Reimbursement: Combat MACRA Fatigue with These Helpful Tips

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains how MACRA and the Quality Payment Program affect clinicians and practices, with emphasis on who may be excluded from MIPS, how small and rural practices are being supported, and where CMS and related organizations offer help. It is intended for providers, practice managers, and coding or reimbursement professionals who need a high-level understanding of reporting obligations and assistance options under Medicare quality programs.

Why This Topic Matters

Understanding QPP participation status and support resources can help practices identify whether they are affected by MIPS-related reporting requirements and where to look for implementation assistance.

Article Sections

  1. Are you exempt from the Quality Payment Program?

    Introduces the article’s focus on MACRA, the Quality Payment Program, and the question of which clinicians may fall outside MIPS requirements.

  2. There Are Always Exceptions in Medicare

    Discusses categories of clinicians and practice situations that may not be subject to MIPS, along with broad references to Medicare participation and payment program status.

  3. CMS Lowers the Bar For Small Practices

    Summarizes CMS adjustments aimed at small practices and describes broad reporting and exclusion concepts relevant to those groups.

  4. There Is Help for Those Who Need It

    Outlines the assistance resources CMS and related organizations provide to help clinicians navigate QPP participation and transition support.

  5. Federal offerings

    Covers CMS support initiatives and technical assistance available to small and rural practices and other eligible clinicians.

  6. Three options

    Introduces several organizations and learning networks that offer guidance for clinicians working through QPP-related changes.

What You Will Learn

  • How the article frames MACRA and the Quality Payment Program
  • Which broad groups may not be required to participate in MIPS
  • What kinds of support CMS and related organizations provide for practices
  • How small and rural practices are addressed in the discussion
  • Which assistance programs and learning networks are highlighted

Who Should Read This

  • Physicians and other eligible clinicians
  • Practice managers
  • Medical billing and reimbursement staff
  • Coding and compliance professionals
  • Small and rural practice administrators

Subscribe or sign in to view the full article.

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?