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A Professional Guide To Catch You Up To Speed MACRA BASICS TINA COLANGELO - COLANGELO CONSULTING - MACRACONSULTING.COM - 631-560-5118

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Page 1: Macra basics preview copy

A Professional Guide To Catch You Up To SpeedMACRA BASICS

TINA COLANGELO - COLANGELO CONSULTING - MACRACONSULTING.COM - 631-560-5118

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MACRA

101MACRA is the tidal wave that hit the medical

community. Yet many physicians and health care providers don?t understand how beneficial or

devastating this can be for their business. The new MACRA system is shrouded in secrecy, mainly

because it is so dif ferent and new. Most health care providers don?t know what to expect. It has proven to

be both complicated and overwhelming to most people in the health care industry.

MACRA fundamentally changes the ways that doctors and other eligible clinicians conduct business and are

paid. MACRA is aimed at improving patient care, standardizing costs, reducing billable care by doctors and better l inking f inancial reward to care quality and

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2017Under MACRA, there are two dif ferent tracks that physicians will fall under: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APM). 2017 begins the reporting period for these payment systems.

2018This is the biggest year of concern. CMS has been lenient to this point but if history repeats itself , the hammer of regulation will come down hard. Stats will rise and get harder. Make sure you make your mark in 2017 before this!

2019In 2019, physicians will be paid under the new system. However, the 2017 reporting is thought to determine what the threshold and benchmark targets for future care quality and costs will be.

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TINA COLANGELOWho am I and why should you listen to me?

I received my Masters in health care administration and promptly began to work with doctors in my area. I learned the ins and outs of their business. For physicians here in New York, I single handedly trail blazed for them to receive an additional $250,000+ in incentive money for their Medicare Advantage plans. I did this by f inding an untapped source. This was pre-MACRA, and it did not require them to do any extra work.

I developed a vision and intuit ion that I used to help greatly improve the f inances of the doctors I worked with. When I saw MACRA coming, I knew there was a huge opportunity for all physicians and eligible clinicians to make more money than they

ever dreamed possible. I would be lying if I said I didn?t also see the danger in MACRA. The reality is that many physicians will lose their practices because they are not creative enough with their MACRA reporting. and restructuring.

MACRA is not just about reporting 4 categories; it is about creatively reporting so you get the maximum amount of bonus money. It is about creating partnerships you would never think about that will have CMS handing you money. My goal is to help MACRA physicians earn more than they ever thought possible. I have 2 qualif ications: You have to be 1. ready and 2. will ing to make MACRA work for you, not against you. If that?s you, let?s talk.

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There are four categories that are rolled into the composite performance score (CPS) used in MIPS.

MIPS

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MIPS REPORTING

Each of the four categories are weighted dif ferently. With each performance year the weights of the categories shif t. 2017-2018: Physicians, PA's, NP's, Clinical nurse specialist, and Certif ied registered nurse anesthetists will be affected by MIPS.

* In 2019 and Beyond: Physical or Occupational therapists, Language pathologists, Audiologists, Nurse midwives, Clinical social workers, Clinical psychologists, and Nutrit ional professionals will be affected by MIPS.

1. Quality 2. Cost or Resource Use 3. Advancing Care Information 4. Clinical Practice Improvement Activit ies

Note: Physician also includes: DO, Dentist, Podiatric medicine, Optometry, Psychiatrist, and Chiropractors

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1. If this is the f irst year of Medicare Part B participation.

2. Medicare bil l ing less than $30,000 and fewer than 100 Medicare patients in one year.

3. Advanced Alternative Payment Model Participants

Note: MIPS doesn't apply to hospitals

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Milton Ltd. Services

WHO DOESN'T HAVE TO REPORT?

1. If this is the f irst year of Medicare Part B participation.

2. Medicare bil l ing less than $30,000 and fewer than 100 Medicare patients in one year.

3. Advanced Alternative Payment Model Participants

Note: MIPS doesn't apply to hospitals

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