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Analysis

Not Ready for MIPS? Here's What to Do

By Debra Shute  
   October 19, 2017

Physicians should use this transition year to take advantage of resources to help them comply with MACRA and get started if they haven't already, the AMA president says.

Although it's been just months since half of healthcare providers admitted stark lack of awareness, let alone readiness, to comply with Medicare Access and CHIP Reauthorization Act (MACRA), a key deadline for the law's merit-based incentive payment system (MIPS) track has already come and gone.

David O. Barbe, MD, MHA, a board-certified family physician and president of the American Medical Association, provides guidance on how physicians and medical groups can get up to speed.

HealthLeaders Media: Now that the October 2 deadline for 90-day participation in MIPS has passed, what's your advice to physicians?

David Barbe, MD: For 2017, if a physician hadn't started reporting prior to October 2, then they missed the opportunity to do what I call 'standard reporting.'

However, in our conversations with CMS in preparation for this first transition year, we were able to negotiate a fairly straightforward process where a physician can report on one patient and one quality measure, and that will exempt them from the penalty.

They don't get a bonus for that of course, but they don't get a penalty applied.

HLM: What are the main questions you have been getting from members about MIPS?

Barbe, MD: When physicians have questions, it's mostly around how to participate, which measures to use, and what's going to work for their practice.

So we have developed several tools and resources, including what's called a payment model evaluator, which lets the physician assess his or practice, where they stand in terms of readiness to participate fully, and what is the gap between where they are now and where they need to be.


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We also have a MIPS action plan, which is an even more robust program that will help physicians track their progress toward being able to participate successfully in MIPS.

To get back to your earlier question: Now is the time to get ready for 2018. Now is the time to avail yourself of these resources, to go to the CMS website, and get ready to participate at some level in 2018.

Debra Shute is the Senior Physicians Editor for HealthLeaders Media.


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