(Medicare Access & CHIP Reauthorization Act)
In October, The Centers for Medicare & Medicaid Services (CMS) released the final rule for MACRA, altering how Medicare reimburses clinicians and their practices. It emphasizes quality, value, and clinicians taking more financial risk.
TSI Healthcare® is here to help you navigate through the murky waters of federal regulations.
Be sure to check out our other resources:MACRA Webinar MACRA Blog Series
What’s The Big Idea?
With a stronger emphasis on quality, value, and bigger financial risk, there are three key areas MACRA seeks to address.
Sustainable Growth Rate
Shifts from Volume to Quality
Shift from fee-for-service
- Combines Meaningful Use, PQRS/CQMs & VBM
- Measures Providers On:
- Advancing Care Information (Use of EHR)
- Improvement Activities
- Financial Implications
- Can Receive Positive Payment Adjustments Based On MIPS Score
- Can Earn Up To 5% Max Penalty For Not Meeting 2018 MIPS Requirements
- Must Require Certified EHR Use
- Must Base Payment On Quality Measures Comparable To MIPS Quality Category
- Must Bear Financial Risk
- Financial Implications:
- Must Bear Financial Risk
- Can Earn 5% Bonus
MIPS will continue in 2018 as the second performance year with payment adjustments beginning in 2020.
MIPS Program Overview
MIPS combines MU, PQRS, and VBM to measure clinicians in four different categories.
The new quality program structure increases emphasis on PQRS while decreasing it on Meaningful Use.
More Exciting News
MACRA proposes more exciting reporting and data submission options.
"As government regulations continue to evolve, TSI Healthcare remains current regarding the changes and always keeps us informed in a prompt manner."Ana Reyes-CartagenaArthritis & Rheumatism Associates, M.D.
"TSI Healthcare’s rheumatology specific EHR is very manageable to use, and their reporting system is very flexible. We are on track for meaningful use, and it has allowed us to enjoy a significant increase in revenue. This has let us add to staff and incorporate an ultrasound machine.”Kevin Hicks, MDCollaborative Arthritis Care, Inc.
"The biggest challenge that we faced before starting with TSI Healthcare was meeting Meaningful Use. I was a bit concerned about our practice because we had missed one year of Meaningful Use money already. It was one of the driving factors for selecting them as a vendor, and they have helped us achieve that."Robert Collins, Director of OperationsBoston Laser Eye Institute, P.C.
“There are a lot of changes coming with the new MIPS and MACRA programs for Medicare, and there is no way I could possibly stay on top of it and run a medical practice. We rely very heavily on the Government Regulations team at TSI Healthcare. Our practice greatly benefits from their knowledge about MACRA. They stay on top of the changes and help us navigate them.”Connie MoscatiCape Fear Arthritis Care