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MACRA Final Rule

Wednesday, October 26, 2016   (0 Comments)
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The Centers for Medicare and Medicaid Services (CMS) has issued a final rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA). Some highlights proposed by the AMA include:

  • Details about the 2017 transition period: the only physicians who will experience payment penalties in 2019 are those who choose to report no performance data next year. Those who report for at least 90 days will be eligible for positive payment adjustments.
  • The low-volume threshold that exempts physicians from all performance reporting has been increased from $10,000 in annual Medicare revenue and less than 100 Medicare patients to $30,000 in revenue or 100 patients. CMS estimates that this change will exempt 32.5% of physicians and other clinicians from the program.
  • Performance reporting requirements have been further reduced, and the resource use component of the Merit-based Incentive Payment System (MIPS) has been re-weighted to zero for 2017. 


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