Are patients’ best interests being represented in the radical shifting landscape of healthcare? Is your practice being fairly compensated for the work you do? Join your colleagues as we examine the issues facing pathology and learn how you can become a part of the solution.
S1620 MACRAscopic Analysis of the New Quality Payment Program: Maximize Reimbursement While Demonstrating Value
Faculty: W. Stephen Black-Schaffer, MD, FCAP and Diana M. Cardona, MD, FCAP
2.5 CME/SAM CREDITS
Will your practice be subject to a 4% penalty next year? In March 2015, Congress passed HR 2, the Medicare Access and CHIP Reauthorization Act of 2015, which not only repealed the sustainable growth rate (SGR), it also replaced the prior quality programs with a new quality payment program (QPP) that created two payment pathways: 1) the Merit-based Incentive Payment System (MIPS) and 2) the Alternative Payment Model (APM). The reporting requirements for these programs started January 2017. Physicians will start feeling the impact of their performance in 2019, with bonuses or penalties of up to 4%. In 2020, the potential swing is 5% based on 2018 performance, and these potential impacts will continue to increase to a maximum of 9% in 2022. These programs are constantly evolving. The CMS will propose changes to the 2019 program in the proposed rule that will be published in June 2018. This course will explain the program and its implementation and provide current information on the ways you and your practice can successfully participate in the current and upcoming year to avoid a penalty and potentially receive a bonus.
You will learn to:
• Describe the history and purpose of pay-for-performance programs
• Explain who is subject to QPPs, MIPS, and APM
• Identify ways to successfully participate in the MIPS program
• Measure the utility of using a Qualified Clinical Data Registry (QCDR)
• Assess the potential ramifications for not successfully participating
Round Table Discussions—Lunch Included
Join the experts for lunch! Exchange information and share solutions in a relaxed setting with your peers. You will learn to improve your ability to identify solutions to common problems through interactive sessions with colleagues. An additional fee applies.
R1691 Current Payment Policy Challenges in Pathology Practice
Faculty: Jonathan L. Myles, MD, FCAP
1.0 CME/CE CREDIT
Understanding and Maximizing Your MIPS Score
While 2017, the first year of the Merit-based Incentive Payment System (MIPS), was deemed a “transition year” with fairly flexible compliance requirements, going forward the CMS is requiring full compliance with all relevant MIPS program requirements in order to avoid future payment penalties. The CMS will continue to increasingly adjust Medicare payments by as much as +/- 9% based on clinician performance in MIPS through 2022.
A MIPS Composite Score determines payment adjustments for pathologists participating in MIPS. With the transition year ending and the threat of increasing payment adjustments on the horizon, it is imperative that pathologists fully understand compliance requirements as well as scoring under the MIPS program, and the reporting options available to optimize their performance in MIPS for 2018 and beyond.
Participants attending this session will learn more about CAP strategies for reducing the burden of complying and how to optimize scores in MIPS, including education on the various factors that contribute to their MIPS score, and how MIPS Composite Scores are calculated.
PathPAC Networking Reception
Join your fellow colleagues and mingle with CAP leadership for some great networking and fun while we recognize all contributors to PathPAC. Dedicated to issues facing pathologists, PathPAC secures resources to support elected officials who are supportive of pathology and laboratory medicine and with whom we have relationships. Help us make PathPAC stronger for you. For first-time contributors, a small donation will be requested.
“Only at this meeting can I learn what is going on behind the scenes at the federal and state level right from those who are doing it.”
“We have a lot of changes happening in healthcare and this impacts how we get reimbursed. The CAP does a great job of explaining how this affects us and what our options are.”