Updates to the Quality Payment Program Year 2

MIPS or Merit-based incentive payment system is one of the two Quality Payment Programs launched by MACRA, the other one being APMs or Alternative Payment models to reward clinicians. MIPS has four connected performance categories that will affect your Medicare payments: Quality, Improvement Activities, Advancing Care Information and Cost. 

Let me begin by looking at CMS’s current status:

1. What CMS has been doing to encourage clinicians to participate in these programs?
2. How to become eligible to participate in MIPS?
3. Form a multi-disciplinary team
4. Decision Making & Reporting
5. Changes in 2018
6. Closely follow CMS for changes and /or updates

Click here to view - Prepare for MIPS 2018

Source On:- Medical Billing Star

Facts of MACRA & RCM Challenges

MACRA is round the corner. But there’s no need to panic. Armed with the right information healthcare organizations can, not just tackle but capitalize on MACRA. This infographic details the difference between MIPS and APMs. And expert advice on following best practices to achieve optimal results.

Click here to view more:- Facts of MACRA

MACRA facts that every clinician should know

MACRA is here and the new program is going to sunset several (un) popular programs such as Meaningful Use and the Value Based Payment Modifier model. Everybody who is anybody is busy discussing about MACRA and its ramifications. But as with any big updates the myths are jostling for space with the facts. We’ve sifted the facts from the myths for you.

Myth #1: MACRA will make maintenance of certification mandatory

Fact #1: MACRA doesn’t make it mandatory for physicians to participate in maintenance of certification. It is certainly not compulsory.

Myth #2: MACRA will affect only physician reimbursement.

Fact #2: There is a common myth that MACRA will only affect physician reimbursements. It will affect the reimbursement of all eligible clinicians. The eligible clinicians who will have to report under MIPS are physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurses and anesthetists.

Myth #3: Clinicians can choose between MIPS and  participating in AAPMs right at the outset.

Fact #3: All eligible clinicians will report under MIPS during the first year. CMS will select qualifying physicians to participate in AAPMs after evaluating their quality scores.

Myth #4: MIPS penalties are higher than the current quality measure programs

Fact #4: MIPS stream lines and consolidates 4 different programs under one umbrella. Instead of paying separate and sometimes expensive penalties for failing to meet different pay for performance programs, clinicians who report under MIPS will only have to pay a 4% penalty during the first year.

Myth #5: MACRA will penalize physicians who follow the fee for service model

Fact #5: It does not. Physicians can still choose to continue working with the FFS model can still participate in the MIPS program.

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