MACRA Compliance Started
Starting in 2017, a large percentage of physicians’ Medicare payments will be based on value – not on volume, like the current fee-for-service system. High value care will be defined by measures of quality and efficiency, and providers will earn more or less depending on their performance against those measures.
Physicians that are billing $30,000 of Medicare OR see 100 or more Medicare patients per year are subject to comply with MACRA. Physicians failing to participate will be subject to a deduction of 9% per year. All the money will be deducted from physicians ignoring MACRA and be allocated back to the physicians that excel in performance on MACRA guidelines. Microwize is committed to helping physicians to be among the top providers avoiding penalties and striving for bonuses. The difference between a 9% penalty and a 9% bonus is 18%; please ignore this message if you don’t care about 18% of Medicare income.
Let the experts at Microwize help you with the tools you need for MACRA & MIPS
Microwize demystifies patient engagement
A patient’s greater engagement in healthcare contributes to improved health outcomes, and information technologies can support engagement. Patients want to be engaged in their healthcare decision-making process, and those who are engaged as decision-makers in their care tend to be healthier and have better outcomes.
Revenue cycle management (RCM) is the process of managing claims, payment and revenue generation. RCM encompasses everything from determining patient insurance eligibility and collecting co-pays to properly coding claims.
A well-designed RCM system is able to communicate with the EHR and accounting systems to streamline the billing and collection cycles.
Preparing practices, clinics and hospitals for the future of value-based care
As healthcare shifts from fee-for-service to pay-for-performance models, practices that adapt with the change will be well positioned to continue caring for patients and improving their bottom line by taking advantage of value-based payment programs.
With so many different healthcare venues, a typical practice has to exchange data in many different ways.
Microwize understands this challenge and is able to provide solutions for interoperability between disparate systems.
Chronic Care Management (CCM)
The Centers for Medicare & Medicaid Services (CMS) recognizes care management as one of the critical components of primary care that contributes to better health and care for individuals, as well as reduced spending.
Please note: The information in this publication applies only to the Medicare Fee-For-Service Program (also known as Original Medicare).
Starting January 1, 2015, Medicare pays
separately under the Medicare Physician Fee
for (CPT) code 99490, for non-face-to-face care coordination services.
Comprehensive Primary Care Plus (CPC+)
Comprehensive Primary Care Plus (CPC+) is a national advanced primary care medical home model that aims to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation. CPC+ will include two primary care practice tracks with incrementally advanced care delivery requirements and payment options to meet the diverse needs of primary care practices in the United States (U.S.). The care delivery redesign ensures practices in each track have the infrastructure to deliver better care to result in a healthier patient population. The multi-payer payment redesign will give practices greater financial resources and flexibility to make appropriate investments to improve the quality and efficiency of care, and reduce unnecessary health care utilization. CPC+ will provide practices with a robust learning system, as well as actionable patient-level cost and utilization data feedback, to guide their decision making.
CPC+ is a five-year model that will begin in January 2017.
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