The Merit-Based Incentive Payment System (MIPS) determines annual Medicare reimbursement adjustments for nearly 800,000 eligible clinicians through a four-category scoring framework. Quality performance accounts for 30% of the final score, Cost accounts for 30%, Promoting Interoperability accounts for 25%, and Improvement Activities accounts for the remaining 15%. Final scores translate directly into payment adjustments applied […]
Medicare Reimbursement, MIPS, Promoting Interoperability, Quality Reporting, Value Based Care
MACRA changed Medicare reimbursement by ending a model that used to be fairly simple, where you saw the patient, billed Medicare, and got paid based on volume. That model started to shift back in 2015, when Congress passed the Medicare Access and CHIP Reauthorization Act, better known as MACRA. The law rebuilt the way Medicare […]
Advanced APM, CMS, Medicare, MIPS, QPP, Value-Based Models