Category: Value Based Payment/MACRA
The Centers for Medicare & Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in MIPS, the Merit-based Incentive Payment System. MIPS is an important part of the new Quality Payment Program. In late April through May, practices will get a letter from the Medicare Administrative Contractor that processes Medicare Part B claims. This letter will tell the participation status of each MIPS clinician associated with the Taxpayer Identification Number or TIN in a practice.
Clinicians should participate in MIPS for the 2017 transition year if they bill more than $30,000 in Medicare Part B allowed charges a year AND provide care for more than 100 Part B-enrolled Medicare beneficiaries a year.
The Quality Payment Program intends to shift reimbursement from the volume of services provided toward a payment system that rewards clinicians for their overall … Read More »
Physician Quality Reporting System (PQRS) Groups Must Register to Utilize the CMS Web Interface and/or CAHPS for MIPS Survey by June 30, 2017
Groups participating in the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program are not required to register, except for groups that intend to utilize the CMS Web Interface and/or administer the Consumer Assessment of Health Providers and Systems (CAHPS) for MIPS survey. To register, please visit the Quality Payment Program website. The registration period is from April 1, 2017 through June 30, 2017.
Under MIPS, a group is defined as a single Taxpayer Identification Number (TIN) with two or more eligible clinicians (including at least one MIPS eligible clinician), as identified by their National Provider Identifiers (NPI), who have reassigned their billing rights to the TIN. Eligible clinicians who participate as a group will be assessed … Read More »
On October 14, 2016, CMS released its final rule for the Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).
Kentucky REC presented a MACRA Overview webinar to help organization’s understand how this will impact the way they deliver care.
To listen to the webinar, please click here.
The following questions were asked on the webinar. We have answered the Frequently Asked Questions below.
Please note: If you asked a question and do not see an answer here, please contact us directly and we will be more than happy to speak with you.
1. Are anesthesiologist excluded from MIPS?
Anesthesiologist may be exempt from participating in the MIPS program or certain categories of the program dependent on the place of service codes billed. Once CMS has the NPI lookup feature available you will be able to use this tool to find out for … Read More »
NEWS RELEASE: University of Kentucky Chosen to Provide Support for Small Practices in CMS Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) awarded a contract to Altarum Institute to help small practices in Michigan, Ohio, Indiana, Illinois, Kentucky, Wisconsin, and Minnesota prepare for and participate in the new Quality Payment Program, established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
The University of Kentucky, in partnership with Altarum, will provide this technical assistance, authorized and funded under MACRA, bringing direct support to thousands of Merit-based Incentive Payment System (MIPS) eligible clinicians in small practices with 15 or fewer clinicians, including small practices in rural locations, health professional shortage areas, and medically under-served areas across the country. The direct technical assistance is available immediately, free to all MIPS eligible clinicians, and will deliver support for up to a five year period.
“This work showcases the leadership and innovation of our research and allows UK … Read More »
We need your help!
With the nationwide migration of health care providers into value-based payment systems this year, it is vitally important that the QPP Portal be as user friendly, easily understood, and helpful as it can possibly be.
Who better than the providers and staff to help with an upgrade?
Please contact the Kentucky REC if you would be willing to review the web site and provide feedback, ideas, and suggestions about how to improve the QPP Portal to make it the best it can be for all who depend upon it.
Your insights and ideas will prove essential to guiding future changes and upgrades to the QPP Portal.
Access the QPP Portal here.
Contact us at 859-323-3090 or email us at firstname.lastname@example.org