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The Performance Score is based on four performance categories:
How your Score is calculated?
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”.
You are eligible, If...
Administration
Physicians
Finance
Operations
Working effectively as a team will result in good decision making.
The ultimate goal of implementing MIPS is to get good incentives for your
practice forever.
Multidisciplinary team
Team Members:
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
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.
(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.
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?
TOLL FREE: 1-877-272-1572
Do you have a successful MIPS
Strategy in place?
11517, Belvedere Ct
Cerritos
CA, US – 90703

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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”.
  • 4.
  • 6. Administration Physicians Finance Operations Working effectively as a team will result in good decision making. The ultimate goal of implementing MIPS is to get good incentives for your practice forever. Multidisciplinary team Team Members:
  • 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? 11517, Belvedere Ct Cerritos CA, US – 90703