iPatientCare Blog - Quality Payment Program 2019 Final Rule

Quality Payment Program 2019 Final Rule – Key Changes

One of the greatest challenges for physicians and staff is keeping up with the changing regulations that takes so much of the day to day activities in healthcare practices. Fully comprehending the evolving MACRA changes can be extremely difficult for already strained practice staff. Keeping track of everything can be a challenge. At iPatientCare, we strive to guide you through the ever-changing regulatory world to help you meet all the quality initiatives you’re pursuing. We are staying current to help our clients with the best advice and ideas to maximize their earning potential.

As the Quality Payment Program Year 3 moves forward, clinicians and practitioners must be prepared for the changes that have already occurred while we prepare for the changes that will occur. We understand that you must be feeling confused about the updated rules and requirements. Don’t worry if you don’t feel ready, iPatientCare has your back! As a part of our ongoing eLearning webinar series, our upcoming webinar will walk you through the important updates that were made to the Quality Payment Program for Calendar Year 2019 and what you need to do for reporting. The webinar will detail reporting requirements for the Merit-Based Incentive Payment System (MIPS) as well as the Alternative Payment Model (APM) option.

Important Updates made to the Quality Payment Program for Calendar Year 2019 aims at:

  • Reducing the clinician burden
  • Implementing the Meaningful Measures Initiative
  • Promoting interoperability
  • Continuing support of small and rural practices
  • Empowering patients, and promoting price transparency.

Brief overview

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires CMS by law to implement an incentive program, referred to as the Quality Payment Program, that provides two participation tracks.

  1. Advanced Alternative Payment Models (APMs)
  2. Merit-Based Incentive Payment System (MIPS).

Strategic Objectives behind Quality Payment Program / MIPS:

  • Improve Beneficiary Outcome
  • Reduce Burden on Clinicians
  • Increase adoption of Advanced APMs
  • Maximize Participation
  • Improve Data and Information Sharing
  • Ensure Operational Excellence in program implementation
  • Deliver IT System capabilities that meet the needs of the users

8 Things Physicians need to know about MACRA in 2019

  1. A third low-volume threshold has been added
  2. Changes have been made to the performance category weights used to calculate Merit-based Incentive Payment (MIPS)
  3. Payment adjustment will range from -7 percent to 7 percent in the 2021 payment year
  4. The updated rule requires the use of 2015 CEHRT for the reporting year 2019
  5. Recognition for treatment of complex patients
  6. Bonus for small practices
  7. Physicians can opt-in to MIPS
  8. Expansion of MIPS Eligible Clinician Types

Our team has studied the 2019 Final Rule so you don’t have to. We’ve analyzed the final updates to the program and are ready to share them with you in the most simple manner. In this webinar, our experts will review each performance category and help you understand what you can do now to prepare for MIPS and MACRA. Here is what will be covered in this session:

  • Overview of the 2019 Final Rule
  • Eligibility
  • Participation options
  • Reporting Options and Data Submissions
  • Performance Categories
  • Additional Bonuses, Performance Threshold, and Payment Adjustments
  • Updates to Advanced APMs
  • Question & Answer session

Webinar participants will get to learn more about what is included in the final rule for QPP performance period (CY 2019), including key differences between Year 2 and Year 3 requirements and Year 3 policy changes for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs)

Join us for an in-depth look at Medicare’s 2019 Final Rule and how it applies to the QPP and 2019 MIPS reporting from a clinician’s perspective and stay ahead of quality reporting. We will walk you through the important changes to the program and provide you with the information you need for successful implementation.

Interested in learning more about QPP 2019 Final Rule? Click here to register for the latest webinar on April 18th and get the synopsis of what’s going on!


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