Helping your practice avoid MACRA, MIPS and APM

penalties every step of the way!

MACRA - the Medicare Access & CHIP Reauthorization Act of 2015.  The MACRA act contains, among other things, the Quality Payment Program (QPP) that:

  • Changes the way that Medicare rewards clinicians for value over volume

  • Streamlines multiple quality programs under the new Merit Based Incentive Payments System (MIPS)

  • Gives bonus payments for participation in eligible alternative payment models (APMs)

MIPS - Merit-Based Incentive Payment System is for providers (“eligible clinicians”) who are not part of an Accountable Care Organization (ACO).  Meaning, if you’re not exempt, and if you’re not part of an ACO, you’ll use the MIPS reporting method.

APMs - Alternative Payment Models is the reporting format to be used by non-exempt providers (“eligible clinicians” who are part of an Accountable Care Organization (ACO).  

2018 Reporting:

  • For providers under the APM model, only 90 days’ reporting is needed.  The further into calendar year 2018 we get, the shorter that 90 day window becomes with 10/1 being roughly the last date to start for 90 days’ reporting in 2018.

  • It’s more involved for MIPS since 2018 is a full reporting year for those providers.

  • Providers under MIPS should compile their data as soon as possible for the full 2018 calendar year’s reporting. Submitting that data will be required after 12/31/18.

  • Incentives are great if you can get them, but you’ll at least want to avoid the penalty.

Reporting may be accomplished with a certified EHR that has MACRA reporting capability or a MIPS reporting registry.  If you need assistance with MACRA reporting, we can evaluate your practice’s current capabilities and help coordinate the most efficient, cost-effective, reporting methods available to you.