What to Consider Now for Reporting MACRA-QPP in 2017
October 28, 2016
Written by Sarah Leake
The MACRA-Quality Payment Program encompasses the current legacy programs of PQRS, MU and Value Modifier. Therefore, if you have been engaged in all or some of these programs, the QPP will be familiar and not to be alarmed about. Here are some quick facts on the Quality Payment Program and items to consider at this point in time.
Identify your “eligible clinicians” which is the term used for those participating in MIPS.
Low volume thresholds are stated to determine if you will be participating as defined by CMS. Clinicians exempt from MIPS do not meet the threshold if they have ≤ $30,000 in Medicare charges OR ≤ 100 Medicare patients. This threshold can be reviewed at the individual level or the Group level. Remember though, if you pick the Group level for reporting, then all providers under that TIN will need to report at the Group level.
Review the flexible options for reporting MIPS in 2017 to determine what is best for your organizational strategy and financial consequences.
If you participate at any of the levels in 2017, you will avoid a negative payment in 2019. If you DO NOT report, you will receive a -4% negative payment adjustment on all Medicare Part B payments in 2019. Payments to clinicians are adjusted based on the MIPS Final Score and reporting by your organization.
Assess the 3 reporting Categories for 2017 to identify which options align with your clinical quality goals and will result in improving your patient care and reporting outcomes.
Click MIPS Measures Overview for a summary of reporting options for the 3 Performance Categories.
Don’t be overwhelmed or anxious working through this process! If you have questions on these preliminary tasks please call your contact at MPQHF, or Sarah Leake for guidance.
Leave a reply, ask a question or share information using the “Leave a Reply” section below, or email Sarah Leake directly with your questions or comments.