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Partner with DrChrono to Make MACRA and MIPS Attestation Easy

What is MACRA?


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The Medicare Access and CHIP Reauthorization Act (MACRA) was signed on April 16, 2015. It replaced the previous Medicare reimbursement schedule and ended the Sustainable Growth Rate formula with a new pay-for-performance program focusing on quality, value, and accountability instead of the previous fee-for-service model.

Fee-for-Service  Pay-for-Performance

MACRA replaced the Physician Quality Reporting System (PQRS), Value-based Payment Modifier (VBM), and the Medicare Electronic Health Record (EHR) incentive program. In doing so, they simplified them into one Quality Payment Program (QPP) with two paths: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models.


What is MIPS?


The Merit-based Incentive Payment System (MIPS) is a performance-based program where eligible clinicians may earn positive (up to 9%, not including additional positive adjustments for exceptional performance) or negative (up to -9%) payment adjustments for the services they provide to Medicare patients. The 2022 performance year has set the performance threshold to a score of 75 points to earn a neutral payment adjustment for fiscal year 2024 reimbursements.

30% Each,

for Quality and Cost

25% for

Promoting Interoperability

15% for

Improvement Opportunities

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