Able Health


Ask Able: Do my clinicians need to submit PQRS next year if they aren’t eligible for MIPS?

This is one of the most common questions that we are getting this week, so here’s the quick answer: Regardless of your eligibility for the Merit-Based Incentive Payment System (MIPS), if you are an Eligible Professional under the Physician Quality Reporting System (PQRS) for the 2016 performance year, you will have to submit PQRS data […]

By Able Health on November 2, 2016


List of Advanced APMs and MIPS APMs under MACRA in 2017

Now that the Quality Payment Program rule has been finalized, the Centers for Medicare & Medicaid Services (CMS) has confirmed which Alternative Payment Models (APMs) will be considered Advanced APMs, and which will make participants eligible for the MIPS APM scoring standard. We have included the full list of APMs below, but first let’s dig […]

By Able Health on October 25, 2016


CMS expects to reopen CPC+ and Next Generation ACO applications to expand Advanced APM participation

When CMS published the final Quality Payment Program rule earlier this month, it indicated that there would be expanded opportunities for clinicians and groups to participate in Advanced Alternative Payment Models (APMs). Providers who participate in these APMs at sufficient levels will be eligible to earn a five percent incentive payment each year beginning in […]

By Able Health on October 25, 2016


MIPS Transition Year: Reduced requirements for MACRA in 2017

Based on thousands of comments made on the Quality Payment Program proposed rule, the Centers for Medicare and Medicaid Services (CMS) has laid out a plan to ease participation as eligible clinicians familiarize themselves with the program. CMS has finalized that 2017, the first year of the program, will be a transition year for the […]

By Able Health on October 24, 2016


Quality Payment Program Final Rule: Six important changes

The Quality Payment Program final rule is out. Based on updated requirements from the proposed rule, the Centers for Medicare and Medicaid Services (CMS) estimates that between 592,000 and 642,000 eligible clinicians will be required to participate in the Merit-Based Incentive Payment System (MIPS) in 2017, and between 70,000 and 120,000 clinicians will participate in […]

By Able Health on October 17, 2016


MIPS vs. APM track in 2017: Where will you fall under MACRA?

This post was updated based on the Quality Payment Program final rule on October 20, 2016. The Centers for Medicare and Medicaid Services (CMS) has included two tracks as part of the Quality Payment Program under MACRA, starting in 2017. These include the Merit-Based Incentive Payment Program (MIPS) track and the Advanced Alternative Payment Model […]

By Able Health on August 17, 2016


MIPS Payment Adjustment: How the Merit-Based Incentive Payment System will impact your payments

The Merit-Based Incentive Payment System (MIPS) is a budget-neutral Medicare payment program under MACRA, which means that the total upward and downward adjustments will be balanced so that the average change is 0%. Although the first MIPS payment adjustment will not occur until calendar year 2019, the first MIPS performance period will begin on January […]

By Able Health on August 17, 2016


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