Some practices will get a break from the value payment modifier thanks to MIPS

Article Overview

This article discusses proposed CMS changes tied to the transition from the value modifier to MIPS and how those changes affect practices composed of non-physician practitioners. It is aimed at coders, billers, practice managers, and reimbursement staff who need to understand which groups may be phased in later, how quality reporting remains relevant, and how Medicare may evaluate a practice’s composition. The piece focuses on general policy timing, practice makeup under a tax ID number, and the difference between being subject to a calculation versus being subject to a pay cut or bonus.