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    MIPS: A first look at how it will affect your practice

    ‘Four-legged stool’ replaces PQRS, meaningful use, value-based payment modifier

    Ray Painter, MDRay Painter, MD Mark PainterMark Painter

     

    The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule regarding the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. This article will summarize some of the details of the proposed rule, including an outline of the Merit-Based Incentive Payment System (MIPS), one of the key components of MACRA.

    Also by the Painters: PQRS success challenging but doable for urologists

    It is important to remember the MACRA legislation was focused solely on Medicare and replacing the sustainable growth rate. In short, MACRA is not up for repeal, nor is this a piece of legislation tied to the Affordable Care Act directly; therefore, it is not expected to change even if there is a change following the presidential election.

    The proposed rule, released on April 27, 2016, is in fact the first step in introducing the rules for MIPS. As with any proposed rule from the Medicare system, there is a 90-day comment period allowing any interested party to criticize the rule, point out any inconsistencies, suggest changes, and propose modifications. The AUA, American Medical Association, American College of Surgeons, and other specialty organizations will be submitting comments by the deadline of June 27, 2016. As a participating provider, you have the opportunity to provide comments directly to CMS or to any one of the organizations that you feel may represent you.

    Related - MACRA pay models: What you can expect

    CMS expects a number of comments will be received and that modifications to this initial proposal will follow. CMS also indicated that it expects this program will be modified as it is implemented over a period of several years.

    Next - MIPS: The four-legged stool

    Ray Painter, MD
    Urologist Ray Painter, MD, is president of Physician Reimbursement Systems, Inc., in Denver, and is also publisher of Urology Coding and ...
    Mark Painter
    Mark Painter is CEO of PRS Urology SC in Denver.

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