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New video shows physicians how to avoid Medicare payment penalties



July 06, 2017
Area(s) of Interest: Payor Issues and Reimbursement Practice Management 

The American Medical Association (AMA) has published a short instructional video to help physicians avoid being penalized under the new Medicare Quality Payment Program (QPP).



QPP is the new physician payment system created by the Medicare Access and CHIP Reauthorization Act (MACRA) and is administered by the Centers for Medicare and Medicaid Services (CMS). Because QPP is new this year, AMA and the California Medical Association (CMA) want to make sure physicians know what they have to do to participate in QPP’s “pick your pace” options for reporting. This is especially important for physicians who have not participated in past Medicare reporting and programs and may be less knowledgeable about the steps they can take to avoid being penalized under QPP.


AMA, CMA and other physician groups stressed to CMS the importance of establishing a transition period to QPP. As a result, physicians only need to report on at least one quality measure for one patient during 2017 in order to avoid a payment penalty in 2019 under the Merit-Based Incentive Payment System (MIPS).


The video, “One patient, one measure, no penalty: How to avoid a Medicare payment penalty with basic reporting,” offers step-by-step instructions on how to report so physicians can avoid a negative 4-percent payment adjustment in 2019.


CMA has also published a MACRA resource page at MACRA to help physicians understand the new payment reforms and what they can do now to start preparing for the transition. Also available in the CMA MACRA resource center is an overview of MACRA, and a comprehensive list of tools, resources and information from CMA, AMA and CMS.

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