tci ED Coding & Reimbursement Alert - 2016 Issue 6

MACRA APM News: Participating In A Qualified APM Could Exempt You From MIPS Participation

You could also earn a 5 percent bonus for successful APM participation. The MACRA proposed rule goes beyond MIPS to also discuss alternative payment methods (APMs) and requirements becoming a qualified or an "advanced" APM. Pay special attention to this advice because if you successfully participate in a qualified APM, thereby becoming a qualified APM participant (QP), you are both exempt from MIPS reporting and could be eligible for a lump sum incentive payment equal to 5 percent of your prior year's Part B payments beginning in 2019, Granovsky says. Not All Bundled Payment Models Are Considered APMs Under...

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