In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA), which established an emphasis on the role of Health IT in driving care distribution and payment reform across the U.S. healthcare system. Medicare clinicians report quality and value metrics to CMS from three independent programs; Physician Quality Reporting System (PQRS); Physician Value-based Payment Modifier (VM); Medicare EHR Incentive Program for Eligible Professionals (Meaningful Use).
To ease clinician burden in reporting to CMS, CMS plans to merge these three programs into one, Merit-Based Incentive Payment Systems (MIPS). What HybridChart loves about MACRA: Clinical Practice Improvement Activity (CPIA) – CMS proposes Medicare clinicians report on a performance group called Clinical Practice Improvement Activity (CPIA).
Hand Picked Related Content: Beginners Guide to MACRA
CPIA refers to an action that relevant eligible clinician organizations and other significant stakeholders identify as improving clinical practice or care delivery and that the Secretary determines, when executed, is likely to result in enhanced outcomes. Everything about HybridChart, from the efficiencies and revenue gained via charge capture, to the powerful discharge planning (resulting in reduced readmission rates and better follow up care), to the Metrics and Flags, which illuminate high risk cases and implement specific protocols to be taken care of at the point of care and beyond, is in alignment with these activities.
Deeper Dive: Check in with your favorite trusted resources on the topic, but here are some of ours:
- HIMSS (Healthcare Information and Management Systems Society) – MACRA Resource Center
- CMS MACRA Overview
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Dr. Gregory Sanders is a Harvard-trained, practicing cardiologist and founder and CEO of HybridChart. He has been coding since the 1980s and has spent his medical career focusing on improving processes. His patient care skills earned him recognition as one of Phoenix Magazine’s TOP DOCs. He lives in Scottsdale with his family.