BC Advantage - 2017 Issue 1
Understanding MACRA and the Quality Payment Program Part 3
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Article Overview
This installment in a MACRA and Quality Payment Program series covers the Cost or Resource Use category in MIPS. It is aimed at clinicians, practice leaders, and coding/billing professionals who want a high-level understanding of how the category works, why it matters for future reporting years, and what kinds of CMS cost and claims-based considerations are discussed.
Why This Topic Matters
The article helps readers understand a major MIPS component that is tied to claims data and future performance scoring, making it relevant for practices preparing for evolving CMS quality payment requirements.
What You Will Learn
- How the Cost or Resource Use category fits into MACRA’s Quality Payment Program
- Why the category matters even when it is not actively scored
- What types of claims-based and CMS-collected data are discussed
- How the article frames the relationship between cost measures and overall MIPS scoring
- Why specialists may be affected by episode-based cost measures and Part D-related considerations
Who Should Read This
- Physicians and clinical practices
- Practice managers
- Medical billing and coding professionals
- Compliance and revenue cycle teams
- Healthcare administrators
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