MACRA’s new Merit-Based Incentive Payment System (MIPS) changes the way Medicare pays you. And unless you fully understand how to report your quality data under MIPS, your future Medicare payments will be significantly reduced (decreasing up to 4% initially, then later up to 9%). The bottom line is that your future Medicare payments will be […]

Although you are expected to begin gathering data for the Medicare Access and CHIP Reauthorization Act (MACRA) in 2017, a recent report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) indicated that there’s still more work to be done to ensure everyone has the tools and guidance necessary to […]

As you’re gearing up for 2017, selecting the best Quality measures to report under MIPS is essential for you to be able to achieve the highest possible Final Score. This is the only way to improve your chances to receive a positive Medicare payment adjustment rather than a reduction to your future revenues. Use these […]

Although the Centers for Medicare and Medicaid Services (CMS) released the final rule under the Medicare Access and CHIP Reauthorization Act (MACRA) back in October, it’s still looking for feedback in certain areas affected by the regulation. You can still provide feedback and suggestions, but your time if running out. You must submit your comments […]

Although reporting under the Medicare Access and CHIP Reauthorization Act (MACRA) is supposedly optional, not adhering to this new rule gets you a guaranteed Medicare reimbursement cut. The only way to head it off is to report at least some data in 2017. The question is, how should you report it? This is no small […]

You now have one more Advanced Alternative Payment Model (APM) for which you can qualify in 2017 and two more for 2018, according to an Oct. 25 press release from the Centers for Medicare and Medicaid Services (CMS). In particular, the CMS Innovation Center’s Oncology Care Model with two-sided risk will be available in 2017, […]

Oct. 17, 2016 — On Friday, Oct. 14, the Centers for Medicare and Medicaid Services (CMS) announced the final reporting requirements for its new MACRA rule going into effect Jan. 2017. This new program is about to turn how you are paid completely upside down.   Based on MACRA, your Medicare reimbursement will be increased or […]

Oct. 14, 2016 — There can be no more speculation as to whether the Centers for Medicare and Medicaid Services (CMS) will go live with its Medicare Access and CHIP Reauthorization Act (MACRA) regulations on Jan. 1. Earlier today, CMS released the final MACRA rule after considering more than 4,000 comments and having 100,000 attendees […]

The Medicare Access and CHIP Reauthorization Act (MACRA) could transform healthcare, but if the Centers for Medicare and Medicaid Services (CMS) doesn’t follow congressional intent with its regulations, compliance could become even more complicated than the current system. This is according to 18 congressional members in a recent letter to CMS Acting Administrator Andrew Slavitt […]