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Rule for Year 2 of Quality Payment Program
1.
2. The Performance Score is based on four performance categories:
How your Score is calculated?
3. What is MACRA?
MACRA stands for The Medicare Access and CHIP Re-
Authorization Act, and “CHIP” is the anagram for the Children’s
Health Insurance program.
MACRA combines - incentive program into one single program called the
Merit-based Incentive Payment System, or “MIPS”.
7. Individual Reporting:
QCDR
Qualified Registry
EHR
Administrative claims( No submission required)
Claims
Group Reporting:
QCDR
Qualified Registry
EHR
Administrative claims( No submission required)
CMS Web Interface (groups of 25 or more)
Report by Multiple Mechanisms
8. Solo practitioners or practices with less than ten physicians can
form a online virtual team and report MIPS measures together.
Changes For the 2018 MIPS
CMS will reward five bonus points to clinicians who treat patients
with complex mental and physical illnesses.
CMS is working to reduce the amount of reporting in MIPS to
encourage more participation.
9. (Beginning 2018)Providers who treat less than 200 patients or
fewer Part B Medicare beneficiaries or bill Medicare Part B for
$90,000 or less in allowed charges don’t have to report MIPS
Changes For the 2018 MIPS (Cont.)
CMS might assign 10% under cost category in 2018.
10. NEED HELP IMPLEMENTING QPP?
Closely follow CMS for any changes made to the Quality
Payment Program. All updates are published on
the CMS.gov website.
Do you have a successful MIPS Strategy in place?
11. TOLL FREE: 1-877-272-1572
Do you have a successful MIPS
Strategy in place?
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