Medicare’s New Payment System for Medical Practices – Understanding the MACRA Legislation

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

How Does the Medicare Access & CHIP Reauthorization Act (MACRA) Reform Medicare Payment?

In the spring of 2015, Congress passed a major revision in how medical practices will be paid for treating Medicare patients. Instead of paying a set fee for each service provided, Medicare intends to pay each provider a different fee based on their value and performance.  Providers will choose one of two pathways:

  • Providers choosing the Merit-Based Incentive Payment System (MIPS) will be paid higher or lower fees for each service provided based on their Composite Performance Score
  • Providers choosing the Advanced Payment Model (APM) path will participate in risk-based programs such as Medicare’s Shared Savings Program and receive a 5% bonus payment

CMS released proposed rules for this new approach in late April with final rules expected in November.  Services provided during Calendar Year 2017 will form the basis for payments in 2019 and the actions you take starting in January will result in reduction of up to 4% in your Medicare revenue or increase of up to 22%. 2017 is right around the corner – and now is the time to start preparing.

Join this session by expert speaker Jeanne J. Chamberlin to understand how this new legislation will impact your payments for services to Medicare patients. You will learn the pros and cons of selecting between two paths, and help you make a plan to ensure your practice is ready for the transition.

Session Highlights:

  • How Medicare pays those who give care to Medicare beneficiaries under MACRA?
  • Identify the potential impact – positive and negative – on your practice’s Medicare revenue.
  • Identify steps you can take now to prepare for this major change in the future of healthcare reimbursement.
  • Understand the details of the proposed rules MIPS which combines and replaces PQRS, Value-Based Modifiers and Meaningful Use programs.
  • Who are Eligible Clinician under new rule?
  • Review the CMS Programs that are proposed for inclusion under the APM Path for the first year.
  • Review the Medicare Shared Savings guidelines for ACO
  • CMS sets a threshold score for the year based on historical data – somewhere between 0 and 100 points – expect this to be mean or median of MIPS scores from a prior period.
  • Guidelines for Providers not previously in MU
  • Clinical Performance Improvement Activity (CPIA) Category, Special Circumstances along with examples
  • Exceptional Performance Bonus to be divided among TIN/NPI with highest CPS
  • Resources for future reference.

 Who should attend?

  • Physicians
  • Clinicians
  • NPP
  • Practice Administrators
  • Finance Officers
  • Nurse leaders
  • Quality Directors

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Jeanne J. Chamberlin

Jeanne J. Chamberlin  is currently a Practice Management Consultant with MSOC Health. Over the past five years, she has worked with dozens of medical practices to improve efficiency and maximize profit.

As practice administrator of a 10-physician multi-specialty practice, Jeanne began reporting quality measures for the PQRS program in 2007. As a consultant with MSOC Health, she has assisted a wide variety of providers...   More Info
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