Understand MACRA for your Practice
Maximize the use of your EHR
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Meaningful Use helped hundreds of thousands of independent physicians afford adding EHR to their practices. Since 2015, much has changed. The primary goal with MACRA is to improve care for Medicare patients. MACRA shifts the payment system from volume to value and results.
As an ONC 2015 Certified EHR, AdvancedMD software meets and satisfies all the MACRA-related requirements. MACRA (Medicare Access and CHIP Reauthorization Act of 2015) introduces a new value-based reimbursement system called the Quality Payment Program (QPP) with three important changes impacting your Medicare payments.
Created a new framework for rewarding physicians for providing higher quality care. The two tracks of the QPP are:
Repealed the Medicare sustainable growth rate (SGR) formula that calculated payment cuts for physicians
Parts of three previous individual reporting programs are combined into a single system:
The patient chart displays & confirms data such as patient medications, allergies, problem list, smoking status & test results.
Quality Measures are calculated using ICD-10, CPT, LOINC & SNOMED codes.
24/7 access for your patients to see their health records
Telemedicine can maximize your IA performance category score.
Lets you generate reports of patients based on gender, age, problem/diagnosis & test results.
Once entered into the electronic chart, patient data is retained helping you meet the MACRA objectives.
Link to your favorite educational websites & share the information with your patients.
MIPS (Merit-based Incentive Payment System) is a program measuring an eligible clinician’s performance and comparing it with their peers. MIPS is a budget neutral program; the positive Medicare payment adjustments are funded by those receiving negative payment adjustments. The payment adjustments are applied to Medicare Part B payments for covered professional services two years after the performance period—the MIPS Total Score earned in 2019 (MIPS Year 3) will be applied to Medicare payments in 2021.
Attest to 6 required measures, and 2 optional bonus measures, for a minimum of 90 days
Complete 1-4 improvement activities for a minimum of 90 days
The second option for participation in MACRA is the APM track where eligible clinicians can apply to and become “Qualified Participants” with an Advanced APM and earn 5% payment incentives. Advanced APMs entities focus on providing high-quality and cost-efficient care—they can focus on specific clinical conditions, care episodes, or patient populations.
CMS’s QPP website has resources to help clinicians decide if participation with an APM is right for them and lists those that are approved for the MACRA QPP. Many previously existing ACOs are on Medicare’s list of Advanced APMs. If you are interested in becoming a QP with an APM we suggest:
You’re not alone. Our MIPS Consultants have the expertise to help guide you through the maze of MIPS to give you the tools to achieve a positive MIPS score.
Complete the form below to sign up for a live demo of all AdvancedEHR features.
Keith Berkowitz, MD
Center for Balanced Health
Estaban Lavato, MD
La Loma Medical Center