BC Advantage - 2017 Issue 9

Update Medicare Quality Reporting Programs

By now, the healthcare industry should be aware of the fundamental shift in reimbursement away from fee-for-service and toward quality-performance medicine. Specifically, “The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Quality Payment Program for eligible clinicians. Under the Quality Payment Program, eligible clinicians can participate via one of two tracks: Advanced Alternative Payment Models (APMs); or the Merit- based Incentive Payment System (MIPS).”  For providers, as well as billers and coders, this transition is significant.The Centers for Medicare and Medicaid (CMS) quality reporting programs are one part of the equation, which...

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