(Medicare Access & CHIP Reauthorization Act)
In November 2015, 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:Top 10 Pitfalls to Avoid in 2019 MIPS Reporting 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:
- Promoting Interoperability (Use of EHR)
- Improvement Activities
- Financial Implications
- Can Receive Positive Payment Adjustments Based On MIPS Score
- Can Earn Up To 7% Max Penalty For Not Meeting 2019 MIPS Requirements
- Requires 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 2019 as the third performance year with payment adjustments beginning in 2021.
MIPS Year 3 Program Overview
MIPS combines MU, PQRS, and VBM to measure clinicians in four different categories.
The new quality program structure increases emphasis on interoperability and quality, while decreasing patient costs.
More Exciting News
MACRA proposes more exciting reporting and data submission options.
“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, Director of Business OperationsCape Fear Arthritis Care
"TSI Healthcare is top-notch when it comes to Meaningful Use. They help us with attestation and they explain the government regulations. They are first level support when it comes to Meaningful Use."Hope, System Support & Implementation MangerTidewater Physicians Multispecialty Group, P.C.
"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.
"We truly have a partnership with TSI Healthcare. For me, the greatest assets have been the implementation team that helped us bring the whole process into the office. The Meaningful Use team has really helped us navigate through all of the regulatory requirements to receive our bonuses and to make sure that we are using our EHR the way it was designed to be used."Robert Stutman, OD, MBA, FAAOSelect Eye Care
"As government regulations continue to evolve, TSI Healthcare remains current regarding the changes and always keeps us informed in a prompt manner."Ana, Director of Clinical PracticeArthritis & Rheumatism Associates, M.D.