MACRA was enacted to replace the Sustainable Growth Rate so that growth in per beneficiary Medicare expenditures does not exceed the GDP growth. MACRA applies for Medicare Part B only (physician services) and CHIP. MACRA has created two Quality Payment Programs.

  1. Merit Based Incentive Program (MIPS)
  2. Advanced Alternative Payment Models

MACRA is a combination of the following three programs to convert them into a single Quality Payment Program (QPP) that focuses on cost, quality and administrative simplification by removing different reports requirement.

  1. PQRS
  2. Meaningful Use
  3. Value based Modifier

We understand the multiple categories of reporting for MACRA and how the scoring is done. We can determine if professionals in your organizations are eligible and the systems they should be reporting under. Our professionals help you identify your organizational strengths and weakness and provide a plan on maximizing your Medicare payments.

Failure to report successfully or participate in the program results into 2% direct reduction in Medicare B-Payments in the 2nd consecutive CY, additionally 4% trimming on Value Modifier payments and trimming in EHR-MU-Stage-II incentives which may cumulate up to 10% or + of the revenue loss to a group practice. Additionally loss of practice reputation, as may be reflected on Physician Compare Website in comparison with your peers, will be much more significant for practice growth and patient retention.

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