MACRA & MIPS
Are you ready for MIPS?.
Understand MACRA/MIPS.
What Is MACRA?
Starting in 2017, Medical providers will have to participate in either the Merit Based Incentive Payments System (MIPS), Alternative Payment Models (APMs), or Advanced Alternative Payment Models
Merit-Based Incentive Payment System (MIPS)
Most provders will be subject to MIPS program
Alternative Payment Models (APMs)
APMs, or Alternative Payment Models, provide additional incentives to practices willing to adopt additional risk and meet certain conditions.
Advanced Alternative Payment Models
The most advanced alternative payment models will be deemed ‘eligible’ APMs which qualify for even higher levels of reimbursement tied to performance. These will be a subset of APMs and will not include all payment models.
How Does MIPS Work?
You earn a payment adjustment based on evidence-based and practice-specific quality data. You show you provided high quality, efficient care supported by technology by sending in information in the following categories.
<svg id="mips-quality" viewBox="0 0 87 94.900002" width="100%" height="100%"><g fill="#5089A8" fill-rule="nonzero"><path d="M43.6 5.4c13.3 0 30.2 2 37.3 6.5.1 2 .2 4 .2 6 0 31.6-15.4 58.8-37.5 70.7-22.1-11.9-37.5-39-37.5-70.7 0-2 .1-4 .2-6 5.9-3.6 24-6.5 37.3-6.5zm0-5.4c-6.9 0-15.1.7-22.5 2C15.3 3 7.4 4.7 2.9 7.5L.4 8.9l-.2 2.7c-.1 2.1-.2 4.3-.2 6.3C0 50.4 15.9 80 40.4 93.2l3.1 1.7 3.1-1.7C71.2 80 87 50.4 87 17.9c0-2.1-.1-4.2-.2-6.3L86.6 9l-2.4-1.5C75.5 2 56.9 0 43.6 0z"></path><path d="M43.6 9.5c11.6 0 26.8 1.8 33.5 5.6.1 1.7.1 3.4.1 5.1C77.2 47.9 64 73 43.6 84.4 23.2 73.1 10 48 10 20.2c0-1.7 0-3.4.1-5.1 5.4-2.9 21-5.6 33.5-5.6zm0-.8c-12.2 0-28.9 2.6-34.4 6-.1 1.8-.2 3.7-.2 5.6 0 29.2 14.2 54.2 34.6 65.2 20.3-11 34.6-36 34.6-65.2 0-1.9-.1-3.7-.2-5.6-6.6-4.2-22.2-6-34.4-6z"></path><path d="M51.4 41.3l12-9.1-15-.3-4.9-14.2-5 14.2-15 .3 12 9.1-4.4 14.4 12.4-8.6 12.3 8.6"></path></g></svg>
Quality
This replaces old PQRS.
