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