MACRA: Oct. 2 is approaching fast. Are you ready?

September 28, 2017
Heather Lavoie, Chief Strategy Officer


Hand holding a stopwatch with a sign that says 'Act Now'

I cannot stress enough how quickly time is passing for physicians who must report under MACRA’s (Medicare Access and CHIP Reauthorization Act of 2015) Quality Payment Program.

Oct. 2, 2017 matters because it marks the beginning of the final 90-day reporting period this year. This is your last chance to earn an upward adjustment on your 2019 Medicare Part B claims.

If you are an eligible clinician, and haven’t yet sorted out your MACRA reporting, then whatever you do on Oct. 2 is important.

Avoid MACRA penalties. Earn an upward adjustment.

You have three remaining options this year:

  1. Do the minimum. Report on a single quality measure or improvement activity for a single patient at any point in time in 2017 to avoid MACRA penalties.
  2. Do a little more. Report on measures for 90 days to earn an upward adjustment. There is nothing in the rules that prevent an eligible clinician from earning the maximum upward adjustment from a single 90-day reporting period.
  3. Do nothing. You will be penalized 4 percent on every 2019 Medicare Part B claim.

It’s easier than you think.

Most physicians already have what they need to avoid MACRA penalties and earn an upward adjustment this year. Why? Because MACRA combines and replaces the well-established Physician Quality Reporting System (PQRS), Meaningful Use (MU3) and the Value-Based Modifier (VBM) programs.

For example, attesting to the familiar tobacco interventions satisfies reporting criteria across two MACRA categories – Quality Measures and Improvement Activities. Specifically, screening for patient tobacco use is a quality measure and cessation intervention is an improvement activity.

It’s not too late.

Don’t leave yourself at the mercy of MACRA’s zero-sum penalty and reward system. Physician bonuses come from other physician penalties. It’s up to you to decide which side of that equation you will be on.

Download our eBook for step-by-step instructions on how to leverage existing resources to avoid MACRA penalties and potentially earn an upward adjustment this year. 


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