THE MEDICARE ACCESS and CHIP Reauthorization Act of 2015 (MACRA) is widely viewed as one of the most significant and complex changes to Part B Medicare reimbursement in several decades. The Centers for Medicare and Medicaid Services (CMS) created the Quality Payment Program (QPP) that includes two MACRA programs: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). The QPP will impact health information management (HIM) professionals that manage organizations that bill for Medicare Part B or are involved with Advanced APMs. This article is not meant to be comprehensive, but it will explore representative components of the QPP that will benefit significantly from the involvement of skilled HIM professionals.
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