BC Advantage - 2016 Issue 12
Understanding MACRA and the Quality Payment Program Part 2
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Article Overview
This installment in a MACRA and Quality Payment Program series focuses on the MIPS Quality category. It is designed for clinicians, practice managers, and coding or compliance staff who want a broad understanding of quality-measure selection, submission options, and how the category contributes to overall performance scoring. The article also references CMS tools, measure filters, and the first-year participation flexibility discussed for the 2017 performance year.
Why This Topic Matters
The Quality category is a major part of MIPS scoring, so understanding its structure helps practices evaluate reporting workload, compare participation options, and plan for potential payment impacts. The article provides practical context for using CMS’s quality-measure search resources without replacing the full premium guidance.
Article Sections
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Quality category overview
Introduces the MIPS Quality category and places it within the larger MACRA Quality Payment Program discussion. It also frames the relationship between this category and earlier quality-reporting programs.
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Measure selection and CMS search tools
Describes how practices can locate relevant quality measures using CMS search filters and related measure details. It covers general categories of filter options and the workflow for reviewing and organizing selected measures.
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Scoring and performance year options
Explains the broad structure of Quality category scoring and summarizes the participation approaches described for the 2017 performance year. It also notes the article’s discussion of how participation level can affect future payment adjustment outcomes.
What You Will Learn
- How the MIPS Quality category fits into MACRA’s Quality Payment Program
- What broad categories of quality measures are discussed in the article
- How CMS search filters are used to narrow measure selection at a high level
- How the article frames scoring within the Quality category
- What participation options are described for the 2017 performance year
Who Should Read This
- Physicians and eligible clinicians
- Practice managers
- Medical coders and billing staff
- Compliance and quality reporting teams
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