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   RE: Required Programs
 From: Michael Safran
 To: Member Forum
 Posted: 10-24-2017 18:33
 Message: Laurie,

I have been researching this as well.   You can call the QPP phone line.  They are helpful.  But be prepared to spend several hours on the phone.
and to still come away confused.  I have called several times and am starting to understand this mess.

My understanding is if you have less then 100 medicare patients or less then $75,000 in MCR billings during the 12 month calculation period, you should be exempt from MIPS / MACRA for 2017, which means there should be no penalty in 2019 (but no positive adjustment either).

The other thing to do, to further assure you are not penalized, which I plan to do, is to submit in 2017 one quality code on one patient for $0.01  That should qualify as meeting your MIPS / Macra submission requirement for 2017, and again, no negative adjustment.

If you are exempt you do not need to submit any QPP data for 2017.

If you are not exempt, there are a few ways to potentially earn a positive adjustment in 2019.   You could submit QPP data and do the MIPS / MACRA reporting for 2017 reporting period.  OR  If you join an ACO or APM group in 2017, that submits your data for you, you may qualify for an upward adjustment in 2019.

If I am wrong, I suspect others will chime in.

Michael S. MD
Original Message:
Sent: 10-24-2017 10:06
From: Laurie Troup
Subject: Required Programs

The requested page "/contact-zones?map=qin" could not be found.

 Like so many other government projects, a big circle leading nowhere.

Laurie Troup
Naples FL

Original Message:
Sent: 10-22-2017 16:04
From: Michael Barron
Subject: Required Programs

There should be a "Quality Improvement Organization" for your region that can help with this issue.  My understanding is that there is no cost for these services/advice; CMS is paying them to help us.  I would google the QIO phrase plus your state and see what you get.

Michael Barron MD

Original Message------

Good morning,

I read the various posts in the forum regarding the government programs including MIPS and Macra. I am exempt from these two programs due to my practice size.

I still see Meaningful Use listed in various posts. I thought Meaningful Use had been replaced by MIPS and Macra?

I also saw PQRS discussed as assessing a penalty for those who do not meet the requirements. In my first year of practice I was unable to meet the requirements regarding patient portal usage. Most of my patients are elderly and do not use a computer or have dementia. Based upon this one measure, I was not allowed to submit my data for PQRS. I use Practice Fusion for my EMR. From what I understand this software reports for MIPS and Macra.

Could anyone give me a very brief listing of other similar government programs which I need to be reporting to in order to avoid a Medicare penalty? I do not accept Medicaid. It seems like there are numerous programs which I'm not aware of the reporting requirements.

Thank you,
Laurie Troup

Sent from my iPad

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