MACRA: Navigating The Final Rule Part 4

Senior Meaningful Use &
Clinical Quality Specialist

Are you prepared for the Medicaid Access and CHIP reauthorization Act (MACRA) to begin? If you answered no, time is running out. MACRA has begun!

We would like to welcome you back to the fourth installment of our blog series, MACRA: Navigating the Final Rule, dedicated exclusively to helping you navigate the murky waters of this new government regulation. Before you get started, be sure to read the first three blogs in our series:

  1. Key Changes Your Practice Will Face During the 2017 Performance Period of the New Quality Payment Program
  2. Proposed Rule Versus Final Rule: MIPS Composite Performance Scoring
  3. 5 Steps to Prepare for MACRA

Black Book recently revealed that 66% of high Medicare-volume small practices stated they foresee an end to their independence due to the changes that will take effect under MACRA. With 78% of
TSI Healthcare’s clients having 10 or fewer physicians, we are committed to helping you remain independent and successful.

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

As part of our commitment, this blog will outline several special considerations specifically designed to help small practices to succeed in MACRA.

  • Expanded Exclusions: During the 2017 reporting year, also known as the transition year, CMS will exclude low-volume clinicians from participating in MIPS if they meet the low-volume threshold criteria. The final MACRA ruling states that a low-volume provider will be considered a Non-MIPS Eligible Clinician (EC) if their Medicare billing charges are less than $30,000 a year, or they see less than 100 Medicare Part B patients in a year.
  • Small Practice Assistance: In addition to excluding low-volume clinicians from the 2017 MIPS performance year, CMS has allotted $20 million for 5 years to assist in training and educating MIPS ECs in small practices, rural areas, and health professional shortage areas with 15 or less ECs.
    Note: Priority will be given to rural and unserved areas with 15 or less ECs.
  • Decreased Submission Requirements: CMS has also announced that small practices with 15 or fewer ECs, located in rural areas and health professional shortage areas (HSPAs), will only be required to submit half the amount of required activities in order to receive full credit.
    • Practices given special consideration must complete either 1 high-weighted or 2 medium-weighted Improvement Activities to receive full credit. Practices without special consideration will have to complete 2 high-weighted or 4 medium-weighted, or any combination of both Improvement Activities to receive full credit.
  • Pick Your Pace: After soliciting feedback on the proposed Quality Payment Program, CMS announced that it will allow providers to pick their pace for the first performance year. Read our blog highlighting all of your options for the pick your pace program here.

lightbulb TSI Tip – Quality Program Services: As part of TSI Healthcare’s commitment to providing its clients with the best tools and the best services in the industry, we are excited to introduce the next level of federal policy guidance. The same team that successfully navigated you through the murky waters of Meaningful Use has been completely transformed to help you achieve new levels of success in MACRA through our new Quality Program Services. Schedule an appointment with your Client Solutions Advisor today to learn more about your practice’s options.

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Need more help navigating MACRA? Watch our webinar “MACRA101: The New Quality Payment Program,” to learn more about the changes that will take effect in 2017.

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