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MACRA Quality Payment Program: Preparing for MIPS

The Centers for Medicare and Medicaid Services (CMS) recently released the final rule outlining the Quality Payment Program (QPP) for 2018. While nearly identical to 2017, there are some new changes that could have a large impact on participating practices and clinicians. How will these new changes affect you? Check here!

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MACRA Quality Payment Program: Preparing for MIPS

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  1. How your Score is calculated? The Performance Score is based on four performance categories:

  2. What is MACRA? MACRA stands for The Medicare Access and CHIP Re-Authorization Act, and “CHIP” is the anagram for the Children’s Health Insurance program. MACRA combines - incentive program into one single program called the Merit-based Incentive Payment System, or “MIPS”.

  3. You are eligible, If...

  4. Multidisciplinary team Team Members: Administration Physicians Finance Operations Working effectively as a team will result in good decision making. The ultimate goal of implementing MIPS is to get good incentives for your practice forever.

  5. Report by Multiple Mechanisms Individual Reporting: QCDR Qualified Registry EHR Administrative claims( No submission required) Claims Group Reporting: QCDR Qualified Registry EHR Administrative claims( No submission required) CMS Web Interface (groups of 25 or more)

  6. Changes For the 2018 MIPS • Solo practitioners or practices with less than ten physicians can form a online virtual team and report MIPS measures together. • CMS will reward five bonus points to clinicians who treat patients with complex mental and physical illnesses. • CMS is working to reduce the amount of reporting in MIPS to encourage more participation.

  7. Changes For the 2018 MIPS (Cont.) • (Beginning 2018)Providers who treat less than 200 patients or fewer Part B Medicare beneficiaries or bill Medicare Part B for $90,000 or less in allowed charges don’t have to report MIPS • CMS might assign 10% under cost category in 2018.

  8. NEED HELP IMPLEMENTING QPP? Closely follow CMS for any changes made to the Quality Payment Program. All updates are published on the CMS.gov website. Do you have a successful MIPS Strategy in place?

  9. TOLL FREE: 1-877-272-1572 Do you have a successful MIPS Strategy in place? 11517, Belvedere Ct Cerritos CA, US – 90703

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