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Clock is ticking to avoid Medicare payment penalty

With the end of year quickly approaching, now is the time for physicians to finalize and submit data to avoid a 4 percent penalty for their Medicare Part B reimbursement. Eligible physicians must submit just one measure for one patient in 2017 to avoid the negative payment adjustment in 2019.

2017 is the first year of reporting under the MACRA Quality Payment Program (QPP), which affects physicians and practices of all sizes. To determine if you are an eligible physician, visit qpp.cms.gov and enter your NPI in the “Check Your Participation Status” box.

For step by step instructions and additional information, the AMA has created a MACRA resource center.

In addition, the Wisconsin Medical Society is offering a new webinar that provides an overview of MACRA and the QPP and highlights upcoming changes for 2018. Presented by Policy Specialist HJ Waukau, the program will be available on demand early next week for free to Society members and has been approved for AMA PRA Category 1 Credit™. Click here to register or learn more about “2018 Quality Payment Program Updates Under MACRA: Impact for MIPS and APMs”.

Both Waukau and Lisa Davidson, vice president of Advocacy and Membership, met with regional directors of the Centers for Medicare and Medicaid Services in Chicago last week to discuss upcoming changes and the anticipated direction of future payment programs. At the top of the list were the QPP, hospital outpatient reimbursement, pharmacy reimbursement and new alternative payment models.

If you have questions, contact HJ Waukau or Lisa Davidson.

Back to December 14, 2017 Medigram