tci Medicare Compliance & Reimbursement - 2018 Issue 10

Weigh the Risks of an Advanced APM with this Checklist

Tip: Transitions may require more elaborate technical equipment. There are many things to consider when starting or joining an Advanced Alternative Payment Model (APM). The higher-level path for Part B clinicians receiving Medicare pay through the Quality Payment Program (QPP) can be tricky to navigate and expensive to set up. Consider these five important factors before participating in an Advanced APM, advises industry expert Mike Schmidt, vice president of client success and regulatory affairs for Eye Care Leaders in Charlotte, North Carolina. Look at the dual-sided financial risk of the Advanced APM. Review the administrative and clinical workflow requirements...

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