Physicians can choose from four different paths in 2017, depending on their level of readiness.
Choose from 4 flexible reporting paths
In an effort to ease the transition to MACRA, CMS is enabling physicians to try reporting options without the risk of penalties during 2017. Here are the four options for MACRA reporting in 2017:
- Option 1: Test the program
This option gives physicians an opportunity to test out MIPS reporting by submitting a small amount of data to CMS anytime in 2017. If you choose this option, you'll avoid all penalties. The "small amount" of data can consist of reporting on just a single quality measure or one clinical improvement activity or all of the required EHR measures.
- Option 2: Partial year reporting
Physicians submit more data (more than one quality measure, more than one clinical improvement activity, or more than the required EHR measures) for a minimum of 90 days. In this option, you'll not only avoid all penalties, but also may qualify for a small incentive payment based on performance.
- Option 3: Full-year reporting
Submit full data (all required measures for all three categories) for between 90 days and a full calendar year beginning Jan. 1, 2017. In this option, you'll avoid all penalties and may qualify for a larger incentive payment based on performance.
- Option 4: Participate in an advanced APM
For 2017, if you participate in an advanced APM, you will avoid penalties and won't need to submit MIPS data. If you receive enough Medicare payments or see enough of your Medicare patients through the advanced APM, you'll qualify for a 5% incentive bonus.
If one of these three scenarios applies to you, you won't be subject to the bonuses and penalties of MIPS:
- It's your first year participating in Medicare Part B.
- Your Medicare annual billing charges are $30,000 or less and you care for 100 or fewer Medicare patients per year.
- You're a qualifying participant in an advanced alternative payment model (APM).