JustCoding July 5, 2017

The release of the Quality Payment Program (QPP) proposed rule June 20 seemed to bring relief to providers anticipating escalation of Medicare Access and CHIP Reauthorization Act (MACRA) requirements.

MACRA, a piece of legislation aimed at revising the Medicare physician payment system previously updated through the Sustainable Growth Rate (SGR), institutes two pathways of participation for providers under the QPP intended to improve the quality of healthcare while cutting costs. These pathways include the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APM).

CMS anticipates most eligible providers will participate through MIPS in the first few years. This pathway has clinicians report data for four performance categories: quality, cost, improvement activities, and advancing care information. Eligible clinicians receive...

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Topics: MACRA, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt)
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