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MACRA: MIPS & APMs

MACRA is a law passed in April 2015 to replace the previous SGR program which governed how CMS pays physicians for their services.  StreamlineMD is keeping close watch on the development of this law's payment programs and will keep the links below updated with the latest information.

CMS Guide - https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html

PARTICIPATE IN MACRA/MIPS WITH EASE - WITH STREAMLINEMD!

MACRA MIPS

There is a great deal of consternation amongst physician practices as it relates to MIPS/MACRA. While it is certainly complex and confusing, understanding the requirements and participating wholeheartedly may prove to be a real opportunity to increase reimbursement in a material way.

Many practices will undoubtedly fail to put forth the effort or may simply not have the correct technological or billing resources in place to participate.  Their loss could be your gain because every dollar of penalty that is assessed to non-participating practices will be redistributed to those who participate successfully.  With penalties growing from 4% in 2017 to 9% in 2020, the difference in reimbursement for those who score at the top versus those who do not participate at all could be a whopping 18%!  

StreamlineMD, in partnership with Mingle Analytics, has gone to great lengths to implement a very robust set of resources to ensure that our customers will be able to partake with a minimum of hassle.  Obviously, we can't document your encounters for you, but we have taken steps to help you do so with relative ease.  Moreover, we will handle the data submission process. 

Below is a list of resources we have put in place for our office-based interventional specialist clients:  
  • Guidance on which measures to choose 
  • Work Instructions for each Quality (formerly PQRS) and ACI (formerly Meaningful use) measure
  • Youtube videos for each relevant measure 
  • Youtube videos for PM+ to extract out CPT codes for non-Premier customers 
  • All measures are built into templates for easy navigation based on each measure's requirements 
  • CPT groupings specific to your practice/measures chosen 
  • Weekly reports on ACI progress
  • Color coded blood pressures to guide on high/normal readings to assist with Quality measures 
  • Color coded BMI calculations to guide on low/normal/high readings to assist with Quality measures 

It is not too late to avoid the penalties for 2017 (affecting reimbursement in 2019)   
Please contact sales@streamlinemd.com for more information and assistance.

 for more information.