![]() ![]() Merit-Based Incentive System (MIPS) Advanced Alternative Payment Models (AAPMs) 31, (Includes a 30-day claims runout) Bill Medicare more than $90,000 of allowed charges a year (Medicare Advantage claims do not apply to the required threshold) Provide care for more than 200 Medicare patients a year (Medicare Advantage patients do not apply to the required threshold) It is estimated that 35% of Medicare clinicians will fall below the volume participation threshold in 2018, creating a more competitive programĥ Two Quality Payment Program (QPP) Pathways Individuals and Groups Consisting of the Following Eligible Providers: Physician (MD, DO, DMD, DDS) beyond 1st year of Medicare Part B participation Physician Assistant Nurse Practitioner Clinical Nurse Specialist Certified Registered Nurse Anesthetist Meeting the Following Thresholds During 1 of 2 Determination Periods: Sept. MACRA Fee - for - Service Pay - for - Reporting Pay - for - Performance Year Two The Journey to Healthcare Payment ReformĢ MACRA Timeline April, 2015 Congress passed the Medicare Access and CHIP Reauthorization Act of 2015 April, 2016 Department of Health and Human Services issued a Notice of Proposed Rulemaking for MACRA October, 2016 CMS released the Final Rule which was published in the Federal Register on January, 2017 First Quality Payment Program performance year begins Second Quality Payment Program performance year begins January, 2018ģ MACRA Highlights Repealed Medicare’s Sustainable Growth Rate (SGR) physician fee schedule formula Replaced / Consolidated existing PQRS, Meaningful Use and Value- Based Modifier reporting programs Established the new value based reimbursement system called the Quality Payment Program (QPP)Ĥ Eligible for Quality Payment Program (QPP) Reporting in 2018 Presentation on theme: "The Journey to Healthcare Payment Reform"- Presentation transcript:ġ The Journey to Healthcare Payment Reform
0 Comments
Leave a Reply. |