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MACRA Physician Quality Payment Program Guide — 2019 (Softbound)



2019 MACRA Quality Payment Program Guide

Get expert direction on the Quality Payment Program (QPP) mandated under MACRA, with emphasis on the two participation tracks: 1) the Merit-Based Incentive Payment System (MIPS) and 2) Advanced Alternative Payment Systems (APMs). The 2019 edition will provide an overview of the program with information to get started or continue with the QPP. Also included are changes proposed and finalized by CMS, with information on the new reporting method virtual groups and performance period reporting requirements, low-volume threshold and scoring, as well as new tips and tools to understand and use Quality Resource and Use Reports (QRURs). Examples and decision trees assist clinicians in understanding how the program works and how to keep up-to-date with the program.

This manual explains, from the physician practice manager’s perspective, how the QPP works and what every clinician needs to know. Review eligibility, data submission methods, each of the four MIPS performance categories, APM scoring, and clinician Physician Quality and Resource Use Reports (QRURs). This manual is a concise guide with special features such as callouts, tables, diagrams, and examples to help clinicians participate in the QPP program.

Key Features and Benefits

• New—Receive detailed information on “pick your pace” reporting options, scoring, and much more.
• Understand the bigger financial penalties and bonuses that accompany this new payment program.
• Learn the difference between Alternative Payment Systems (APMs) and Advanced APMs.
• Identify the crucial steps needed to avoid the negative 4% payment adjustment and how to become eligible for up to 5% in payment bonuses.