Staying Independent...Together

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   RE: Required Programs
 From: Jessica Rongitsch
 To: Member Forum
 Posted: 11-01-2017 10:16
 Message: I agree I am completely confused. I have about 8 Medicare patients and called CMS over a year ago and they told me I was exempt due to not billing enough/few Medicare patients (although I never received a letter.)  I just received a letter from CMS yesterday that we're being penalized 2% since we didn't fulfill requirements.

When I go to CMS website and look at the pages of instructions full of MIPS/MACRA/APM/PQRS my head spins and it just doesn't feel worth it for 8 patients.  In addition at one point I contacted our EHR ECW to see how to use their program to report and you have to purchase a separate product and then also pay per patient.

Now I'm wondering if there is another component I'm missing for which I am not exempt to warrant the penalty.
Jessica

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Jessica Rongitsch MD, FACP
Capitol Hill Medical
Seattle, WA
98104
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Original Message:
Sent: 10-26-2017 14:44
From: Craig Ross
Subject: Required Programs

1.  If you are exempt from MIPS/MACRA, you should have received a letter from CMS stating so.  If you are a new practice, I believe you are automatically exempt this year.  You need to find out.  See below for the .pdf to find help (Page 1).

2.  If you are exempt, you "can" submit MIPS/MACRA data but it won't count.  You won't get incentives or penalties.

3.  Meaningful Use for Medicare has been absorbed into MIPS.

4.  If you are involved in MU for Medicaid, you can continue the program until the last year of eligibility.  I think it's too late to start MU for Medicaid.  The law was an attempt back in 2010 to get providers into EMRs but you had to commit by a certain date.  Double check this.  It was great b/c all I had to do was "attest" the first year and prove 30% of my patients during any 3 month period where Medicaid (easy for a start up if you take Medicaid).  For that, I got an $18,000 check - big $$ for a start up.  Now I get $8000/yr but the work is more and more painful.

Here is where you can go for help:
https://qpp.cms.gov/docs/QPP_Technical_Assistance_Resource_Guide.pdf

There are two programs.  The first page lists the CMS contracted/funded corporations that can guide you and educate you on all these quality programs.  The one for Michigan helps me report Medicaid MU.  I've also signed up for MIPS assistance because it was free.  I'm exempt so I can't report MIPS but I'm still using their help to set up my practice to be ready to report if/when I am required to report.

The second page lists Practice Transformation Networks.  These CMS contracted/funded corporations help you to change practice systems to "conform" to what CMS/Medicare wants you to be doing.  Of course, what they want matches the MIPS incentives.  Some of it is stupid and I choose not to do it.  Some of it is helpful.  My PTN has a depression screening and treatment practice improvement program which I'm doing.  It's not very helpful because I've already been screening everyone but it checks the box for ABFM practice improvement requirement.

Total cost for all this help is $200 for the year.  CMS picks up about $2500.  Some of it is REALLY helpful (assistance with SRA and electronic registries for Medicaid MU) and some of it is so-so (PTN).

Craig

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Craig Ross, M.D.
Family Medicine
South Arbor Family Care
Ann Arbor, MI
M: 734-756-8446
W: 734-707-7075
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Original Message:
Sent: 10-26-2017 08:25
From: Laurie Troup
Subject: Required Programs

Good morning Michael,
Thank you for the link. I still don't see any current programs to sign up for.
Laurie

Sent from my iPad


Original Message------




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