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    Looking ahead at MACRA/MIPS reporting for physicians


    To avoid negative Medicare payment adjustments under MIPS, non-exempt clinicians need to choose one of the following reporting options for 2017:

    ·       Full-year reporting: If you report all of the required measures for a minimum of a continuous 90-day period, you may be eligible for a positive payment adjustment, depending on your performance results.

    ·       Partial-year reporting: If you submit performance data on one quality measure, more than one improvement activity or more than the required measures in the advancing care information category for a minimum of a continuous 90-day period, you may have a neutral adjustment or earn a positive payment adjustment—depending on your results.


    Quiz: How well do you understand MIPS?


    ·       Minimum reporting: If you report a minimum amount of data for 2017 (e.g., one quality measure, one activity in the improvement activities category), you can avoid a negative payment adjustment, but you will not be eligible for a performance bonus.

    In addition, if you will be reporting this year, you need to decide if you will be reporting as an individual or as a group. For more information, visit the Quality Payment Program website.

    Refine documentation management process

    Whether or not your practice is choosing to report this year, you still need to get your data in order so you will be prepared to meet future compliance requirements. If you don’t already have a proactive documentation management process in place, you should consider establishing one now.


    Related: Slow and steady won't win MACRA race for physicians


    Having accurate performance data is key to meeting the reporting requirements for MACRA. The quality of your electronic health records (EHR) and practice management (PM) systems as well as the knowledge of your staff in using those systems will affect your ability to report performance data accurately and timely.

    If your systems are not working for your practice in the way that you had envisioned, assess whether it is a system problem or a training problem. Most physician practices are underutilizing their EHR system and therefore not maximizing the value of their technology investment.

    Next: Mind the timeline

    Kevin N. Fine, MHA
    Kevin N. Fine, MHA, is a director of healthcare advisory services in the Miami office of Kaufman Rossin, one of the Top 100 CPA and ...


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