Tag:

MACRA

My Summer with the Office of Inspector General for the U.S. Department of Health and Human Services

This summer I had the opportunity to intern with the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) in Washington, DC. I thoroughly enjoyed my time with OIG, and I learned a great deal about health care fraud, waste, and abuse. In spending my summer with OIG, I had a glimpse into the powerful regulatory bodies that protect the health care market from abuse. As I move forward with my career in regulatory work, I will take with me the invaluable experiences and skills from my internship.

MACRA 101: Noteworthy Changes in the Final Rule

Alanna Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017   As our MACRA 101 series comes to an end, this article is intended to point out key differences between the proposed rule released earlier this year and the final rule which was released October 14th.  The lengthy final rule, reaching almost 2,400 …
Read more

MACRA 101: Advanced Alternative Payment Models

Bherti Patel Associate Editor Loyola University Chicago School of Law, JD 2018   The Quality Payment Program (QPP) will reward delivery of quality patient care through the following two programs: the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs). These two programs will allow clinicians and physicians to provide care in a …
Read more

MACRA 101: MIPS and the Clinical Practice Improvement Reporting Category

Christine Bulgozdi Associate Editor Loyola University Chicago School of Law, JD 2018   The Merit-based Incentive Payment System (“MIPS”) is one of the two different payment methods that MACRA will use for eligible clinicians. Clinicians will be evaluated based on a single Composite Performance Score from four reporting categories: Quality, Resource Use, Advancing Care Information and …
Read more

MACRA 101: MIPS and the Advancing Care Information Category

Alanna Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017   This article will spell out the details for the Advancing Care Information (ACI) category of the Merit Based Incentive Payment System (MIPS).  This category accounts for 25% of a clinician’s overall composite score and is intended to replace the current Meaningful Use …
Read more

MACRA 101: MIPS and the Resource Use Category

Bherti Patel Associate Editor Loyola University Chicago School of Law, JD 2018   As previously discussed, MIPS will streamline Medicare’s current quality measures into one composite score from four reporting categories: Quality, Resource Use, Advancing Care Information, and Clinical Practice Improvement. This score will then be used to determine the reimbursement to a clinician based …
Read more

MACRA 101: MIPS and the Quality Reporting Category

Christine Bulgozdi Associate Editor Loyola University Chicago School of Law, JD 2018   The Merit-based Incentive Payment System (“MIPS”) is one of the two different payment methods that MACRA will use for eligible clinicians. MIPS replaces the existing fee-for-service model and is expected to be the payment track that most clinicians take. Clinicians will be evaluated …
Read more

MACRA 101: Physician Fee Schedule Adjustments and the New Pick Your Pace Options

Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017   In this article, we will cover the anticipated reimbursement scheme for both MIPS and APMs, as well as briefly discuss two new reporting paths recently revealed to be available to clinicians in 2017. One of the most attractive pieces of the …
Read more

MACRA 101: A Series on MACRA

Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017   The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law by President Obama back in April 2015 and one year later, the Centers for Medicare and Medicaid Services (CMS) released the highly anticipated proposed rule.  This 962-page rule is …
Read more

Compliance Spotlight: Valerie Dixon, UC Irvine Health

Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law,  JD 2017   Valerie Dixon currently serves as the University of California Irvine Health (UCI) Deputy Compliance Officer.  Ms. Dixon brings 17 years of compliance experience with her to UCI, as she started her compliance career in 1999 at UC San Diego.  Prior to …
Read more