MIPS Matters: Understanding Eligibility & Exclusions
The Medicare Access and CHIP Reauthorization Act (MACRA) is legislation that replaced the Sustainable Growth Rate (SGR). It outlines a new program for physician reimbursement that replaces fee-for-service with value-based payments under the Quality Payment Program (QPP). The QPP replaces and consolidates the current Meaningful Use, PQRS, and value-based modifier programs. The new program has two parts: the Merit-Based Incentive Program (MIPS) and Advanced Alternative Payment Models (APMs). Most providers who are eligible will participate in MIPS in 2017.