tci Medicare Compliance & Reimbursement - 2017 Issue 9

Are You Ready to Report? Here's a MIPS Refresh If You're Not

MIPS is the entryway for most physicians into the new Quality Payment Program under MACRA, which replaced the Sustainable Growth Rate (SGR) system for Medicare reimbursement and started this past Jan. 1. It combines past CMS programs, measuring physicians on the quality of their care versus the quantity of the patients they see. Review: MIPS combines the Physician Quality Reporting System (PQRS), Meaningful Use (MU), and the Value based Payment Modifier (VBPM). Under MIPS, you will have four performance categories that include three replacements of older programs and one added to the mix: Quality (which replaces the PQRS) Cost...

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