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Prepare your practice for MACRA.

As an ONC 2014 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.

SGR
Repeals the Medicare sustainable growth rate (SGR) formula that calculated payment cuts for physicians.

MIPS/APMs
Creates a new framework for rewarding physicians for providing higher quality care. The two tracks of the QPP are:

  • Merit-based Incentive Payment System (MIPS)
  • Alternative Payment Models (APMs)

Consolidates
Parts of three existing individual reporting programs are combined into a single system:

  • Physician Quality Reporting System (PQRS)
  • Value-Based Payment Modifier (VBPM)
  • Meaningful Use (MU)

Patient Medical Snapshot

The patient chart displays & confirms data such as patient medications, allergies, problem list, smoking status & test results.

Apply Codesets to Note Template Fields

Quality Measures are calculated using ICD-10, CPT, LOINC & SNOMED codes.

Patient Portal

Make patient engagement fun & secure with patient communications via messaging, plus patients can review their CCD.

HealthWatcher

Protocols to simplify the CDS requirements with rule-based alerts including gender, problem list, test results & note field values.

Clinical Patient Listing

Lets you generate reports of patients based on gender, age, problem/diagnosis & test results.

Patient Data Storage

Once entered into the electronic chart, patient data is retained helping you meet the MACRA objectives.

Patient Education

Link to your favorite educational websites & share the information with your patients.

Understand the definition of MIPS.

MIPS (Merit-based Incentive Payment System) is a scoring program measuring an eligible clinicians performance to weigh their Medicare Part B payment adjustments, these adjustments may be positive, negative or neutral. The MIPS payment adjustments are applied two years after the performance year with January 1, 2017 proposed as the first year for the MIPS program. The payment adjustments will be applied in CY2019.

Download the MACRA acronyms sheet

Learn the first year performance category weights for MIPS.

Quality
(formerly PQRS/CQMs) – 60%

6 Measures


Advancing Care Information
ACI (formerly MU) – 25%

Attest to 4 required measures for a minimum of 90 days.


Improvement Activities
(aka from proposed rule CPIA) – 15%

Complete 2 – 4 improvement activities for a minimum of 90 days

 

Download MIPS Category Scoring Overview

Take a closer look at APMs.

CMS proposes an approach to implementing the MACRA APM track where eligible clinicians can become “qualifying participants” & earn incentives for participation. Advanced APMs must meet three proposed requirements deriving from the MACRA statute:

  • Required use of a certified EHR
  • Payment for covered professional services based on comparable quality measures
  • Either being an enhanced medical home or bearing more than “nominal risk” for losses

AdvancedMD meets EHR regulations with less hassle for you.

AdvancedMD is committed to providing private practices with everything you need to successfully meet EHR regulations for MACRA. Not only will you be able to meet regulatory requirements, but you will also use a best-in-class EHR to optimize your clinical charting & patient engagement.

EHR features help you achieve MACRA.

We’ve integrated tracking right within our EHR software to help automate & simplify the complexities of meeting MU requirements.

Once MACRA’s proposed rule is final, we will provide a dashboard to track your ACI (Advancing Care Information) measures that were inherited from the MU measures.

Simplified MIPS when using telemedicine.

Telemedicine can be a key component in maximizing your MIPS CPIA performance category score. CPIA subcategories, including telehealth activities, are Expanded Practice Access (24/7 access, expanded hours, use of alternatives such as telemedicine to increase access to care) and Population Health Management (monitoring health conditions, medication management).

Learn how to improve your clinical outcomes.

Free ebooks, webinars & product videos with more tips for automating dated, manual processes.

Meaningful Use Replacement Announcement

On April 27, 2016, the Department of Health and Human Services (HHS) released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) notice of proposed rulemaking (NPRM). The MACRA...
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Blog Articles

What you need to know about MIPS for 2017

Merit-based Incentive Payment System (MIPS) program is a key component of the MACRA Quality Payment Program (QPP) and is expected to be the more popular path for the first performance...
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Product Sheets

MIPS: Quality & ACI Categories

Join AdvancedMD in this educational webinar series exploring MACRA. Many say the program is too complex and sets providers up for lost revenue. Rest assured, this series will guide you...
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Webinars

MIPS: CPIA & Resource Categories

Join AdvancedMD in this educational webinar series exploring MACRA. Many say the program is too complex and sets providers up for lost revenue. Rest assured, this series will guide you...
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Webinars

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“With AdvancedMD we got everything in one package, and the ability to ensure that we get maximum allowable Medicaid reimbursement.”

Charlotte Kientzy
Practice billing manager

“Everybody still does basically the same thing; they just do it in a different and better way that’s more efficient.”

Steve Wampler, MD
Greenhill Family Clinic

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“With the new scheduler and EHR, we get a lot of the information up front, so when the patient comes in, unless they have something changed insurance-wise they’re already verified and ready to be taken back right away, it also makes it much easier for billing.”

Nancy Sutter
Office manager

“The nice thing about AdvancedMD is claims are cleared before they are forwarded to various insurance companies. We know very, very quickly if we have some defective portion on our claim.”

Dwight Romriell, DMD

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