Category: MACRA

How to set-up a QPP compliant reporting mechanism

Are you overwhelmed thinking about creating QPP compliant reporting? Well, you’ll be relieved to learn it’s not very different from the way in which you previously reported your data, especially under the Quality category. CMS does require different reporting thresholds and specific information for certain reporting mechanisms, however. You’ll have

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Four ways MACRA can hurt your practice

MACRA requirements have many physicians throwing up their hands in frustration. Extensive changes to their reporting and practice structure are creating a scramble to both understand the rules and create systems to comply. While some are hoping for a legislative fix, the program is in place and here to stay.

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Four ways MACRA can help your practice

For the foreseeable future, MACRA requirements are in place and here to stay. While many are scrambling to understand the new rules and perhaps complaining about the changes it brings, one simple fact is clear: ignoring MACRA will directly cost you money. Conversely though, the program also offers unprecedented opportunities

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Understanding your QRUR

CMS’ Quality and Resource Utilization Report can be used to gauge performance in the same way as the Physician Quality Reporting System (PQRS) and the Value-Based Modifier (VBM) programs. What is the QRUR? The new Quality and Resource Utilization Report (QRUR) is a report that was developed by CMS to

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MACRA implementation timeline and key dates you should be aware of

While 2017 and 2018 are transition years for the Medicare Access and CHIP Reauthorization Act (MACRA), there are several key dates of which to be aware. Adequately planning and preparation will offer you the best chance of success in 2019 when benchmarks and reporting begin to substantially affect your reimbursements.

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What are the PQRS requirements?

The Medicare Access and Chip Reauthorization Act of 2015 (MACRA) repealed the flawed Sustainable Growth Rate (SGR) reimbursement formula and replaced it with the new value-based reimbursement system called the Quality Payment Program (QPP). The program includes the choice between two major tracks: The Merit-based Incentive Payment System (MIPS) and

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