MACRA is the latest legislation from CMS regarding physician reimbursements. It defines the “QPP” (quality payment program) under which you’ll be paid “for quality”. The program has 2 subsets; MIPS (Merit Based Incentive Payment System), and, APM (alternative payment model) . CMS expects 95% of providers to go with MIPS. What does MIPS mean for you?
Under MIPS, you’ll be ranked based on
You might think “this doesn’t sound simple!” Well, here’s a translation of the government terms, and, a few words on how to meet them without too much trouble.
After you’ve submitted all the necessary data for each of these requirements, CMS will rank you against everyone else, and, depending on your performance, you might get an incentive payment.
Did you know that in 2017, if you want, you can do nothing more than submit ONE quality measure (ASP.MD can do this for you in a matter of minutes), and call it a day? You won’t get any incentive payment, but; you’ll fully avoid the otherwise 4% penalty. No meaningful use, 1 quality measure, no CPIA. One and done.
And that’s it! 2,400 pages of legislation boils down to what’s above. But- what about APM? An APM is the other option you can pursue, in which you become part of a provider group caring for patients, and the groups reimbursements are put at risk as whole. Do you really want to get involved in a situation in which your reimbursements are based on other providers performance, which you can’t control? Probably not. You’ll be required to do pretty much the same things with your EHR in either program, but, even if you perform terrifically, you could be penalized for the poor performance of others.
Now that the new legislation is out, numerous interested parties are all out there telling you it’s all much too complex for you to even understand, and that you simply have to become an employed provider of a large institution. From our perspective, these are scare tactics, aimed at taking advantage of you.
ASP.MD, at least, believes that what you need to do *isn’t* that hard, that our system makes it easy, and that we can show you what to do.