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Making Sense Out of MACRA

March 21, 2017
2:00 – 3:00 pm ET

CE/CME Information

Register today

Webinar Description

The historical Medicare Part B fee schedule payment method has not contained incentives for physicians and non-physician practitioners to focus on the quality of care, the relative value of each service they furnish, nor the cumulative costs of services or items they provide and order, and the services that their patients receive from other providers. CMS's Quality Payment Program goals are to improve quality and lower the per-capita growth in expenditures - an important component in revamping how care and services are paid for. CMS aims to drive improvement in our national healthcare system through the use of quality measures and periodic assessment of the impact of such measurement. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established payment incentives for physicians and other clinicians based on quality, rather than quantity, of care.

In general, palliative care organizations paid little attention to the precursors of the Merit-based Incentive Payment System (MIPS) until they started receiving payment penalties for not reporting on Physician Quality Reporting System (PQRS) quality measures. The stakes get higher as payment adjustments under MIPS can be ±4% in 2019 for care provided and reported in 2017, rising to 9% in 2022, with the potential for payment incentives to have a multiplier of 3 for high performers. These changes are being implemented by major commercial health insurers and impacting relationships with other providers, ACOs and hospitals. This Webinar will discuss the payment changes in Medicare Part B, how diagnosis coding is impacting a physician practice’s "score" and what palliative care providers can do now to prepare and fare well under MIPS.

Webinar Objectives

At the completion of this Webinar, participants will be able to:

  • Name the 4 components of the Merit-based Incentive Payment System
  • Describe the importance of ICD-10 coding on the cost component of CMS' Quality Payment Program and the correlation to clinical documentation
  • Identify the steps to take to prepare for MIPS in 2017 and beyond

Faculty

Jean Acevedo, LHRM, CPC, CHC, CENTC

Jean Acevedo has more than 30 years of health care experience including a particular expertise in chart audits, compliance and education relative to hospice and palliative physician documentation and coding. Jean has been an expert witness in civil litigation as well as federal fraud cases related to these matters.

Jean serves as NHPCO Edge’s expert for engagements requiring inside knowledge and understanding of physician billing and coding issues. She has written for NHPCO’s quarterly magazine, NewsLine, on physician billing and coding issues from the perspective of hospice providers.

Jean was awarded a Presidential Citation by the AAHPM at the AAHPM/HPNA 2014 Annual Assembly in appreciation of her contributions to the field of hospice and palliative medicine in helping them understand the complexities of coding, reimbursement and regulatory compliance. She is a frequent presenter for many clients, an instructor at Florida Atlantic University and a member of several Coding Institute Editorial Advisory Boards. Jean has been a Participant in CMS’ Medicare Provider Feedback Group, CMS Division of Provider Information Planning and Development since 2007 and is a member of the Jurisdiction 9 MAC’s Provider Outreach and Education Advisory Group. 

Nurse: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this live activity for a maximum of 1 contact hours. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.

Physician: The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NHPCO designates this live activity for a maximum of 1 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: For participants* whose disciplines are other than counselor, nurse and physician, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the Webinar was certified for AMA PRA Category 1 Credit(s) TM. It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including bereavement professionals, finance professionals, physician assistants, social workers, spiritual care givers, etc.