Feeling baffled by the new quality-measure reporting requirements under the Medicare Access and CHIP Reauthorization Act (MACRA)? A new, short video and website developed by the American Medical Association (AMA) can help.
This is the first year some physicians will be required to participate in the Quality Payment Program (QPP), the new physician payment system administered by the Centers for Medicare & Medicaid Services (CMS), and to report on quality measures under the Merit-based Incentive Payment System (MIPS). In May, CMS notified physicians
about whether they must participate in MIPS. Clinicians may be exempted from participation if they have less than $30,000 in Medicare billings or fewer than 100 Medicare patients a year, are new to Medicare in 2017 or participate in advanced alternative payment models, among other factors.
To ease the transition, MIPS-eligible physicians can pick their pace of reporting quality measures for 2017. They need only report on one quality measure for one patient in 2017, using CMS’ claim form, in order to avoid a 4-percent payment penalty in 2019. (Reporting on more measures is also an option.)
A new AMA website and short video, “One Patient, One Measure, No Penalty: How to Avoid a Medicare Payment Penalty with Basic Reporting,”
offer step-by-step instructions on how to report for 2017 so as to avoid the penalty in 2019. The website also has links to CMS’ quality measure tools, other educational resources and an example of a completed 1500 billing form.
Indiana physicians in practices of 15 or fewer clinicians in rural, medically underserved or health professional shortage areas can also receive free QPP reporting assistance from the QPP Resource Center of the Midwest
, administered by Purdue Healthcare Advisors.