MACRA and MIPS Made Easy with NextGen® Office & AZCOMP

NextGen® Office is MACRA ready, and has the tools you need to help you succeed.

Not sure what MACRA or MIPS is? Click here to jump to the bottom of the page for some explanation.

Here are some ways that NextGen® Office & AZCOMP can help make life a lot easier for Practice Executives participating in the program:

  • Easily accessible dashboards give quick indicators on physician performance
  • Automated quick actions help to improve the score of entire population
  • Easily view comparisons of provider performance across the practice
  • Detailed views and patient summaries have quick actions to improve scores
  • Track MIPS performance categories in real time so you always know where you’re at
  • Automated reporting for easy submissions
  • Detailed training modules and customer support on all aspects of MACRA
MACRA & MIPS

See for yourself just how easy MACRA/MIPS will be with NextGen® Office by scheduling a demo today. Call us at (480) 730-3055, or click the button to request your one-on-one demo.

NextGen® Office has the tools you need to help you succeed with MACRA, and makes reporting a snap.

The new MACRA Dashboard and the Patient Scorecard tools simplify MIPS performance & progress tracking. Our MACRA tools help eligible clinicians easily monitor their performance in the three 2017 MIPS performance categories – Quality (previously PQRS), Advancing Care Information (previously Meaningful Use), and Improvement Activities.

NextGen® Office Features for MACRA & MIPS

NextGen® Office MACRA/MIPS Dashboard

The NextGen® Office MACRA Dashboard is designed to help eligible clinicians monitor and understand how they are performing in the three 2017 MIPS performance categories:

  • Quality (formerly PQRS)
  • Advancing Care Information (formerly Meaningful Use)
  • Improvement Activities
MediTouch

NextGen® Office Patient Scorecard

The NextGen® Office Patient Scorecard shows a summary of the patient’s portal engagement and an assessment of clinical quality measures. Users can manage the measures population and if any patients are failing then perform the appropriate action to correct the situation.

The Patient Scorecard displays on the EHR Dashboard’s slide panel and is accessible from the same pages as Encounter Preview (Patient Tracker, Room Tracker, and Open Encounters).

Advancing Care Information

One of the three 2017 MIPS performance categories is Advancing Care Information (previously Meaningful Use). NextGen® Office is 2014 certified technology. MIPS clinicians will be able to earn up to 155 percentage points, but the category will still be capped at 100% for reporting purposes. With NextGen® Office, scoring high in this category can be easy.

Practice Improvement Activities

Another one of the three MIPS performance categories for 2017 are Improvement Activities. Performance in this category accounts for 15% of the total MIPS score. Proof of compliance for this category is the responsibility of the practice because CMS did not certify any EHR programs for Improvement Activities. To assist the clinicians, NextGen® Office added these features to help users comply with the categories requirements.

Checkout the MACRA Dashboard and see how easy NextGen® Office is to use for your own practice and schedule a one-on-one demo. Call us at (480) 730-3055 or click the button to request your personalized demo of NextGen® Office.

What is MACRA/MIPS?

MACRA stands for Medicare Access and CHIP Reauthorization Act of 2015. CHIP stands for Children’s Health Insurance Program, and MACRA extends funding to CHIP. MACRA is a healthcare legislation that provides a new framework for reimbursing clinicians who successfully demonstrate value over volume in patient care.

The MACRA legislation went into effect in April 16, 2015. There are deadlines for implementation of various aspects of the law from the Department of Health and Human Services (HHS), and the Centers for Medicare and Medicaid Services (CMS).

There are three important changes made by MACRA which impact the way Medicare pays providers.

  1. The law repeals the Sustainable Growth Rate formula that determined Medicare payments for providers’ services.
  2. Participating providers are now paid based on the quality and effectiveness of care given.
  3. MACRA combined existing quality reporting programs into one new system.

Quality Payment Program

These changes included the creation of the Quality Payment Program (QPP), which helps the healthcare system move toward the goal of value-based care.

You can learn more about the QPP at the CMS websites here (qpp.cms.gov) and here (CMS.gov).

The QPP has two paths.

  1. Merit-based Incentive Payment System (MIPS): A program that measures eligible professionals on quality, resource use, clinical practice improvement and meaningful use of certified EHR technology.
  2. Alternative Payment Models (APMs): APMs create new ways for healthcare providers to get paid for the care they provide to Medicare beneficiaries. Some examples of APMs include accountable care organizations, patient-centered medical homes and bundled payment models.

Merit-Based Incentive Payments (MIPS)

MIPS is the combination of parts of the Physicians Quality Reporting System (PQRS), the Value-based Payment Modifier (VBM), and the Medicare Electronic Health Record Incentive Program into one single program under MACRA.

MIPS determines Medicare payment adjustments using a composite performance score. Depending on this composite score, eligible professionals may receive a payment bonus, a payment penalty or may not receive a payment adjustment at all.

The composite, or MIPS score measures eligible professionals based on four performance categories. These categories are all weighted differently.

  • 50% for quality (PQRS and VBM)
  • 25% for meaningful use
  • 15% for clinical practice improvement
  • 10% for resource use

The EHR Requirement

MACRA modifies, and perhaps will eventually replace the meaningful use stage 3 incentive program, as the law steers organizations toward using electronic health record (EHR) data for value-based care.

Under MACRA, if an EHR vendor would like their product to be considered a certified EHR, they must be able to do the following:

  • Indicate the data source measures, activities and objectives under the Quality, Improvement Activities, and Advancing Care Information performance categories if the data is derived from a certified EHR technology.
  • Transmit data from the certified EHR technology or through a data intermediary in the form specified by CMS.
  • Allow individual MIPS-eligible clinicians and groups to submit data directly from their certified EHR technology in the form specified by CMS.

For more information about MACRA and MIPS, be sure to visit the CMS website, or the QPP website.

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