MACRA and QPP

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 introduced the new QPP with two tracks for participation: the MIPS and Advanced Alternative Payment Models (APMs). MIPS is the QPP track most physicians will (initially) participate in.

What Is MIPS?

MIPS is a payment mechanism that will provide payment adjustments to Medicare Part B payments two years after the performance year. Three previous programs (EHR Meaningful Use [MU], Physician Quality Reporting System [PQRS], and Value-Based Modifier [VM]) were consolidated into the new Merit-Based Incentive Payment System (MIPS) program. Payment adjustments are based on performance.

About MIPS

• Nonparticipation penalty: Nonparticipation in QPP will result in Medicare Part B payment penalty.
• Eligibility: Check if you are eligible to participate in MIPS by visiting the CMS QPP website and by entering your National Provider Identifier (NPI) number(s).
• MIPS Components:
  • Quality (formerly PQRS)
  • Promoting Interoperability (formerly Advancing Care Information)
  • Improvement Activities (IA)
  • Cost

About US

We started operations in 2011 specializing in hospital-based practice management, staffing and strategic marketing.

We have continued to grow and expand our business to include Compliance Checker, Healthcare billing interface, and Meridian Medical Solutions.

Compliance checker is a compliance platform to assist clinical providers that do not have an EHR but need to capture quality data, or whose EHR does not capture the measures or data desired. This platform “Compliance Checker” (www.cptchecker.com), is built around the client need and measures selected. Reports can be run in an excel format so client can utilize to import in their own practice management program or send to our affiliate Healthcare Billing for processing.

We have built a strong relationship with Healthcare billing who has an average days in AR of 15 days, creates customized reports so that compensation to the provider can be based on RVU, has certified coders to review coding specifics and educate providers on changes that will effect them. They can be reached at www.billingsquare.com

Meridian Medical Solutions is the administrative office for several clinical groups. Hospital based practices often do not have the infrastructure to handle administrative duties and unfortunately that will then either fall to the Medical Director to complete or will simply not get done. Meridian Medical Solutions assists with items such as staffing, management, credentialing, and contract negotiation. They can be reached at www.meridianmedicalsolutions.com