MIPS / MACRA Solutions – Eagle MIPS Navigator
…practices who succeed at MIPS could increase Medicare reimbursements by up to 37%
What you’re up against:
- Complicated 2,400 page regulation
- Multiple submission methods for measures cause complexities
- Penalty is up to 9% of Medicare Reimbursements
- Certain regulatory changes every year of the program
Eagle MIPS Navigator Features:
- Detailed review of Practice’s current position
- Optimization of Measures and EHR to ensure positive performance
- Monthly monitoring of progress
- Strategies to optimize incentives and avoid penalties
Eagle MIPS Navigator Solution Helps You:
- Avoid penalties of up to $68,000 over the first 5 years (based on $200,000 in Medicare reimbursements a year)
- Maximize incentives up to $272,000 over first 5 years!
- Avoid headaches of learning complicated regulations
(click to enlarge) – MIPS 5-year impact for a single physician billing $200k/year of Medicare. Negative penalties are fixed, positive incentives are variable. The 5-year impact for this physician could be as high as $272,000.
MACRA uses the “Robin Hood method.” Low performing practices are penalized. The penalties are distributed to high performing practices. In a year where a high number of practices are penalized, the high performing practices will receive bonuses as high as 37% of Medicare. That’s a lot of money, but the rules are complex.
Let Eagle Consulting be your MIPS Navigator!
Eagle MIPS Navigator services will help your practice maximize its MIPS scores in each category, bringing you a higher final score. The higher you score, the more incentives you will receive. MIPS Navigator will save you from time-consuming and pricey penalties, so you can focus on your practice and patients.
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Eagle has helped many practices with MIPS, MACRA, Promoting Interoperability & Meaningful Use Solutions
More Details About MIPS & MACRA
How Will MIPS Affect My Practice?
MACRA implementation began on January 1, 2017, with clinicians being scored on a 1 to 100-point scale. In order to avoid a penalty, eligible clinicians needed to earn at least 3 points in 2017. Now, in its second year, clinicians scoring below a 15 can expect to see penalties of 5 percent; that is a $50,000 penalty for the average practice billing $1 million in Medicare Part B. The MIPS program will become increasingly difficult with each year, eventually rising to a staggering 9 percent penalty by performance year 2022.
Eagle's MIPS Navigator Solution Details
Typical Eagle MIPS Navigator Solution
1) Quality Performance Category
a) Optimization of Measure Selection
b) Workflow implementation support
c) Data collection support
d) Submission Assistance
2) Advancing Care Information Performance Category
a) Stage 2 measure optimization
b) Security Risk Analysis – Protecting Patient Health Information
c) HIPAA Policy creation and implementation
d) Monthly Status Monitoring
3) Improvement Activities Performance Category
a) Activity Selection
b) Workflow implementation support
c) Attestation Support
4) Resource Use Category
a) Utilize QRUR reports to identify areas for cost improvement
b) Review Total Per Capita Cost (TPCC) measure and Medicare Spending per Beneficiary (MSPB) measure to provide insight
c) Review utilization of your services
More About MIPS & MACRA
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was the Congressional solution to the ending of the sustainable growth rate. Each day nearly 10,000 retirees and baby boomers join the rolls of Medicare. Ten years from now Medicare would be either broke or workers would be paying 50% more on the Medicare taxes, thus reducing pay and take home income. The problem was caused by several factors. The number of workers paying for each retirees benefits is falling and the cost of providing health care is ballooning. This legislation was passed with overwhelming bipartisan support and has left us with the Quality Payment Programs, implementing new payment methods for healthcare.
The MACRA’s principle creation, the Quality Payment Programs, is designed to change the structure of reimbursements for Medicare. The Quality Payment Programs introduced the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). These two programs aim to change the way for which healthcare is paid. The underlying theme of both of these programs is paying for quality and value as opposed to each service rendered.
Eagle Consulting Partners, are experts on MIPS and how it impacts practices. We work with practices to develop strategies to maximize their payment incentive while providing increasingly high quality, highly commutative care. One of the main initiatives of MIPS is the advancement of sharing information among providers, specialists, and patients. Our services can help you prepare for MIPS and earn the maximum incentive.