Practice

On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating payment policies and payment rates for physicians under the Medicare Physician Fee Schedule (MPFS) for 2018.  CMS estimates a 0% impact in payment for neurology and +1% for physical medicine and rehabilitation physicians; although, ultimately, the result could differ when the final rule is published in the fall.
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MACRA

Medicare Access and CHIP Reauthorization Act (MACRA) is a bipartisan legislation that was passed into law in April 2015.  This legislation represents a complete overhaul of the structure of physician payments by Medicare. Under MACRA, a new framework of payment called the Quality Payment Program (QPP) has been proposed.  The QPP includes two paths for physicians to choose from:  the Merit-Based Incentive Payment Systme (MIPS) or the Advanced Alternative Payment Models (APMs).  For more information on these two paths, please click on the links below.

MACRA FAQs

MACRA Overview (Final Rule)

MIPS Overview (Final Rule)

External Resources

Centers for Medicare and Medicaid Services (CMS):

AMA Resources:


Final Rule:


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2015 AANEM Coding Guide now available