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MACRA, MIPS, and APMs — Are You Ready?

PearlJuly 06, 2016Healthcare ReformPayersPearlsPhysician CompensationPhysician Compensation Survey
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Originally published at: www.physicianspractice.com

With the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), CMS has proposed a Quality Measure Development Plan that will combine all of the existing quality reporting programs into one new system. To report quality measures, providers will participate in either the Merit-Based Incentive Payment System (MIPS) and/or Alternative Payment Models (APMs).

First, do you qualify?

If you have $10,000 or less in Medicare chargesand 100 or fewer Medicare patients annually, then you are exempt from MIPS participation. Otherwise, you need to participate in a MIPS or APM model.