Join IPClinical to understand the MACRA-MIPS Program and identify how your practice can effectively deliver healthcare to earn incentives.
Request a DemoThe Medicare Access and CHIP Reauthorization Act (MACRA) was signed on April 16, 2015 and replaces the current Medicare reimbursement schedule and ends the Sustainable Growth Rate formula with a new pay-for-performance program focusing on quality, value, and accountability replacing the previous fee-for-service model.
MACRA replaced the Physician Quality Reporting System (PQRS), Value-based Payment Modifier (VBM), and the Medicare Electronic Health Record (EHR) incentive program and tries to simplify them into one new Quality Payment Program (QPP) with two paths: The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).
Under MIPS, clinicians are included if they are an eligible clinician type (EC/EP) and meet the low volume threshold (LVT), which is based on allowed charges for covered professional services under the Medicare Physician Fee Schedule (PFS) and the number of Medicare Part B patients who are furnished covered professional services under the Medicare Physician Fee Schedule.
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