2017: A Transition Year MACRA

Quality Payment Program: Six Options for 2017


  1. Report for the Full Year: Report all MIPS measurements. Makes you eligible for up to a 4-percent bonus payment in 2019.
  2. Partial Participation: Report on one or several MIPS metrics for at least 90 days. No penalty and possibly eligible for a small bonus payment.
  3. Perform a Test: Submit as little as one measure, or one clinical improvement activity on one patient, for CMS to test their system. No bonus, but no penalty either.
  4. Qualify as an Advanced APM: Contact your ACO, PHO or IPA to learn what category of APM you qualify for. Reporting may be done for you, you may receive a 5-percent update in 2019.
  5. Do Nothing: Penalty in 2019 of 4-percent payment reduction. The amount of this penalty increases each year, unless you are exempt. 
  6. Exempt Practices: In December 2016 -- and every year in December going forward -- CMS will notify low-volume practices if they are exempt. Low-volume practices include practices that bill  $30,000 or less in allowable Medicare charges or provide care to fewer than 100 unique Medicare patients. Also exempt are practices in their first year participating in Medicare.

For more information, visit www.ama-assn.org, https://www.qpp.cms.gov or return to the MACRA Resources page.



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