Outpatient Facility Coding Alert - 2018 Issue 15
MACRA: CMS Charges Ahead with Pro-Health IT Proposals
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Article Overview
This article summarizes CMS proposals in the CY 2019 Medicare Physician Fee Schedule that affect the Quality Payment Program and MIPS participation. It focuses on health IT-related policy changes, scoring adjustments, eligibility updates, and other program features that may affect clinicians, small practices, and facilities. It is relevant to providers, practice administrators, and coding or compliance professionals following Medicare Part B reimbursement policy.
Why This Topic Matters
The proposals discussed could affect how clinicians participate in MIPS, how performance is measured, and how Part B payment adjustments are determined. Understanding the scope of the proposed changes helps stakeholders assess operational impact and comment on the rulemaking process.
Article Sections
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MIPS Change-Ups Aren’t Perfect
Overview of commentary on CMS’s proposed changes, including discussion of program pacing and how the broader policy direction is being viewed by industry observers.
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Take a Look at These 7 Proposals Under Consideration
Summary of several proposed changes affecting participation, eligibility, scoring, bonuses, facility-based options, and threshold determinations within the quality payment framework.
What You Will Learn
- The main policy areas addressed in the CY 2019 Medicare Physician Fee Schedule proposed rule
- How CMS is approaching Promoting Interoperability and related health IT requirements
- Which MIPS participation and scoring topics are being reconsidered
- What types of stakeholders may be affected by the proposed changes
- How the article frames the proposed rule within the larger MACRA and QPP context
Who Should Read This
- Physicians and other MIPS-eligible clinicians
- Practice managers and compliance staff
- Medical billing and reimbursement professionals
- Health information technology stakeholders
- Quality reporting and revenue cycle teams
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