The Medicare Access and CHIP Reauthorization Act of 2015 replaced the Medicare reimbursement schedule with a new pay-for-performance program that’s focused on quality, value, and accountability. The Centers for Medicare and Medicaid Services (CMS) stated that MACRA enacts a new payment framework that rewards health care providers for giving better care instead of more service.
MIPS is the name of the program that determines Medicare payment adjustments and is an acronym for the Merit-Based Incentive Payment System. Using a composite performance score. Eligible professionals (EPs) may receive a payment bonus, a payment penalty, or no payment adjustment.
MIPS Value Pathways (MVPs) is a participation framework that will begin with the 2021 performance period. The goal is to move away from siloed activities and measures and move toward an aligned set of measure options more relevant to a clinician’s scope of practice that is meaningful to patient care.
CMS recognizes that this is a significant shift in the way clinicians may potentially participate in MIPS and are committed to a smooth transition to MVPs that does not immediately eliminate the current MIPS framework.
If you have questions, please contact the IMA Reimbursement Department at 208-344-7888 . If you have questions, please contact the IMA Reimbursement Department at 208-344-7888 or email IMA Reimbursement Director Pam Fischer CPC, COC, CPMA, CRC at firstname.lastname@example.org
or Reimbursement Specialist Kelley Bennett at email@example.com
CMS has resources including fact sheets, timelines, webinars and more available on its Quality Payment Program website.