<svg id="mips-improvement-activities" viewBox="0 0 81.5 107.4" width="100%" height="100%"><g fill="none" fill-rule="evenodd"><g fill="#5089A8" fill-rule="nonzero"><path d="M32.6 23.4H32v-.2c0-.3-.2-.5-.5-.5s-.5.2-.5.5v.2h-2v-.2c0-.3-.2-.5-.5-.5s-.5.2-.5.5v.2h-2v-.2c0-.3-.2-.5-.5-.5s-.5.2-.5.5v.2h-2v-.2c0-.3-.2-.5-.5-.5s-.5.2-.5.5v.2h-2v-.2c0-.3-.2-.5-.5-.5s-.5.2-.5.5v.2h-.6c-.8 0-1.5.7-1.5 1.5l-.1 14c0 .8.7 1.5 1.5 1.5l12.3.1 3.2-3.1.1-12.3c.2-1.1-.5-1.7-1.3-1.7zm.6 13.4-.2.2h-1.3c-.6 0-1.1.5-1.1 1.1v1.3l-.2.2-12-.1c-.4 0-.7-.3-.7-.7l.1-12.3 15.3.1z"></path><path d="M22.7 37.6h5.7c1.1 0 1.9-.8 1.9-1.9V30c0-1.1-.8-1.9-1.9-1.9h-5.7c-1.1 0-1.9.9-1.9 1.9v5.7c0 1 .8 1.9 1.9 1.9zm.9-.5h-.4c-.1 0-.1 0-.1-.1s0-.1.1-.1h.4c.1 0 .1.1 0 .2zm1.2 0h-.4c-.1 0-.1 0-.1-.1s0-.1.1-.1h.4c.1 0 .1.1 0 .2zm1.2 0h-.4c-.1 0-.1 0-.1-.1s0-.1.1-.1h.4c0 .1.1.1 0 .2zm1.1 0h-.4c-.1 0-.1 0-.1-.1s0-.1.1-.1h.4c.1.1.1.1 0 .2zm1.2.1h-.4c-.1 0-.1 0-.1-.1s0-.1.1-.1h.4s.1 0 0 .2c.1-.1 0 0 0 0zm1.6-2.3s-.1.1 0 0c-.2.1-.2.1-.2 0v-.4c0-.1 0-.1.1-.1s.1 0 .1.1zm0-1.2c0 .1-.1.1 0 0-.2.1-.2.1-.2 0v-.4c0-.1 0-.1.1-.1s.1 0 .1.1zm0-1.1s-.1 0 0 0c-.2.1-.2.1-.2 0v-.4c0-.1 0-.1.1-.1s.1 0 .1.1zm0-1.2s-.1.1 0 0c-.2.1-.2.1-.2 0V31c0-.1 0-.1.1-.1s.1 0 .1.1zm-.1-1.7c.1 0 .1 0 .1.1v.4c0 .1 0 .1-.1.1s-.1 0-.1-.1V29.9c0-.1 0-.1.1-.2zm-.1 6c0-.1 0-.2.1-.2s.1 0 .1.1v.4l-.1.1c-.1 0-.1-.1-.1-.1zm-.6-6.9s.1-.1.1 0l.3.3v.1h-.2c-.1-.1-.2-.2-.3-.2.1-.1.1-.1.1-.2zm-.1 8c.1-.1.2-.1.3-.2h.1v.1c-.1.1-.2.2-.3.2 0 0-.1 0-.1-.1-.1.1-.1.1 0 0zm-.9-8.2h.4c.1 0 .1 0 .1.1s0 .1-.1.1h-.4c-.1-.1-.1-.1 0-.2-.1 0-.1 0 0 0zm-1.2-.1h.4c.1 0 .1 0 .1.1s0 .1-.1.1h-.4s-.1 0 0-.2c-.1.1 0 0 0 0zm-1.1 0h.4c.1 0 .1 0 .1.1s0 .1-.1.1h-.4c-.1 0-.1 0 0-.2-.1.1-.1 0 0 0zm-1.2 0h.4c.1 0 .1 0 .1.1s0 .1-.1.1h-.4c-.1 0-.1 0 0-.2-.1.1-.1 0 0 0zm-1.2 0h.4c.1 0 .1 0 .1.1s0 .1-.1.1h-.4s-.1 0 0-.2c-.1.1 0 0 0 0zm-.5 3.3h1.6v-1.6h2.1v1.6h1.6v2.1h-1.6v1.6h-2.1v-1.6h-1.6zm-.6-3.2c.1 0 .3-.1.4-.1.1 0 .1 0 .1.1s0 .1-.1.1-.2 0-.4.1c0 0-.1 0-.1-.1 0 0 0-.1.1-.1zm-.3 8.3s.1-.1.1 0c.1.1.2.1.3.1.1 0 .1.1.1.1l-.1.1c-.1 0-.3-.1-.4-.1v-.2zm-.4-7.8h.1v.1c-.1.1-.1.2-.2.3l-.1.1-.1-.1c.1-.2.2-.3.3-.4zm-.3 1.1s0-.1 0 0c.1-.1.2-.1.2 0v.4c0 .1 0 .1-.1.1s-.1 0-.1-.1zm0 1.2c0-.1 0-.1 0 0 .1-.1.2-.1.2 0v.4c0 .1 0 .1-.1.1s-.1 0-.1-.1zm0 1.2c0-.1 0-.1 0 0 .1-.1.2-.1.2 0v.4c0 .1 0 .1-.1.1s-.1 0-.1-.1zm0 1.1s0-.1 0 0c.1-.1.2-.1.2 0v.4c0 .1 0 .1-.1.1s-.1 0-.1-.1zm0 1.6v-.4c0-.1 0-.1.1-.1s.1 0 .1.1v.4s-.1.1-.2 0c0 .1 0 0 0 0zm.1.6s.1 0 .1.1.1.2.1.3v.1h-.1c-.1-.1-.1-.2-.2-.4l.1-.1z"></path></g><path fill="#5089A8" fill-rule="nonzero" d="M52.6 34c.7-1.4 1.5-2.7 2.2-3.8.7-1.2 1.6-2.4 2.6-3.7 