ED Coding & Reimbursement Alert - 2017 Issue 3
Part B Payment: Minimized Measures Make Reporting Under MIPS a Breeze in 2017
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Article Overview
This article explains the 2017 transition period for MACRA’s Quality Payment Program and the Merit-based Incentive Payment System, with a focus on how small, rural, and underserved practices were affected. It covers general eligibility considerations, reporting-related adjustments, and the CMS and partner organizations that offer technical assistance and educational support. It is aimed at providers, practice managers, and coding/billing staff who need a high-level understanding of the reporting environment and available guidance.
Why This Topic Matters
Understanding the 2017 MIPS and MACRA landscape helps practices determine whether they are affected, what broad reporting framework applies, and where to find assistance. The article is relevant to organizations trying to navigate Medicare Part B participation, especially small and rural practices adapting to CMS program changes.
Article Sections
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Refresher: MIPS and the Quality Payment Program
Introduces the MACRA framework and the main parts of the Quality Payment Program. It also explains the article’s focus on 2017 reporting and payment context.
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Trust Medicare to Always Offer Exceptions
Discusses broad eligibility and exemption topics for participation in MIPS. The section focuses on categories of clinicians and practices that may fall outside the reporting requirement.
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CMS Lowers the Bar for Small Practices
Summarizes how CMS adjusted the program approach for small practices and what general types of reporting relief or simplification were introduced. It also notes the practical significance for practices with higher Medicare volume.
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Need Help With the Transition? Get Help Here
Reviews the availability of CMS and partner support resources for practices working through the transition. It highlights the general purpose of technical assistance and educational tools.
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Federal offerings
Describes the main federal support channels available for practices affected by the program. The section provides an overview of resource types rather than detailed instructions.
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Three options
Outlines three broad organizations or support pathways intended to help clinicians understand and adapt to the new reporting environment. It presents the categories of assistance without detailed operational guidance.
What You Will Learn
- How the 2017 MACRA and MIPS transition affected Medicare Part B practices
- Which broad groups of clinicians and practices may be exempt or differently affected
- What kinds of program adjustments CMS made for small practices
- Where to find general CMS-supported and partner-supported assistance resources
- How the article frames the relationship between MIPS, APMs, and other Medicare program areas
Who Should Read This
- Physicians and other eligible clinicians
- Small practice administrators
- Practice managers
- Billing and coding staff
- Healthcare compliance professionals
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