Be MACRA Compliant:
A large percentage of physicians’ Medicare payments are based on value – not on volume. High-value care is defined by measures of quality and efficiency, and providers earn more or less depending on their performance against those measures. Physicians that bill over 90,000 dollars in Medicare Part B services, see more than 200 Medicare patients, and provide more than 200 Medicare covered professional services annually are subject to comply with MACRA. Physicians failing to participate are subject to a deduction of 9% per year. All the money is deducted from physicians ignoring MACRA and is allocated back to the physicians that excel in performance on MACRA guidelines. Microwize is committed to helping physicians to be among the top providers avoiding penalties and striving for bonuses.
How To Avoid MACRA Penalties?
The biggest problem is as physicians become hospital employees, their allegiance shifts from the patient to the corporation (or Government). The bottom line, Providers are no longer independent professionals — physicians are employees that will do the bidding of their employer. Physicians are losing their ability to choose the method and specific products to use in their procedures as these decisions are now made by the hospitals and the government-run insurance policies.
MACRA Payment Programs
What’s the MACRA Quality Payment Program?
The MACRA QPP helps us move more quickly toward our goal of paying for value and better care.
The Quality Payment Program has 2 paths:
Merit-Based Incentive Payment System (MIPS)
The MIPS is a new program that combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VBM or Value-Based Payment Modifier), and the Medicare Electronic Health Record, known incentive program, known as Meaningful Use (MU) into one single program in which Eligible Professionals (EPs) are measured on:
🗹 Resource use
🗹 Clinical practice improvement
🗹 Promoting Interoperability
Alternative Payment Models (APMs)
APMs give us new ways to pay health care providers for the care they give Medicare beneficiaries. For example:
🗹 In September 2020, CMS announced the disbursement of the 5% APM Incentive Payments to eligible physicians who were Qualifying APM Participants (QPs) based on their 2018 performance.
🗹 From 2019-2024, some participating health care providers receive a lump-sum incentive payment.
🗹 Increased transparency of physician-focused payment models.
🗹 Starting in 2026, it offers some participating health care providers higher annual payments.
We have the expertise and skills to help you with the tools you need for MACRA & MIPS. We have been helping physicians to be among the top providers avoiding penalties and receiving bonuses. The difference between a 9% penalty and a 9% bonus is 18%; please ignore this message if you don’t care about 18% of Medicare income.