1-1.3 1.8-2.2 2.4-2.8.6-.6 1.1-1 1.4-1.1.3-.1.8-.3 1.5-.4.7-.1 1.3-.2 1.8-.1.3 0 .5.1.7.2.2.2.3.4.3.6 0 .2-.1.4-.2.5-.1.1-.3.4-.7.6-1.6 1.3-3.2 3.2-4.9 5.6-1.7 2.4-3.1 4.8-4.1 7-.4.9-.7 1.5-.9 1.7-.2.2-.4.5-.7.6-.3.2-.9.2-1.7.2-.6 0-1 0-1.3-.1l-.6-.3c-.2-.1-.4-.5-.8-1-.5-.8-1.3-1.6-2.2-2.5-.6-.6-.8-1-.8-1.4 0-.5.3-.9.9-1.4.6-.4 1.2-.6 1.7-.6s1.1.2 1.6.6c.7.3 1.2.9 1.8 1.6zM52.4 61c.7-1.4 1.5-2.7 2.2-3.8.7-1.2 1.6-2.4 2.6-3.7 1-1.3 1.8-2.2 2.4-2.8.6-.6 1.1-1 1.4-1.1.3-.1.8-.3 1.5-.4.7-.1 1.3-.2 1.8-.1.3 0 .5.1.7.2.2.2.3.4.3.6 0 .2-.1.4-.2.5-.1.1-.3.4-.7.6-1.6 1.3-3.2 3.2-4.9 5.6-1.7 2.4-3.1 4.8-4.1 7-.4.9-.7 1.5-.9 1.7-.2.2-.4.5-.7.6-.3.2-.9.2-1.7.2-.6 0-1 0-1.3-.1l-.6-.3c-.2-.1-.4-.5-.8-1-.5-.8-1.3-1.6-2.2-2.5-.6-.6-.8-1-.8-1.4 0-.5.3-.9.9-1.4.6-.4 1.2-.6 1.7-.6s1.1.2 1.6.6c.5.4 1.3.9 1.8 1.6zM52.3 89c.7-1.4 1.5-2.7 2.2-3.8.7-1.2 1.6-2.4 2.6-3.7 1-1.3 1.8-2.2 2.4-2.8.6-.6 1.1-1 1.4-1.1.3-.1.8-.3 1.5-.4.7-.1 1.3-.2 1.8-.1.3 0 .5.1.7.2.2.2.3.4.3.6 0 .2-.1.4-.2.5-.1.1-.3.4-.7.6-1.6 1.3-3.2 3.2-4.9 5.6-1.7 2.4-3.1 4.8-4.1 7-.4.9-.7 1.5-.9 1.7-.2.2-.4.5-.7.6-.3.1-.9.2-1.7.2-.6 0-1 0-1.3-.1l-.6-.3c-.2-.1-.4-.5-.8-1-.5-.8-1.3-1.6-2.2-2.5-.6-.6-.8-1-.8-1.4 0-.5.3-.9.9-1.4.6-.4 1.2-.6 1.7-.6s1.1.2 1.6.6c.5.4 1.3.9 1.8 1.6z"></path><g fill-rule="nonzero" transform="translate(15.6 47.8)"><circle cx="9.798" cy="10.089" r="9.2" fill="#5089A8" transform="rotate(-89.707 9.798 10.09)"></circle><path fill="#fff" d="M9.508 2l1 .005-.008 1.6-1-.006z"></path><g fill="#fff"><path d="M9.518 5.3l1 .005-.028 5.5-1-.006z"></path><path d="M9.46 10.82l.505-.863 3.28 1.917-.503.863z"></path></g><path fill="#fff" d="M9.408 16.4l1 .005-.008 1.6-1-.006zM1.854 10.428l.005-1 1.6.008-.006 1zM16.28 10.5l.005-1 1.6.01-.005 1z"></path></g><path stroke="#5089A8" stroke-width="6" d="M75 104.4 6 104c-1.6 0-3-1.4-3-3l.5-89c0-1.6 1.4-3 3-3l69 .4c1.6 0 3 1.4 3 3l-.5 89c0 1.7-1.3 3-3 3z"></path><path fill="#fff" fill-rule="nonzero" d="M21.936 13.745l.062-12.2 38.1.196-.062 12.2z"></path><path fill="#5089A8" fill-rule="nonzero" d="M23.5 3.1l35.1.2v9.2l-35.1-.2zm-3-3.1v15.2h3l35.1.2h3V.2h-3L23.5 0zM33.9 82.7c0-2.5-1.5-4.5-4.5-4.5-1.8 0-3.3 2-4 3.5-.7-1.5-2.2-3.5-4-3.5-3.2 0-4.5 2-4.5 4.5 0 5.1 8 12.1 8.4 12.1.4 0 8.6-7.5 8.6-12.1z"></path></g></svg>
Improvement Activities
New Category.
