchmarks released on 12/31, we have compiled a list of the most important measure changes for this year. This doesn't cover all possible measures for an Ophthalmologist to report on, but these are the ones that are most specific that a majority of our clients will use.

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What to expect in your cost category for 2019

By Randy Marsden on Nov 29, 2019 4:23:54 PM

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Our first review of the 2018 Cost Measure Field Testing

By Randy Marsden on Oct 12, 2018 10:13:59 AM

While there are many measures under review, the one that effects a majority of our clients is the Total Cost per Capita measure (TPCC). Our thoughts after reviewing these reports is that if these changes are implemented, specialists will continue to get attributed in the TPCC measure. Here are some notes on what we have found so far:

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Create an EIDM account to view your MIPS Feedback Reports

By Randy Marsden on Jul 10, 2018 11:28:49 AM

Follow these steps to create an EIDM account. This will give you access to for feedback for 2016 and prior, and for feedback for 2017 and beyond.

Topics: Insider
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HIPAA and MIPS: Explained as easily as humanly possible.

By Randy Marsden on Dec 14, 2017 12:00:00 AM

NOTICE: This was developed based on documentation from the AMA, and HHS websites. This is not legal advice.


The purpose of this guide is to provide you a high-level overview of the HIPAA requirements of MIPS, and an attempt to simplify a very complex concept. MIPS

Topics: Insider Events
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Approving us to access your CMS reports

By Randy Marsden on Sep 29, 2017 12:00:00 AM

MarsdenAdvisors can assist with the suprisingly complex process of accessing your Value-Based Care Feedback Reports provided by CMS. This includes:

-QRUR Reports

-PQRS Feedback Reports


To approve us as a user:

Topics: Insider
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Creating an EIDM Account to access the QPP Program Website

By Randy Marsden on Sep 19, 2017 12:00:00 AM

The CMS Portal (EIDM) is where you can access all reports on how you performed on your 2016 PQRS and VM programs, and the QPP site, which shares a login with the EIDM is where you view everything related to the MIPS and APM tracks.

While these programs will be replaced with MIPS going forward, get use to this portal as it is where all feedback reports will be accessed. In order to access the CMS portal, you must have an Enterprise Identity Management (EIDM) Account.


Topics: Insider
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Download Medicare Fee Schedules for your Practice

By Randy Marsden on Aug 4, 2017 8:25:00 AM

  1. Go to
  2. Click on the latest year, All States
  3. Extract the files, then open the PDF
  4. Starting on page 6, look for your locality
  5. In the Carrier field, note down the last 2 digits of the Carrier number
  6. Go back to the folder, and look for your State File (It will be PF + State Abbreviation + Year + Revision), so for Louisiana it would be PFLA17A.
  7. Look at the 2 digit value in the 3rd set of the file, this will match the number in Step 5
  8. Delete all other rows that have different locality IDs
  9. Save this file
Topics: Insider
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