Practice

Q. Should I report as a group or as an individual? A. If you work in group practice, you have the choice to report as an individual or as a group. However, if you decide to report as a group, ALL eligible clinicians must report under the group’s tax identification number (TIN) – no one is allowed to report individually. Similarly, if your group elects to report together, even if you would be exempt under the low-volume threshold on the individual level, you MUST participate with the group. Under the group reporting option, all eligible clinicians will report on the same measures in each of the four categories.
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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 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