Why Participate in Medicare Quality Reporting? (Even if You Don ’ t Have To)

If you treat Medicare Part B beneficiaries, you might be required to report quality measures to Medicare. But even if you are not required to participate this year, you could be included in the future—so it might be a good idea to voluntarily participate now just for practice. You may even choose to opt-in to the program to earn financial incentives if you can participate successfully. Some clarity Medicare’s quality reporting program, the Merit-Based Incentive Payment System (MIPS), requires some providers to report their compliance with certain patient interaction measures. A provider’s failure to participate or to reach certain targets triggers a decrease in the provider’s Medicare reimbursement in future years. Successful participation triggers an increase in the provider’s future reimbursement. Required participation Only audiologists and SLPS who meet all three of the following criteria (known as low-volume threshold) must participate in MIPS: Receives more than $90,000 in annual Medicare reimbursement. Treats more than 200 Medicare beneficiaries per year. Provides more than 200 Medicare-covered services. Based on analysis of 2016 Medicare data, ASHA calculates that only a very small portion of members—probably less than 1%—are required to participate in MIPS. Use the Medicare NPI lookup tool to identify your MIPS reporting status. Elective participation The criteria for required MIPS participation will most likely broaden to include more audiologists an...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Audiology Health Care Slider Speech-Language Pathology medicare private practice Source Type: blogs