Skip to main content

What is MACRA ?

What is MACRA ?

MACRA stands for Medicare Access & CHIP Reauthorization Act 2015 :

Three major steps :

1) Ending sustainable growth rate for determining Medicare payment for health care provider service

2) Making new framework for rewarding health care provider for giving better care not just more care

3) Combining our existing quality reporting program's in to one new system

These proposed changes replace a patchwork system of Medicare reporting program's with a flexible system that allows you to choose two path of links quality of payments .

MIPS - Merit based Incentive Payment System.

It's a combination of PQRS, Value based payment modifier and EHR.

APM  - Alternative Payment Model

2019 - 2024 Lump sum incentive amount, increased transparency of physician focused payment model.

Starting 2026, offers some participating health care provider higher annual payment.

SOCIAL SECURITY NUMBER REMOVAL INITIATIVE

MACRA Requires us to remove SSN from all Medicare cards, when replace SSN on all Medicare cards we can better protect.

Private health care and financial information.

Federal health care benefit and services payment.

Comments

  1. Informative Blog!
    Here know about "How to collect Patient balances at the time of visit?"

    To know more about our Medical Billing Services Click Here

    ReplyDelete
  2. Excellent website. Lots of useful information here, thanks in your effort! . For more information please visit
    Medical coding training Hyderabad

    ReplyDelete

Post a Comment

Popular posts from this blog

What is QMB / MQMB stands for?

In Medical billing or Healthcare industry The term QMB stands for Qualified Medicare Beneficiary & MQMB stands for Medicare Qualified Medicare Beneficiary. The term "QMB" or "MQMB" on the form indicates the client is a Qualified Medicare  Beneficiary (QMB) or a Medicaid Qualified Medicare Beneficiary (MQMB). The Medicare Catastrophic Coverage Act of 1988 requires Medicare premiums, deductibles, and coinsurance payments to be paid for individuals who meet the following criteria:  Important: Clients limited to QMB are not eligible for THSteps or THSteps-CCP Medicaid benefits.  Note: Clients eligible for STAR+PLUS who have Medicare and Medicaid are MQMBs. Medicaid reimburses for the coinsurance and deductibles as well as Medicaid-only services for the MQMB client. QMBs do not receive Medicaid benefits other than Medicare deductible and coinsurance liabilities. MQMBs do qualify for Medicaid benefits not covered by Medicare in addition

Rejection Procedure note qualifier is missing

  Need to check the Charges tab and double click on the Procedure Code line to open up the Charge Entry window. There is a Notes section on the right hand side. If there is a note typed, we need to select the type.   Need to select field and select the appropriate type of note you are sending.   Save the changes made   Check all the procedure if submitted many procedure.   Save the visit again and submit the claim.

Mastering the 'Tell Me About Yourself' Interview Question: Best Tips and Examples

In a job interview, the "Tell me about yourself" question is often asked early on and is an opportunity to make a positive first impression. The key is to provide a comprehensive response that highlights your qualifications and aligns with the job you're applying for. Here's a structured approach to crafting the best answer: Start with a Brief Personal Introduction: Begin by mentioning your name and your current or most recent role, if applicable. For example, "I'm [Your Name], and I'm currently working as a Sr AR Specialist at XYZ Company." Provide a Summary of Your Professional Background: Offer a concise overview of your professional journey, emphasizing the experiences and skills most relevant to the position you're interviewing for. You can mention your years of experience, notable career achievements, and areas of expertise. Highlight Relevant Achievements: Share specific accomplishmen