Although the details for implementation are still in flux, the Medicare Access and Chip Reauthorization Act (“MACRA”) became law in 2015 and takes effect in 2018. The law was created, largely, to mitigate traditional “fee-for-service” reimbursement models for physicians by moving towards a more value-based system of care; providers are to be compensated for better care, not just more care. Over time, physicians will be moved into one of two payment tracks based on eligibility: the Merit-Based Incentive Payment System (“MIPS”) or an Alternative Payment Model (“APM”).

Because 2017 was the first MIPS performance period, providers have options to report by March 15, 2018 to qualify for Medicare reimbursement incentives or to avoid penalties. Currently, the maximum penalty is anticipated to be 8% of reimbursement, while quality payments can add more than 20% to reimbursement amounts for a Practice. The level of reimbursement adjustment is based upon a MIPS score ranging from 0 to 100 points, with points being awarded through four weighted performance categories.

So, there truly is reason to evaluate your compliance with these programs in these categories. This includes having utilized an approved Electronic Health Record (“EHR”) for at least 90 days during the reporting period. MedComm recommends familiarizing yourself with the CMS Quality Payment Program portal and even doing a test scorecard prior to the deadline. Should you need assistance, please contact us.

As the MIPS program evolves, MedComm is available to help improve a Practice’s test scores. Important components of this often include greater communication and engagement with your Patients. To implement this improved communication and CARE, MedComm offers a variety of social media tools. Whether providing timely care and information to patients regarding their treatment or treatment plans, to simply offering a vehicle to answer questions quickly, greater patient satisfaction and CARE will result.