The Medicare Access and CHIP Reauthorization Act (MACRA)
The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law in April 2015. It created two new tracks for Medicare Part B payment: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (AAPMs). If you are an eligible clinician (MD, DO, NP, PA, CNS, CRNA) that participates in Medicare, in at least your second year of Medicare eligibility, MACRA applies to you and will either positively or negatively adjust your Medicare Part B payments. Faculty need to have knowledge of MACRA to educate their students and residents. Residents need to know MACRA to make informed decisions regarding moonlighting and employment.
The American Academy of Family Physicians (AAFP) has put together some valuable resources:
Supplements Bundle (Basics)
Learn the basics of MACRA’s Quality Payment Program (QPP). This downloadable anthology of AAFP-produced supplements is designed to provide easy to understand information about the law and reporting requirements for the MIPS track.
Medicare Payment Changes: Are You Ready? (Basics) (Webinar/Webcast)
A one-hour live webinar and on-demand webcast developed to help you understand the basics of MACRA, including MIPS and AAPMs. It provides you with the information you need in order to take action and avoid a 2019 negative payment adjustment to Medicare Part B payments.
CME Bulletin/Projects in Knowledge (MERCK funded activity) (Application)
Learn how to bill and code for services in your practice now to increase your payment, then apply those processes to the requirements for MACRA.
Playbook (Faculty/Residency Directors/Possibly third year residents going into solo practice) (Application)
A simplified step-by-step downloadable guide to MIPS. Learn about group versus individual reporting and how their residency program can succeed in MIPS and qualify for the largest possible positive payment adjustment.