Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

Prepare Now—Not Later—to Meet New Medicare Reimbursement Requirements

Mary Beth Nierengarten  |  September 1, 2016

Rheumatologists who choose MIPS should also join the ACR’s Rheumatology Informatics System for Effectiveness (RISE) Registry, which will meet the MIPS Qualified Clinical Data Registry requirement.

 More on APMs
Providers who choose APMs as their reimbursement pathway will be exempt from MIPS if they receive significant revenue from qualifying APMs. As an incentive to choosing this reimbursement pathway, they will receive a 5% bonus in 2019–2024. Currently, all APMs are payer designated and are accountable for total spending, with no fundamental change in how much and for what physicians are paid (i.e., shared savings plus fee-for-service).

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

The ACR is interested in creating a physician-focused APM, which includes identifying areas for reduced cost or better care, identifying barriers in the current model (e.g., no payment-for-care coordination) and designing the APM to remove barriers and make provisions to ensure quality and/or reduce cost.


Mary Beth Nierengarten is a freelance medical journalist based in Minneapolis.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

Resource

  1. American College of Rheumatology. http://www.rheumatology.org/MACRA.

 

 

Page: 1 2 | Single Page
Share: 

Filed under:Legislation & AdvocacyPractice SupportProfessional Topics Tagged with:alternative payment models (APMs)APMMACRAMACRA RoadshowMedicare Access and CHIP Reauthorization ActMerit-based incentive payment systemMIPS

Related Articles

    MACRA: More Points, Smarter Future

    December 14, 2016

    As the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is implemented in January with new models for quality-based reimbursement payments, rheumatologists must seize control of how they will be paid now—and in the future. This message was stressed by speakers during Holy MACRA! How to Survive and Thrive in the Era of MACRA,…

    Prepare Now to Survive MACRA

    July 5, 2016

    The year 2015 brought an end to the much-maligned Sustainable Growth Rate (SGR), sometimes known as the “doc fix.” The SGR established limits on Medicare reimbursement for physicians, and each year, physicians and those lobbying on their behalf were forced to stave off drastic cuts to their payments. “The SGR was Congress’s attempt to control…

    How to Survive MACRA

    April 19, 2017

    The year 2015 brought the end of the much-maligned Sustainable Growth Rate (SGR), sometimes known as the “doc fix.” The SGR established limits on Medicare reimbursement for physicians, and each year, physicians and those lobbying on their behalf were forced to stave off drastic cuts to their payments. “The SGR was Congress’s attempt to control…

    Medicare Access and CHIP Reauthorization Act of 2015: What You Should Know

    April 15, 2016

    There is no denying that the past few years have been a time of immense change in healthcare. Sweeping pieces of legislation have fundamentally altered the way we practice medicine. This is absolutely the case when it comes to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA, for short). MACRA is an enormous…

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences