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MACRA, MIPS, MU, APM, US Medical Billing

MACRA Explained: How to Succeed Under MACRA

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a law that transformed the Medicare payment system for physicians. MACRA shifts Medicare to a value based system, tying your Medicare payments to cost and quality performance by replacing the flawed Sustainable Growth Rate (SGR) physician fee update formula. The goal is to improve care for Medicare patients by transitioning the payment system from volume to value beginning in 2019. The Quality Payment Program policy through CMS will reform Medicare Part B payments for more than 600,000 clinicians across the country, and is a major step in improving care across the entire health care delivery system. Based on their practice size, specialty, location, or patient population, clinicians can decide how they want to participate in the Quality Payment Program. There are two models to choose from:

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