Path To Value 20160513a

Path to Value

New Goals for value-based payments and APMs in Medicare

The new Merit-based Incentive Payment System helps to link fee-for-service payments to quality and value.

The law also provides incentives for participation in Alternative Payment Models in general and bonus payments to those in the most highly advanced APMs

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a bipartisan legislation signed into law on April 16, 2015.

What does Title I of MACRA do?

• Repeals the Sustainable Growth Rate (SGR) Formula

• Changes the way that Medicare rewards clinicians for value over volume

• Streamlines multiple quality programs under the new Merit Based Incentive Payments System (MIPS)

• Provides bonus payments for participation in eligible alternative payment models (APMs

MIPS changes how Medicare links performance to payment MACRA streamlines those programs into MIPS:

·         Merit-Based Incentive Payment System (MIPS)

·         Physician Quality Reporting Program (PQRS)

·         Value-Based Payment Modifier

·         Medicare HER Incentive Program

Understanding the NEW payment models is key to being successful. AccuChecker now offers you a pathway to SUCCESS. ACKScrubber will determine if your claim is correct, if you have a missed opportunity, or alert you the proper coding required to qualify a specific measure.

For more details contact us at :   support@accuchecker.com

Or call :  786-231-7585  /  305-227-2383  /  1-877-938-9311

Quality Payment Program: Delivery System Reform, Medicare Payment Reform, & MACRA 20160513

Quality Payment Program: Delivery System Reform, Medicare Payment Reform, & MACRA

The Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) 

How does the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) reform Medicare payment?

The MACRA makes three important changes to how Medicare pays those who give care to Medicare beneficiaries. These changes create a Quality Payment Program (QPP):

·         Ending the Sustainable Growth Rate (SGR) formula for determining Medicare payments for health care providers’ services.

·         Making a new framework for rewarding health care providers for giving better care not more just more care.

·         Combining our existing quality reporting programs into one new system.

These proposed changes, which we’ve named the Quality Payment Program, replace a patchwork system of Medicare reporting programs with a flexible system that allows you to choose from two paths that link quality to payments: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models.

What's the MACRA Quality Payment Program?

The MACRA QPP will help us to move more quickly toward our goal of paying for value and better care. The Quality Payment Program has two paths:

Merit-Based Incentive Payment System (MIPS)

Alternative Payment Models (APMs)

MIPS and APMs will go into effect over a timeline from 2015 through 2021 and beyond.

What’s the Merit-Based Incentive Payment System (MIPS)?

The MIPS is a new program that combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-based Payment Modifier), and the Medicare Electronic Health Record (EHR) incentive program into one single program in which Eligible Professionals (EPs) will be measured on:

·         Quality

·         Resource use

·         Clinical practice improvement

·         Meaningful use of certified EHR technology

  

Understanding how the various quality measure and participation  will affect your reimbursement is key to your success. AccuChecker  offers you a solution with the  ACKQuality Measure Scrubber.

Our system alerts you to potential measures that can be captured, missed opportunity , and how to correctly code to qualify the measure.

For more details on the ACKScrubber , please contact us at ;    support@accuchecker.com

Or call us at  :  786-231-7585  /   305-227-2383    /  1-877-938-9311