Wednesday, June 15, 2016

Merit-Based Incentive Payment System



HPP Management Group and AccuChecker has helped practices successfully navigate PQRS and Meaningful Use. We’ll use the same proven approach to helping clients succeed with MACRA.
The  Medicare Access and CHIP Reauthorization Act of 2015  (MACRA) promotes the transition to quality-based payment by implementing two payment pathways for clinicians. Starting in 2019, clinician payment for Medicare Part B services will align under two pathways: the Merit-Based Incentive Payment System (MIPS) or participation in eligible Alternative Payment Models.
Understanding Risk , reviewing the necessary steps PRIOR to the face-to-face encounter,  and scrubbing the claim prior to submission will have a positive affect on your practice. Failure to comply will impact your revenue.
The MIPS program will involve positive or negative payment adjustments to the Medicare Physician Fee Schedule (“PFS”) payments. MIPS payments under this program are a zero sum game because of MACRA’s required budget neutrality. This means that the money CMS saves from the negative adjustments will be used to fund the positive adjustments. Additionally, from 2019 through 2024, the best performing physicians will be eligible for an additional bonus payment of up to 10% allocated from a $500 million pool.
For more details on how HPP Management Group and AccuChecekr can help you, please contact :  pesilverio@hppcorp.com  or support@accuchecker.com
305-227-2383   /  1-877-938-9311  / 786-231-7585