The Nitty-Gritty of MACRA 2017

MACRA (Medicare Access and CHIP Reauthorization Act of 2015) basically repealed the SGR formula for determining Medicare Fee for Service payments. This act also included a replacement where Congress directed CMS to implement the Medicare Incentive Payment System (MIPS) as a new physician payment system that incentivizes quality and efficiency rather than volume. MIPS rolls the existing PQRS, Value Based Modifier and Meaningful Use into one program. The previous programs were merely baby steps to implement MACRA. If you are a Medicare provider who is not newly enrolled and bills Medicare charges of $30,000 or more on behalf of 100 or more Medicare Part B beneficiaries per year, you are cove

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