The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is bipartisan legislation signed into law on April 16, 2015. MACRA created the Quality Payment Program that:
- Repealed the Sustainable Growth Rate formula
- Changed the way that Medicare rewards clinicians for value over volume
- Streamlines multiple quality programs under the Merit Based Incentive Payment System (MIPS)
- Is scheduled to gives bonus payments for participation in eligible advanced alternative payment models (APMs)
The data required to be submitted to participate in the MIPS program can be submitted via a claims-based method whereby data is submitted with each claim sent to Medicare for reimbursement or through a Qualified Registry in bulk at the end of a reporting period.
Claims based reporting can be accomplished with most commercial billing software. For individual MIPS eligible clinicians, groups, and/or virtual groups to select the registry option to participate they are required to submit their MIPS data through a Qualified Registry.
To become a certified Qualified Registry, an organization must put itself through a rigorous vetting process with CMS. Once approved as a Qualified Registry, the organization is permitted to collect clinical data from individual MIPS eligible clinicians, groups, and/or virtual groups and submit the data to CMS on their behalf for purposes of MIPS.
After extensive vetting, ADVOCATE has been approved by CMS as a certified Qualified Registry.
ADVOCATE’s extensive knowledge of the complexities of CMS quality programs, both past and present, helped achieve this distinction and brings tremendous value to our clients.
In addition to claims and registry based MIPS submissions, ADVOCATE supports our clients with MIPS Advancing Care Information, Clinical Practice Improvement Activities, and Quality performance categories.
This certification and functionality will ensure ADVOCATE will continue to be at the forefront of MIPS and other government programs to cement success for our clients. Our MIPS process ensures for each of our clients:
- Complete Penalty Avoidance
- Highest MIPS Scores Possible
- Best Potential for Incentive Bonus
- The Best MIPS Reporting and Guidance in the Industry
ADVOCATE is the leading radiology reimbursement services company that offers a complete and integrated approach to radiology business issues. ADVOCATE operates nationwide with clients in all 50 states providing our unique EBT™ suite of services to thousands of radiologists. With our seasoned staff of professionals, we focus on addressing the unique needs of today’s practicing radiology physicians.
Lauren Sloan, Director of Regulatory Affairs
614-210-1885 ext. 2779