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Providers won’t have to worry about participating in a new set of mandatory Medicare episode payment models for cardiac and orthopedic procedures until next year.

Providers in four states get an opportunity to join the Comprehensive Primary Care Plus program (CPC+) and become an advanced alternative payment model (APM).

Not all providers are on the hook to report the quality and health IT measures associated with the merit-based incentive payment (MIPS) system during 2017.
Keep a copy of Change Request 100076 to the Program Integrity Manual on hand if your practice uses scribes. It will help you fend off overpayment demands from auditors who try to ding your practice because the scribe didn't sign a chart. That's not how it works, CMS says in the Change Request.
Your Medicare administrative contractor (MAC) will send your practice a letter before the end of May to let you know whether you have to participate in the merit-based incentive payment system (MIPS) to avoid a pay cut.
 
 

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