Category Archives: MACRA/MIPS

Advocacy efforts improve reporting under the Merit-Based Incentive Payment System

Comments from physicians across the country prompted a number of positive changes to final regulations for the Medicare Accountability and CHIP Reauthorization Act (MACRA). The Centers for Medicare and Medicaid Services (CMS) on Oct. 14, 2016, released final regulations for MACRA, which implements the Quality Payment Program that will transition Medicare away from fee-for-service and into pay for performance. The program includes two options for physicians’ participation–Merit-based Incentive Payment System (MIPS) or the Alternative Payment Models (APMs). KMA and other

Get to Know MACRA, MIPS and APM

Nancy Swikert, MD President, KMA Do you know what MACRA, MIPS and APM mean? If you don’t, you may be in serious trouble with the financial aspect of your medical practice. The AMA website has lots of information for those of you who are AMA members. The Specialty Societies also have lots of information on their websites. Most of you know that after 17 years lobbying Congress, the SGR was repealed. Whereas SGR dealt with yearly practice cuts, MACRA (Medicare

Latest Update – MACRA/MIPS – Pick Your Pace

The Centers for Medicare and Medicaid Services (CMS) received nearly 4,000 comment letters after issuing the draft rule in April on implementing the Medicare Quality Program, which includes both Merit Based Incentive Payment System (MIPS) and Alert native Payment Methods (APMS).  Many comments urged a delay in MIPS implementation and more flexibility. After talking to thousands of physicians and other clinicians across the country, Andy Slavitt, acting administrator of CMS, responded in a CMS blog, with several options for physicians.

Physician Compare – How will you “rank”?

Results of patient surveys that reflect patient experiences with such things timely care and medication instructions will soon be added to the Physician Compare website, which has been around since 2010. The website currently allows users to view information about Medicare physicians, such as name, primary and secondary specialties, practice locations, group affiliations, assignment status, education, residency and board certification information. Medicare consumers also can learn which hospital(s) the physician is affiliated with and view the hospital’s profile via Hospital

Important Changes – Physician Reimbursement

Merit Based Incentive Payment System (MIPS) Phase One – Proposed Rule Physicians will have until 5 p.m. June 27 to comment on a proposed rule regarding the new Merit-Based Incentive Payment System, known as MIPS. The Centers for Medicare & Medicaid Services released the Rule on April 27. Congress eliminated the Sustainable Growth Rate (SGR) last year; that change started the transition to the new Merit-Based Incentive Payment System. When this system takes effect, physicians may receive payment adjustments to

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