The Medicare Access and CHIP Authorization Act, \n(MACRA),has been met with widespread relief and\na tad bit of suspicion. As always conspiracy theories\nand unanswered questions are in the air\n
(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…
The Medicare Access and CHIP Authorization Act, (MACRA),
will permanently replace the dreaded Sustainable Growth Rate
formula for determining payments.
MACRA seeks to:
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.
There are 2 paths for payment in the MACRA legislation.
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
You are eligible if you are a physician, registered nurse
practitioner, clinical nurse specialist, certified registered
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.
MACRA preserves the fee for service model. Physicians who
follow the fee for service model can participate in the
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.
However, all providers will report under MIPS in 2017. CMS will take a decision on the
clinicians who will qualify for APM status.
Providers will have to use certified EHR technology, base
payments on quality measures akin to MIPS and shoulder
monetary risk for financial losses incurred.
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