The MACRA Timeline
Congress passed the Medicare Access and CHIP Reauthorization Act of 2015.
Department of Health and Human Services issued a Notice of Proposed Rulemaking for MACRA.
CMS released the Final Rule which was published in the Federal Register on November 4, 2016.
First Quality Payment Program Performance year begins.
Two Quality Payment Program (QPP) Pathways
The stated purpose of MACRA’s Quality Payment Program (QPP) is
to provide new tools and resources to help give patients the best possible, highest-value care. It is intended to initially transform the Medicare payment structure,
while moving towards a larger scope to eventually include the entire healthcare continuum and broader payer system.
The QPP offers two tracks from which medical professionals can choose to participate:
What should I be doing to get ready?
There is a lot to consider when determining the best strategy for participating in the QPP program. CMS has allocated 2017 as a
transition year, giving providers the opportunity to pick their pace, simplifying reporting requirements and minimizing the risk of receiving payment penalties beginning in payment year 2019.
If you are currently using certified EHR technology or submit quality data to Medicare, you are already on the right path to successful QPP participation. Using DocsInk, you can successfully meet many of the threshold requirements for MIPS reporting with minimum costs to your group, and be well on your way to potentially earning a positive payment adjustment for the first performance year in 2017.
Understanding the basic guidelines to QPP reporting is critical. CMS’ pick- your-pace participation options is key to analyzing what level of reporting is best for your group during the first performance year.
Chronic Care Management (CCM)
Medical providers charged with caring for those suffering from multiple chronic illnesses, have the opportunity to increase their revenue substantially based on the size and demographics of their practice.
The Centers for Medicare and Medicaid Services (CMS) developed and released guidelines for chronic care management (CCM) services which focuses on the time and effort spent each month coordinating, communicating and engaging with the patients who need it the most.
CCM - A Gateway to MIPS
Many providers are finding that participating in Medicare's Chronic Care Management Services (CCM) program is a natural beginning to meeting requirements defined in the new Merit-based Incentive Payment System (MIPS), which took effect in 2017.
Transitional Care Management (TCM)
Download our guide which provides a clear summary of the specific steps and billing requirements involved in the TCM process, reducing readmissions, improving care coordination during the post-discharge period and increasing revenue for the services performed.
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