ED Coding & Reimbursement Alert - 2017 Issue 23
Reimbursement: Know These MACRA Updates to Ensure QPP Year 2 Pay
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Article Overview
This article explains the major CMS updates to the MACRA Quality Payment Program for the 2018 reporting year and why they matter for Medicare Part B clinicians. It covers the broader transition from the initial rollout to Year 2, including participation pathways, burden-reduction changes, and program features that can affect reporting requirements, public visibility, and payment outcomes. The piece is aimed at clinicians, practice administrators, and coding or reimbursement professionals who need to understand how the evolving QPP framework affects operations and future Medicare reimbursement.
Why This Topic Matters
MACRA and QPP changes can affect clinician participation, reporting workload, and future Medicare payment adjustments. Understanding the Year 2 updates helps practices anticipate compliance needs and plan for changing reimbursement expectations.
Article Sections
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CMS shifts and the QPP Year 2 framework
Introduces the broader CMS policy changes and the context for the second year of the Quality Payment Program. It frames the article around the transition from the first reporting year into the next phase of implementation.
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Administration relief and stakeholder feedback
Summarizes CMS’s response to stakeholder input and its effort to reduce administrative burden. It discusses the general direction of the new initiative and the reasons behind the changes.
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Participation updates and transition-year changes
Covers changes affecting eligibility, reporting participation, and the continuation of transition policies. This section addresses how CMS adjusted the program for the new reporting year and the practical implications for clinicians and practices.
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Key Year 2 policy features
Outlines the major program features highlighted for the reporting year, including scoring adjustments, reporting periods, review visibility, and participation options. It also touches on broader pathway choices within the payment model.
What You Will Learn
- How CMS reframed QPP Year 2 under its broader MACRA strategy
- What categories of program changes were emphasized for the 2018 reporting year
- Which participation and transition topics were highlighted for Medicare Part B clinicians
- Why the article says these updates matter for practice operations and future reimbursement
Who Should Read This
- Medicare Part B clinicians
- Physician practice administrators
- Medical billing and reimbursement staff
- Healthcare compliance professionals
- Coding and revenue cycle professionals
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