tci Medicare Compliance & Reimbursement - 2018 Issue 10

Reimbursement: Follow This Expert Advice on Advanced APMs

The rewards can be great with APMs, but so can the risks. Most eligible clinicians (ECs) participate in the standard Merit-Based Incentive Payment System (MIPS) track while others seek out the revenue rewards that come from a MIPS-based Alternative Payment Model (APM). But for some Part B providers, the lure of long-term payoffs and professional accolades leads them to join Advanced APMs, avoiding MIPS altogether. If the rumored financial windfalls of joining an Advanced APM seem too good to be true, that's because they probably are - and you may end up making more money by staying on the...

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