MACRA is an acronym that describes how Medicare will be reimbursing physicians as of January 1st, 2017. All Medicare Participating Providers are automatically affected as the measures under MACRA will affect how much they get paid for their services. MACRA is composed of four basic areas: Advancing Care Informatics/Innovation (25%) – Call it “Next Generation Meaningful Use” with a strong HIPAA Security component. In other words, failure to conduct a Security Risk Assessment with the corresponding Security Management Plan and HIPAA Security actions will nullify any potential points you may qualify for under this area. In addition to the Security Attestation with its subsequent actions there are other steps to cover including sending data to immunization registries and a basic number of objectives.
Quality Reporting (60%) – PQRS replacement. Must report on at least 6 measures. Additional points may be reported via the Electronic Health Records (EHR) and Providers must select the reporting measure and enter the same as data in their electronic health record.
Clinical Practice Improvement Activities (15%). Requires attestation of four improvement activities for a period of 90 days.
Value Based Modifier. No data submission required. Calculated from claims.
Based on the above the recommended plan of action will be:
There may be additional steps needed to set-up the Practice so most measures are automatically send but this will require additional information and potentially a visit to ensure all specifics are covered. These actions may be looked at later as some of them may not be needed until later in the year.