The Treatspace Referral Management Blog

Insight, ideas, and resources for high-performance referral management

MIPS Reimbursement Benefits of Closing the Referral Loop

Posted by Christian Kratsas on 6/5/17 2:47 PM

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Sizable regulations enforced upon physician groups are holding practice executives to a glowing screen late nights and through the weekend. Practices are dedicating substantial hours and personnel to determine which value-based initiatives to focus on in the coming years in order to remain profitable.

One thing that remains true is that physicians who bill Medicare more than $30,000 in Part B  and provide care for more than 100 Medicare patients a year are subject to the Quality Payment Program (QPP) of MIPS or APMs under CMS’s MACRA reimbursement regulations. Several details including practice structure, size, and reporting capabilities, will determine the category under MACRA in which it applies. 

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Topics: Closed-Loop Referrals, MACRA, Referral Automation, Automated Referral Management, MIPS, CMS

Half of Physicians Have Never Heard of MACRA, but They Will Soon

Posted by Jeremy Guttman on 8/4/16 6:32 PM

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Healthcare reimbursement is undergoing “the most dramatic shift in Medicare payments in the program’s 50-year history,” from fee-for-service to value-based care. But most physicians aren’t familiar with the important law that is establishing these changes for the future, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Proposed details for MACRA were released by the Centers for Medicare and Medicaid Service (CMS) a few months ago, in April 2016.

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Topics: Referral Management, Value-Based Care, MACRA

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