<svg id="mips-advancing-care-information" viewBox="0 0 98.099998 94" width="100%" height="100%"><g fill="none" fill-rule="evenodd" transform="translate(2.1 2.1)"><circle cx="44.9" cy="44.9" r="44" stroke="#5089A8" stroke-width="6"></circle><g fill-rule="nonzero" transform="translate(58 38)"><circle cx="6.7" cy="7.2" r="5.1" fill="#fff"></circle><path fill="#016794" d="M6.7 3.6c2 0 3.6 1.6 3.6 3.6s-1.6 3.6-3.6 3.6-3.6-1.6-3.6-3.6 1.6-3.6 3.6-3.6zm0-3C3.1.6.1 3.6.1 7.2c0 3.6 3 6.6 6.6 6.6 3.6 0 6.6-3 6.6-6.6 0-3.6-3-6.6-6.6-6.6z"></path></g><path stroke="#5089A8" d="M4.66 62.528C10.374 64.644 16.553 65.8 23 65.8c29.16 0 52.8-23.64 52.8-52.8"></path><path stroke="#5089A8" d="M52.255.927C34.912 9.582 23 27.5 23 48.2c0 17.118 8.146 32.333 20.773 41.98"></path><path stroke="#5089A8" d="M60.03 86.86c4.063-7.48 6.37-16.05 6.37-25.16 0-26.943-20.18-49.172-46.25-52.398"></path><path d="M59.5 58.3h26.7v7.9H59.5z"></path><g fill-rule="nonzero" transform="translate(29 9)"><circle cx="6.6" cy="6.9" r="5.1" fill="#fff"></circle><path fill="#5089A8" d="M6.6 3.3c2 0 3.6 1.6 3.6 3.6s-1.6 3.6-3.6 3.6S3 8.9 3 6.9s1.7-3.6 3.6-3.6zm0-3C3 .3 0 3.3 0 6.9c0 3.6 3 6.6 6.6 6.6 3.6 0 6.6-3 6.6-6.6 0-3.6-2.9-6.6-6.6-6.6z"></path></g><circle cx="27.4" cy="65.8" r="5.1" fill="#fff" fill-rule="nonzero"></circle><path fill="#5089A8" fill-rule="nonzero" d="M27.4 62.2c2 0 3.6 1.6 3.6 3.6s-1.6 3.6-3.6 3.6-3.6-1.6-3.6-3.6 1.7-3.6 3.6-3.6zm0-3c-3.6 0-6.6 3-6.6 6.6 0 3.6 3 6.6 6.6 6.6 3.6 0 6.6-3 6.6-6.6 0-3.6-2.9-6.6-6.6-6.6z"></path><circle cx="44.9" cy="44.9" r="44" stroke="#5089A8"></circle><path fill="#fff" fill-rule="nonzero" d="M94 24.9v56H51V37l11.6-12H94zm2-2H61.8l-.6.8-11.6 11.7-.6.7v46.8h47V25.3z"></path><path fill="#fff" fill-rule="nonzero" d="M63 25.9h30v54H52V37.4"></path><path fill="#5089A8" fill-rule="nonzero" d="M92 26.9v52H53V37.8l10.4-10.9zm2-2H62.6L51 37v44h43z"></path><g fill-rule="nonzero"><path fill="#fff" d="M62.7 37.1H52.2l10.5-10.6"></path><path fill="#5089A8" d="M62.2 27.7v8.8h-8.8zm1-2.4L51 37.6h12.3V25.3z"></path></g><path fill="#5089A8" fill-rule="nonzero" d="M58.9 66.5h10.5v1.9H58.9zM58.9 71.1h21V73h-21z"></path><circle cx="73" cy="45" r="10.5" fill="#5089A8" fill-rule="nonzero"></circle><path fill="#fff" fill-rule="nonzero" d="M73.7 41.5l-3.9 6.8 2.3-.7-2.8 5.5 8-7.9-3.5 1 5.4-7.3-3.8 1.1 4.6-7.3-5.4 1.8-4.4 8"></path><text fill="#5089A8" font-size="6.128" font-family="Helvetica"><tspan x="66.799" y="62.99">EHR</tspan></text></g></svg>
Advancing Care Information
Replaces the Medicare EHR Incentive Program also known as Meaningful Use.
