Understanding the CMS' Merit-based Incentive Payment System (MIPS): Are you ready for performance-based Medicare reimbursements?

Duration: 60 Minutes
The CMS Quality Payment Program is out and there are many updates that will significantly affect providers. Providers will be required to pick one of the two paths: The Merit-Based Incentive Payment System or the Advance Alternative Payment Models. This webinar allows you to understand more about the Merit-Based Incentive Payment System and its effect on your Medicare reimbursements. The MIPS program starts on January 1st, 2017 and stakeholders who attend this session will be provided with information on how to prepare for MIPS, a process that should start as soon as possible.
CMS’ Merit-based Incentive Payment System
Product ID: 501660
Objectives of the Presentation
  • Understand MACRA & Grasp key Concepts
  • Understand MIPS long-term program alignment and participation timeline
  • Understand the four components of MIPS and how information is gathered under each performance category:
    • Quality
    • Resources use
    • Advanced Care Information
    • Clinical Practice Improvement Activities
  • Understand how the Composite Performance Score is determined
  • Understand areas that need to be focused upon in preparation for MIPS
Why Should you Attend
The Medicare Access and CHIP Reauthorization ACT of 2015 (MACRA) created a new quality and utilization reimbursement system that will significantly impact the vast majority of Medicare providers starting on January 1, 2017. Most providers will fall under the Merit-based Incentive Payment System (MIPS). MIPS will combine the Physician Quality Reporting System (PQRS), the Value-based Modifier (VM) program, and the Meaningful Use of Certified EHR Technology (CHERT). Performance in these areas will be tracked and providers will need to select from a list of Clinical Practice Improvement Activities approved by Medicare. Data received by Medicare will be used to determine the Composite Performance Score (CPS). The CPS will range from 0-100 and will determine up to +/- 9% payment adjustment on Medicare reimbursement. The CPS will be published by CMS on the Physician Compare website and will be publically available. This may have a significant impact on providers and their practices. This session will discuss best practices around how to achieve the highest possible CPS and the importance of starting preparations as soon as possible.

Areas Covered
  • MACRA
  • MIPS
  • APMs (briefly)
  • Quality data capture and reporting
  • Resource use determination
  • Changed to the CHERT program under MIPS
  • Clinical Practice Improvement Activities
  • Composite Performance Scores
Who will Benefit
  • Physician practices that see Part B Medicare eligible patients (this is the vast majority of providers, essentially all those that see patients over the age of 64)
  • Physicians
  • Physician assistants
  • Nurse practitioners
  • Physician practice office managers
  • Hospital executives that manage outpatient clinics
  • Health information technology professionals
  • Healthcare compliance specialists
  • Public health professionals
Topic Background
Establishment of the MIPS program provides an opportunity to revise, rework and improve the existing Medicare programs focused on quality, costs and use of electronic health records to improve their relevance to real-world medical practice and reduce administrative burden for physicians.

Under this payment system, physicians will no longer face the threat of double-digit cuts each year, as they did under the now-repealed sustainable growth rate. There will be greater certainty in annual payment updates. MIPS components include:
  • Quality - replaces current Physician Quality Reporting System (PQRS) program
  • Resource use - replaces current Value-Based Modifier (VBM) program
  • Advancing Care Information - replaces Meaningful Use program
  • Clinical practice improvement activities (new component)
$300
Recorded Session for one participant
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How it works
Live Session - How it works
  • Login to onlinecompliancepanel with your registered username and password https://www.onlinecompliancepanel.com/login
  • The webinar joining link, username and password for joining the webinar will be updated on your OCP Account 24 hours prior to the webinar
  • Presentation handouts in Downloadable PDF format will be updated on your OCP Account 24 hours prior to the live session
  • Login to the audio conference on the scheduled date and time
  • Get answers to your queries through interactive Q&A sessions via chat at the end of the session
  • Download the Certificate of Attendance and Purchase Invoice from your OCP Account 24 hours after the completion of the session
  • Please let us know your thoughts and views at the end of the webinar, your valuable feedback will help us improve
Recorded Session - How it works
  • Login to onlinecompliancepanel with your registered username and password https://www.onlinecompliancepanel.com/login
  • Upon purchase of the recorded session a link will be updated on your OCP Account within 24 hours
  • Please click on the link to access the Recorded Session
  • Presentation handouts in downloadable PDF format will be updated on your OCP Account within 24 hours of the purchase of the product
  • Download the Certificate of Attendance and Purchase Invoice from your OCP Account after 48 hours of the product Purchase
  • Please share your valuable Feedback at the end of the session
Instructor Profile:
Michael-Marron Stearns, CPC, CFPC, MD, is a physician informaticist, accomplished author, health information technology (HIT) and healthcare compliance consulting professional. He has 18 years of experience in the areas of electronic health records, quality reporting, health information exchange, clinical terminology development, standards, and billing and coding compliance. Dr. Marron-Stearns is the CEO and Founder of Apollo HIT, LLC, a company that provides HIT and compliance consulting services to the healthcare industry. He is a leading national authority on protecting the integrity of digital health information in electronic health records and health information exchange. He is also a certified professional coder (CPC), certified family practice coder (CFPC), neurologist (and former assistant professor of neurology and residency program coordinator), and accomplished author.

Dr. Marron-Stearns has provided leadership to informatics and terminology projects at the National Library of Medicine, the National Cancer Institute, and the College of American Pathologists. He served as the International Director of SNOMED International, where he played a central role in the design and development of SNOMED CT. He has provided direction and leadership to two leading EHR vendors, served as the founding board president for the Texas e-Health Alliance, and sits on numerous boards and committees including the National Patient Safety Board, the AHIMA Terminology and Classification Practice Council, the University of Texas at Austin HIT Certification Program Curriculum Committee, the Mentegram Advisory Board, the Mimir Health Advisory Board, and the University of Texas at Austin Health Information Exchange Laboratory Advisory Board.
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