AMA offers step-by-step guidance to help physicians avoid 2019 MIPS penalties

Practice Management

The American Medical Association's education campaign, "One patient, one measure, no penalty," is designed to help physicians meet 2017 Medicare Access and CHIP Reauthorization Act's quality metrics for the Merit-based Incentive Payment System, according to AMA Wire.

If physicians fulfill 2017 MIPS reporting requirements, they will avoid a negative 4 percent Medicare Part B payment adjustment in 2019. While physicians who participated in the Physician Quality Reporting System and meaningful use program will find the new reporting requirements familiar, those who haven't may need additional help.

 

Therefore, the AMA created a video and step-by-step guide to help physicians with tasks they should complete by Oct. 2 to fulfill the one-patient, one-measure requirement for 2017.


The one-patient, one-measure requirement is one of four Quality Payment Program "pick your pace" options.

 

The AMA offers guidance for physicians who file as individuals. To avoid the penalty, physicians must include a quality data code on one claim form for a Part B patient. This reporting is doable without a specialty registry or EHR vendor.

 

Two-thirds of clinicians are exempt from MIPS and QPP reporting, however. Those providers include:

 

• Those practicing only in rural health clinics or federally qualified health centers.
• First-time Medicare enrollees during a MIPS reporting period.
• Physicians billing $30,000 or less in Part B charges; those who have 100 or fewer Part B-enrolled Medicare patients.
• Physicians opting in the advanced alternative payment model.
• Non-patient-facing specialists billing for 100 or fewer patient-facing encounters during a reporting period.

 

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