MACRA: Navigating The Final Rule Part 3


Meaningful Use &
Clinical Quality Specialist

It’s December, which means the beginning of The Medicare Access & Chip Reauthorization Act (MACRA) is less than a month away! We’re back with the third installment of our blog series, MACRA: Navigating The Final Rule, dedicated exclusively to helping you navigate the murky waters of MACRA in 2017 and beyond.

Before you get started, check out the first two blogs in our series to learn more about key changes your practice will see during the 2017 transition year of the new Quality Payment Program (QPP) and about the final changes to the MIPS Composite Scoring Categories.

As part of TSI Healthcare’s ongoing commitment to ensure your success with MACRA, this blog will discuss several key steps your practice should be taking throughout the month of December to prepare for MACRA in 2017 and beyond.

Click here to learn more about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Step 1: Identify Your Practice’s MIPS Representative
Your practice’s MIPS representative will be the primary contact for your MU Specialist and will be responsible for running HQM reports, attending monthly Hot Topics webinars, and keeping your practice on track with its MIPS goals. This person will more than likely be the same as your MU representative; however, it is important to establish who this person will be sooner rather than later.

Step 2: Meet With Your Practice’s MIPS Team Regularly 
In order to properly prepare for MIPS, we suggest your practice’s MIPS team meet every other week to review both your 2016 MU and PQRS reports.

  • As you meet, split your team’s focus between the following categories:
    • Spend 60% of your energy on 2016 PQRS and VBM measures.
      These programs will become the Quality category of MIPS in 2017.
    • Spend 25% of your energy on MU measures.
      This program will become the Advancing Care Information category of MIPS in 2017.
    • Spend 15% of your energy focused on the new category of MIPS, Improvement Activities.
  • When meeting with your team, pay special attention to how you currently utilize your Electronic Health Record System (EHR). A few key things to focus on include:
    • Patient Engagement
      • Patient Portal (enrollment, patient access, and messaging)
    • Interoperability
      • Direct Messaging
        • Important: Beginning in 2018, Eligible Clinicians (ECs) will be accountable for sending and receiving direct messages.
      • Finally, when your team meets in preparation for MACRA, focus on how you compare to your peers. Since MACRA places a heavy emphasis on interoperability and improving care provided to patients across specialties, it is important to understand how your ECs compare to national benchmarks.
        • Example: If one of your ECs is performing at 50% on a quality measure, but the national average is 75%, look to see what can be done to provide better patient care and increase their quality ranking.

Step 3: Watch TSI Healthcare’s MACRA Overview Presentation
The new federal policy includes a shift or rebranding of federal incentive programs including Meaningful Use, PQRS, and VBM into MIPS for 2017 and subsequent years. It also introduces a new reporting category under MIPS called “Improvement Activity” that focuses on improving care coordination, beneficiary engagement, population management, and health equity.  In 2017 practices will have the option to participate in either MIPS or Advanced Alternative Payment Models (APMs). To help you determine which path is right for your practice, head over to our events page and join our team of MACRA pros as we help you navigate the murky waters of these new government regulations.

Step 4: Read Our Entire MACRA Blog Series
If you missed out on the first two blogs in our series, Navigating MACRA, click here to read about changes that your practice will face during the 2017 transition period of the new QPP and changes to the MIPS Composite Performance Scoring Categories.

Step 5: Sign Up For TSI Healthcare’s New Service Line, Quality Program Services
TSI Healthcare is dedicated to providing your practice with the best tools and the best services in the industry. As part of that commitment, we are constantly transforming our services to ensure your success. Beginning in January, TSI Healthcare will launch our new service line, Quality Program Services, to help you stay on track with MIPS in 2017 and beyond. With your participation, your practice will have access to QRUR reviews, personalized measure selection, workflow consultation and training, and access to exclusive webinars across all four categories of MIPS.

Stay tuned for more information regarding this revolutionary new product, launching in January 2017.



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