HCPro, JustCoding Outpatient - 2017 Issue 27 (June)
Illusion of MACRA delays could prove costly for providers
June 30th, 2017
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Article Overview
This article reviews a proposed Quality Payment Program rule tied to MACRA and explains why apparent delays in implementation may still affect providers and coding staff. It discusses the two main participation pathways, broad performance categories, possible flexibility for future reporting periods, and the role of coding, documentation, and quality measure selection in supporting payment under the program. The piece is relevant to physicians, practice administrators, and coding professionals who need to understand how the program may shape workflow, reporting, and reimbursement planning.
Why This Topic Matters
The article highlights policy and reporting changes that can influence reimbursement, compliance readiness, documentation practices, and quality reporting strategy across many specialties.
Article Sections
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QPP and MACRA overview
Introduces the proposed rule and summarizes the program structure created under MACRA. Covers the two broad participation pathways and the main performance areas discussed in the article.
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Proposed flexibility for the 2018 performance period
Describes the types of flexibility CMS proposed for a future performance period. Focuses on provider eligibility, reporting flexibility, and small-practice considerations.
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How understanding MACRA now will pay off later
Explains why early preparation matters even when some requirements appear delayed. Discusses timing, payment adjustments, and the shift toward value-based reimbursement.
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The impact on coding professionals
Covers the role of coding and documentation in supporting quality reporting and practice performance. Also addresses coder involvement in measure selection and feedback on proposed program changes.
What You Will Learn
- How the proposed Quality Payment Program rule fits into MACRA implementation
- What the article says about the main program pathways and performance categories
- Why early preparation may matter for clinicians and coding teams
- How coding professionals can support quality reporting and documentation efforts
- How providers can engage with proposed measure and rule changes
Who Should Read This
- Physicians
- Coding professionals
- Practice managers
- Healthcare administrators
- Health information management staff
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