SGR - Make Your Revenue Smarter

MACRA Preparation

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

On , in Documents, by AQ-IQ LLC

Summary: In their continuing effort to improve the Medicare Program, CMS has created the Quality Payment Program (QPP), which provides two options (based on defined criteria): MIPS (Merit-based Incentive Payment System) and APMs (Advanced Alternative Payment Models). QPP ends the SGR (Sustainable Growth Rate) formula and uses reporting data to validate important metrics. More details […]

Final Rule (with Comment Period) MIPS and APM Incentive under the Physician Fee Schedule

On , in Industry News, by AQ-IQ LLC

CMS today issued this Final Rule (with comment period). SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repeals the Medicare sustainable growth rate (SGR) methodology for updates to the physician fee schedule (PFS) and replaces it with a new approach to payment called the Quality Payment Program that rewards the delivery of […]

CMS Updates Physician Fee Schedules for CY2013

On , in Industry News, by AQ-IQ LLC

CMS issued a final rule with comment period for Medicare’s payments for physician fees for 2013.  It includes a new policy to pay a patient’s physician or practitioner to coordinate the patient’s care in the 30 days following a hospital or skilled nursing facility stay.  Recognizing the work of community physicians and practitioners in treating […]