Modern Healthcare December 14, 2017
Maria Castellucci

HHS’ Office of Inspector General said in a report Thursday that implementation of MACRA still faces challenges because of doctors’ confusion about the program, and it remains at-risk for fraud.

In a 30-page report, the OIG said that although clinicians are by-and-large aware of the Quality Payment Program, many are still uncertain about the technical details of the program, including how to report and submit data. The watchdog agency said without sufficient technical assistance from the CMS, clinicians “may struggle to succeed under the Quality Payment Program or choose not to participate.”

The agency also said the CMS has yet to develop and implement a “comprehensive” integrity plan for the Quality Payment Program that would protect it from fraud or...

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Topics: CMS, MACRA, Medicare, Physician, Primary care, RCM (Revenue Cycle Mgmt), Regulations
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