The Medicare Access and CHIP Authorization Act,
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The Medicare Access and CHIP Authorization Act, (MACRA),has been met with widespread relief anda tad bit of suspicion. As always conspiracy theoriesand unanswered questions are in the air

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Are you read 10 macra question

The Medicare Access and CHIP Authorization Act,

(MACRA),has been met with widespread relief and

a tad bit of suspicion. As always conspiracy theories

and unanswered questions are in the air

Here are 10 major questions that everybody wants an answer for…


Are you read 10 macra question

Here are 10 major questions that everybody wants an answer for.

1

  • What exactly is MACRA?

2

  • How will MACRA impact payments?

3

  • Tell me more about MIPS

  • Taking Action


Are you read 10 macra question

4

  • Am I eligible to participate in MIPS?

5

  • Will MACRA eliminate fee for service?

6

  • What should I do prepare myself for MIPS?

7

  • What are the data submission requirements

  • of MIPS?

  • Taking Action


Are you read 10 macra question

8

  • What should I do prepare myself for MIPS?

9

  • Will MACRA eliminate fee for service?

10

  • What should I do prepare myself for MIPS?

  • Taking Action


Are you read 10 macra question

#1

  • What exactly is MACRA?

The Medicare Access and CHIP Authorization Act, (MACRA),

will permanently replace the dreaded Sustainable Growth Rate

formula for determining payments.

MACRA seeks to:

  • Provide payments based on quality and outcomes rather than volume.

  • Health information technology will play a major role .

To consolidate major incentive programs like PQRS, value based payment

modifier, Meaningful Use and the Medicare Electronic Health Record incentive

program into one single, comprehensive framework.


Are you read 10 macra question

#2

  • How will MACRA impact payments?

There are 2 paths for payment in the MACRA legislation.

  • The Merit Based Payment System (MIPS)

  • Alternative Payment Models (APMS)


Are you read 10 macra question

#3

  • Tell me more about MIPS

Eligible clinicians will be evaluated based on 4 categories:

Quality- based on the existing PQRS system

Resource use: based on the Value based payment modifier model

Advancing Care Information: which is similar to MU mandates

Clinical practice improvement categories


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#4

  • Am I eligible to participate in MIPS?

You are eligible if you are a physician, registered nurse

practitioner, clinical nurse specialist, certified registered

nurse anaesthetist.

Going forward, the secretary may broaden the eligible clinician group

to make occupational therapists, speech language pathologists and

nutritional professionals to become eligible to participate in MIPS as well.


Are you read 10 macra question

#5

  • Will MACRA eliminate fee for service?

MACRA preserves the fee for service model. Physicians who

follow the fee for service model can participate in the

MIPS program.


Are you read 10 macra question

  • What are the data submission

  • requirements of MIPS?

#6

MACRA intends to follow a single, unified data submission

method for all the performance categories.

To achieve this goal MIPS expands on the existing quality measures and

simplifies the data submission process.


Are you read 10 macra question

  • What should I do to prepare myself

  • for MIPS?

#7

  • If you are already reporting quality measures under the

  • existing incentive programs identify and focus on your high

  • performing quality measures.

  • Evaluate and educate your staff on QRUR (quality resource and use report) by

  • CMS and see how improvements can be made .

  • Analyse your PQRS feedback reports and monitor your current quality metrics

  • across Medicare and private payers.


Are you read 10 macra question

  • What is the Advanced Alternative

  • Payment Model?

#8

  • AAPMs are performance based payment methods that CMS

  • will follow to reimburse physicians who care for Medicare

  • beneficiary. CMS will release a list annually on the care models

  • that qualify for AAPM incentives.

  • Providers who participate in qualifying AAPMs will be eligible for APM payments

  • and bonuses and are exempt from participating in MIPS.

However, all providers will report under MIPS in 2017. CMS will take a decision on the

clinicians who will qualify for APM status.


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  • What are the eligibility criteria

  • for participating in AAPMs?

#9

Providers will have to use certified EHR technology, base

payments on quality measures akin to MIPS and shoulder

monetary risk for financial losses incurred.

#10

  • How do I prepare myself to participate in AAPMs?

  • Choose quality measures that have a higher chance of success

  • Identify opportunities to improve patient care and achieve savings for payers

  • Implement clinical and financial strategies to help meet your chosen quality measures


Are you read 10 macra question

Call toll free no 1-888-571-9069

Read More

https://www.billingparadise.com/blog/2016/11/16/macra-faqs/


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