Medicine claims another victory in insurance mega-mergers
April 28, 2017NCMS president and executive attend AMA National Advocacy Conference in Washington, DC
April 28, 2017The Centers for Medicare and Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in the Merit-based Incentive Payment System (MIPS), part of the new Quality Payment Program (QPP), or if they are exempt. In late April through May, Novitas Solutions will send practices a letter providing the participation status of each MIPS clinician associated with your Taxpayer Identification Number (TIN).
Clinicians are exempted from participating in MIPS in the 2017 transition year if they:
- Bill less than $30,000 in Medicare Part B allowed charges a year,
- Provide care for less than 100 Part B-enrolled Medicare beneficiaries a year, or
- Are new to Medicare or not among the types of providers required to report.
QPP intends to shift reimbursement from the volume of services provided toward a payment system that rewards clinicians for their overall work in delivering the best care for patients. It replaces the Sustainable Growth Rate formula and streamlines the “legacy programs” — Physician Quality Reporting System, the Value-based Payment Modifier, and the Medicare Electronic Health Records Incentive Program.
Get the help you need to prepare for these changes through the Colorado QPP Coalition. Click here to visit the coalition website.