Medicare – Quality Payment Program

Medical Billing Services

Medical Billing Services

In 2017, Medicare implemented the Merit-based Incentive Payment Program – MIPS.  The deadline to report 2017 measures is February 28, 2018. If at least one “test measure” is reported for this period, practices will not incur rates reductions in 2019.

For the 2018 reporting period, practices must report at least six measures, including one “outcome measure,” over 60% of the practice’s Medicare population. Reporting can be done via claims, EHR system, or a combination of both.

The process of identifying and selecting measures is not complicated.  Practices that report via claims simply identify applicable measures and corresponding CPT codes.  The CPTs a subsequently submitted to Medicare, as part of a normal medical claim.  To view the Quality Measures and corresponding instructions, please click here.