Medicare Penalties and Incentives – 2016 Update for Medical Practices

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Strategies to Win Medicare Incentives and Avoid Penalties in 2016


Medicare has transitioned to pay-for-performance. Your Medicare reimbursements are now based partly on the quality and cost of the care you provide to your patients. You could receive penalties of up to 10% in 2018 based on activities in 2016. Or, if you demonstrate high quality and low cost in 2016, your Medicare payment rates in 2018 could be higher than the standard reimbursement.

This session with expert speaker Jeanne Chamberlin will clarify what to expect from Medicare in 2016, with regards to penalties and incentives. She will discuss the details of changes to the Medicare PQRS, Value-Based Modifier and Meaningful Use programs for the 2016 reporting year, as well as key deadlines for the 2016 reporting year. She will also provide tips on activities that can be used to meet the requirements for multiple programs.

Session Highlights

  • How failing to meet the requirements of Medicare’s Quality programs in 2016 can result in up to a 10% drop in future Medicare payments.
  • Get a firm grasp on the 2016 requirements for meeting Meaningful Use, PQRS and maximizing scores for the Value-Based Modifier Program. The devil is in the details and these details change year-to-year.
  • Learn how to be on the top scale of the Medicare’s quality performance scores. Medicare will be publishing your scores and encouraging patients to use low-cost and high quality providers, it’s necessary you learn the strategies to achieve this.
  • In 2015, Congress repealed the SGR formula for calculating Medicare payment rates.  It will be replaced by a new acronym called MIPS – Merit-Based Incentive Payment System.  Get a basic overview about how the current Medicare Quality Programs will be combined and transitioned into this new approach.
  • Get a timeline of key steps that are needed throughout 2016 to avoid penalties and position your practice to maximize incentive payments under the Medicare program.

Discussion Points:

  • Medicare penalties for not meeting Meaningful Use requirements.
  • Update on Value Based Modifiers for 2016.
  • Update on PQRS for 2016: Report 2016 Quality Measures to avoid a 2% reduction in 2018 Medicare payments.
  • How to avoid the 2018 penalties.
  • Cross-cutting measure list for 2016.
  • The Future of Quality Reporting.

Who should attend?

  • Physicians
  • Mid-Level Providers
  • Therapists (PT, OT, Speech, LCSW, etc.) in all specialties. 

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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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