tci Medicare Compliance & Reimbursement - 2018 Issue 7

Medicare Policy: Slow MIPS Down, Bipartisan Budget Act Suggests

Hint: Don't expect the Cost category percentages to go up anytime soon. The first year of the Quality Payment Program (QPP) reporting is finally at a close. And, though the calculations aren't in yet on whether Medicare Part B's reimbursement opus was a success, the government has already decided to reduce some requirements before the dust settles on Performance Year 1. Context: MACRA mandated a replacement for the Sustainable Growth Rate (SGR) system that supported value and quality care. The new QPP was initiated in 2017 under two distinct Medicare reimbursement paths - the risk-and-reward Advanced Alternative Payment Model...

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