The Quality Payment Program that is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) improves Medicare by helping Providers focus on care quality and the one thing that matters most — making patients healthier. The Quality Payment Program is focused on moving the payment system to reward high-value, patient-centered care.
The Quality Payment Program has two tracks you can choose from:
1). Advanced Alternative Payment Models (APMs)
2). The Merit-based Incentive Payment System (MIPS).
Participate in the Advanced APM track:
If you receive 25% of Medicare covered professional services or see 20% of your Medicare patients through an Advanced APM in 2017, then you earn a 5% Medicare incentive payment in 2019.
You are eligible to participate in the MIPS track of the Quality Payment Program if you bill more than $30,000 to Medicare, and provide care to more than 100 Medicare patients per year, and you are a : Physician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist. If 2017 is your first year participating in Medicare, then you are not required to participate in the Quality Payment Program in 2017.
Participate in the MIPS track:
If you choose the MIPS track of the Quality Payment Program, you have four options.
1.Don't Participate
Not participating in the Quality Payment Program: If you don't send in any 2017 data, then you receive a negative 4% payment adjustment.
2.Submit Something
Test: If you submit a minimum amount of 2017 data to Medicare (for example, one quality measure or one improvement activity), you can avoid a downward payment adjustment.
3.Submit a Partial Year
Partial: If you submit 90 days of 2017 data to Medicare, you may earn a neutral or small positive payment adjustment.
4.Submit a Full Year
Full: If you submit a full year of 2017 data to Medicare, you may earn a moderate positive payment adjustment.
The size of your payment adjustment will depend both on how much data you submit and your quality results.
Retrieved from https://qpp.cms.gov/
The Quality Payment Program has two tracks you can choose from:
1). Advanced Alternative Payment Models (APMs)
2). The Merit-based Incentive Payment System (MIPS).
Participate in the Advanced APM track:
If you receive 25% of Medicare covered professional services or see 20% of your Medicare patients through an Advanced APM in 2017, then you earn a 5% Medicare incentive payment in 2019.
You are eligible to participate in the MIPS track of the Quality Payment Program if you bill more than $30,000 to Medicare, and provide care to more than 100 Medicare patients per year, and you are a : Physician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist. If 2017 is your first year participating in Medicare, then you are not required to participate in the Quality Payment Program in 2017.
Participate in the MIPS track:
If you choose the MIPS track of the Quality Payment Program, you have four options.
1.Don't Participate
Not participating in the Quality Payment Program: If you don't send in any 2017 data, then you receive a negative 4% payment adjustment.
2.Submit Something
Test: If you submit a minimum amount of 2017 data to Medicare (for example, one quality measure or one improvement activity), you can avoid a downward payment adjustment.
3.Submit a Partial Year
Partial: If you submit 90 days of 2017 data to Medicare, you may earn a neutral or small positive payment adjustment.
4.Submit a Full Year
Full: If you submit a full year of 2017 data to Medicare, you may earn a moderate positive payment adjustment.
The size of your payment adjustment will depend both on how much data you submit and your quality results.
Retrieved from https://qpp.cms.gov/
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