<svg id="mips-cost" viewBox="0 0 92 92" width="100%" height="100%"><g fill="#5089A8" fill-rule="nonzero"><path d="M81 6c2.8 0 5 2.2 5 5v70c0 2.8-2.2 5-5 5H11c-2.8 0-5-2.2-5-5V11c0-2.8 2.2-5 5-5zm0-6H11C4.9 0 0 4.9 0 11v70c0 6.1 4.9 11 11 11h70c6.1 0 11-4.9 11-11V11c0-6.1-4.9-11-11-11z"></path><path d="M71 66h-8c-1.1 0-1.6.4-1.6 1.5v16l-.4.5h12s.4-.4.4-.5v-16c0-1.1-1.3-1.5-2.4-1.5zM50.4 56h-8c-1.1 0-1 .4-1 1.5v26l-1 .5h12s1-.4 1-.5v-26c0-1.1-1.9-1.5-3-1.5zM29.8 46h-8c-1.1 0-1.4.4-1.4 1.5v36l-.6.5h12s.6-.4.6-.5v-36c0-1.1-1.5-1.5-2.6-1.5zM60.6 22.7c0-.2-.1-.3-.2-.4-.1-.1-.2-.2-.4-.2h-7.7c-.2 0-.3-.1-.4-.2-.1-.1-.2-.3-.2-.4v-7.7c0-.2-.1-.3-.2-.4-.1-.1-.2-.2-.4-.2h-9.5c-.2 0-.3.1-.4.2-.1.1-.2.3-.2.4v7.7c0 .2-.1.3-.2.4-.1.1-.3.2-.4.2h-7.7c-.2 0-.3.1-.4.2-.1.1-.2.2-.2.4v9.5c0 .2.1.3.2.4.1.1.3.2.4.2h7.7c.2 0 .3.1.4.2.1.1.2.2.2.4v7.7c0 .2.1.3.2.4.1.1.2.2.4.2h9.5c.2 0 .3-.1.4-.2.1-.1.2-.2.2-.4v-7.7c0-.2.1-.3.2-.4.1-.1.2-.2.4-.2H60c.2 0 .3-.1.4-.2.1-.1.2-.2.2-.4z"></path></g></svg>
Cost
Replaces the Value-Based Modifier.
2017 MIPS Performance
Quality: 60%
Report up to six quality measures, including an outcome measure, for a minimum of 90 days.
Advancing Care Information (ACI): 25%
Fulfill five (5) required measures for a minimum of 90 days.
Report up to nine additional measures for minimum of 90 days for additional credit.
Improvement Activities: 15%
Attest to completing up to four (4) activities for at least 90 days.
Groups with fewer than 15 participants or in a rural or health professional shortage area attest to completing up to two (2) activities for a minimum of 90 days.
Cost Resource Use: 0%
CMS will calculate these measures based on adjudicated claims.
Reward/Penalty
Everything In One Fully Integrated Package
All In One Solution
EHR, Practice Management, Billing Solution, Patient Portal and Self Check-In Kiosk.
User friendly, and very easy to use. Now you can focus more on patient care.
Specialty Specific EHR. No hidden fees or surprises.
EHR Software
Practice Management
Patient Engagement