MACRA and MIPS – Most Asked Question about EHR Certification

1. MACRA and MIPS – Most Asked Question about EHR Certification

2. Introduction • MACRA is the Medicare Access and CHIP Reauthorization Act. • It was signed by President Obama into the law on April 26, 2015. • MACRA revokes the previously used Medicare reimbursement formula with a new pay-for-performance program that prioritizes accountability, value, and quality. • According to the Medicare and Medicaid Services (CMS), MACRA implements a new payment system that gives rewards to healthcare providers for giving better care instead of more service. www.softwarefinder.com 02

3. What is the Quality Payment Program? • The Quality Payment Program enacts the key provisions of MACRA. • It introduces new approaches to compensate physicians who provide healthcare services for Medicare Part B beneficiaries. • The program replaces the previously used fee-for-service model to value-based care. • The QPP creates two payment paths for physicians: Advanced APMs (AAPM) and Merit-based Incentive Payment System (MIPS). www.softwarefinder.com 03

4. MACRA Frequently Asked Questions Who Participates in the QPP? To participate in the QPP, the qualifying criteria are: • Bill Medicare for more than $30,000 in Part B and allowed charges for a year • Offer healthcare services to more than 100 Medicare patients a year • Are Advanced Alternative Payment Models (APM) www.softwarefinder.com 03

5. MACRA Frequently Asked Questions How to prepare yourself for MACRA? • Enlighten providers and have detailed discussions regarding new regulation. • Get help from the health system thought leaders to discuss ACOs, etc. • Evaluate your CMS Quality Resource and Use Report (QRUR). • In case you did not report for meaningful use then asses the penalties for MACRA. www.softwarefinder.com 03

6. MACRA Frequently Asked Questions Are there any Exemptions for eligible providers? There are many exemptions for eligible providers including: • being in the first year of Medicare for 2017 • participation in Advanced APM • seeing less than 100 Medicare patients each year • bill $30,000 or less in Medicare www.softwarefinder.com 03

7. MIPS Frequently Asked Questions What needs to be reported for MIPS? The following two criteria categories are required to be reported for the full calendar year. • Quality: Checks the quality of healthcare services, depending upon the measures concerning healthcare quality and outcomes of care. Quality holds 50% of the MIPS composite score. www.softwarefinder.com 03

8. MIPS Frequently Asked Questions What is MIPS Composite Performance Score? • This score is the aggregate of an eligible professional’s scores in the performance criteria categories including quality, cost, advancing care information, clinical practice improvement activities. • The composite performance score is compared to an annual threshold that is set by the CMS and decides either a positive, negative or neutral payment adjustment. www.softwarefinder.com 03

9. MIPS Frequently Asked Questions Are there any Exemptions under MIPS? The exemptions under MIPS are: • Providers in their first year with Medicare. • Providers with a low volume of Medicare payments less than $30,000 Medicare Part B or patients less than 100. • Providers who are under Advanced APMs. www.softwarefinder.com 03

10. Conclusion So if you think these features would be appropriate for you and your practice, but are not fully sure you can go ahead and give us a call so we can provide you with a free consultation. Call us on (681) 384-7070 and talk to one of our representatives for a better idea about this EMR system! www.softwarefinder.com 03

11. + 1 (661) 384-7070 | info@softwarefinder.com Thank you We are the #1 place to start your software search www.softwarefinder.com