shutterstock_218530573-566759-edited.jpgIn earlier blogs on MACRA, we’ve discussed a series of topics, including the flexibility in the first reporting year 2017 and the “Pick Your Pace” option in MIPS.

CMS recognized that practices will not approach the QPP in the same way and is treating 2017 as a transition year in an effort to make it easier for clinicians to receive a neutral or positive payment adjustment in MIPS. It is also allowing time for clinicians and CMS to build their capabilities and gain valuable experience.

One of the options in the “Pick Your Pace” transition year is for eligible clinicians to report for a minimum of 90 consecutive days of data to increase their chances to qualify for a positive MIPS payment adjustment and avoid the 4% reduction. In order to meet the 90 consecutive days of data submitted, practices need to start accurately recording relevant data no later than October 2, 2017.

To avoid a negative payment adjustment, submit a minimum amount of 2017 data to Medicare; for example, one quality measure or one improvement activity for any time in 2017.

Resources are available for download from our toolkit that provides data and checklists to help you succeed in new payment models.

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Chrissy is a senior manager in healthcare services at HORNE LLP. She collaborates with clients to simplify the complexity associated with payment model reform, quantify the financial impacts, and empower healthcare leaders with insights to transform MIPS/APM from a compliance burden into an opportunity for their organizations. In addition, she works with physicians and hospitals to determine the fair market value of physician/hospital arrangements and performs business valuations of medical practices, ambulatory surgery centers, hospitals and other medical facilities. She has experience with group practices and several large hospital systems in the development and implementation of physician compensation modeling and fair market value contractual agreements. She is also a member of HORNE’s Personnel Committee.

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