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Making the Most Out of MIPS

Here’s the deal:

A few years ago, the United States government passed the Medicare Access and CHIP Reauthorization Act, referred to as “MACRA.” As you probably already know, MACRA replaces the current Medicare reimbursement schedule with a new pay-for-performance program designed to streamline the reporting process while delivering high-quality healthcare more efficiently and at a lower cost.

What does this mean for you?

Under the MACRA program, a new program called the Merit-Based Incentive Payment System (MIPS) will be used to determine Medicare payment adjustments. MIPS uses a composite performance score to determine if physicians receive a payment bonus, penalty – or no adjustment at all. Its incentives should help managed care organizations move more easily toward a value-based payment model.

What are the challenges?

Like almost any program, MACRA has its challenges. Some practice managers aren’t aware they can choose the metrics that best represent the strengths of their practice, and most don’t know how to predict their MIPS reimbursement. Plus, many small and medium-sized practices have concerns about being able to succeed under MIPS.

How can I make the most of MACRA?

If you’re like most physician practices, you need reliable resources and information to help you benefit from MACRA. We’re offering athenahealth users a free 30-minute webinar on best practices to maximize the CMS reimbursements and value-based bonuses available through the program. You can view a replay of the webinar, hosted by Erin Zielinski, Epion Health’s director of clinical solutions by clicking here.

Don’t let the new rules and regulations of MACRA scare you away from obtaining a potentially large bonus for your practice. For additional support on this topic, contact Erin at for a complimentary needs assessment and explanation of services available through Epion Advisory Services.