Reimbursement: Know These MACRA Updates to Ensure QPP Year 2 Pay

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 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

  1. 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.

  2. 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.

  3. 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.

  4. 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

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?