Report NOW for 2017 Medicare Quality Payment Program OR Face 4 Percent Fee Reduction in 2019

Beginning with the 2017 reporting year, eligible physicians who do not participate in the Medicare Quality Payment Program (QPP) will see a 4 percent payment reduction in 2019. QPP is the new physician payment system created by the Medicare Access and CHIP Reauthorization Act (MACRA) and administered by the Centers for Medicare and Medicaid Services (CMS).

The good news is that in 2017, you may simply test the system by submitting a minimum amount of data, and submit that data for just 90 days. If you want to avoid that 4 percent penalty, you must start submitting data no later than Oct. 2 to make the 90 day minimum by the end of 2017. Participating at any level in 2017 will ensure that you will not be hit with the 4 percent pay cut in 2019. If you choose to report for 90 days, you may possibly earn a small bonus payment.

Providers with less than $30,000 in Medicare payments or fewer than 100 Medicare patients are exempt from the reporting requirements in 2017. If you are unsure of your QPP participation status, you can look it up here.

If this all seems daunting to you, the North Carolina Medical Society (NCMS) offers free resources to help you make sense of it all. Access the resources. Be sure to read the Learning Opportunities section of the Bulletin for upcoming webinars from CMS and the AMA on MACRA and what you need to know to be successful.

You may also want to explore applying for a QPP hardship exception. The Hardship Exception Application for the 2017 transition year is now available on the QPP website. You may also contact the QPP Service Center and work with a representative to verbally submit an application. Contact the Quality Payment Service Center at 1-866-288-8292 or TTY: 1-877-715-6222 or QPP@cms.hhs.gov.

 
 

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