MACRA Practice Assessment

WSMA is assisting practices with being successful in MACRA (Medicare Access and CHIP Reauthorization Act) that begins in 2017. These questions will help assess your practice's readiness for MACRA, and will also help WSMA in supporting your needs going forward. Please complete this assessment or forward to the appropriate individual for completion. 
MACRA "Readiness"

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* 1. Describe the administrative staff's knowledge of MACRA.

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* 2. Describe the clinical staff's knowledge of MACRA.

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* 3. Does your practice currently participate in any of the following? (Check all that apply.)

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* 4. Is the practice exempt from MACRA reporting requirements because it is a Qualified FQHC or RHC? (Services rendered by an eligible clinician under the RHC or FQHC Payment Methodology will not be subject to the MIPS payment adjustments.)

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* 5. If your practice is a Qualified FQHC or RHC, do your clinicians bill any services to the Medicare Part B that are not included in the all inclusive rate? (For any Medicare Part B items and services provided and billed outside of the all-inclusive payment rate at FQHCs and RHCs will be subject to MIPS payment adjustments.)

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* 6. Do the clinicians working in the practice participate in an Advanced Alternative Payment Model (APM) that will get a fixed increase by reporting through the APM? (Qualifying APM - Must receive 25% of their Medicare Part B allowable charges through an Advanced APM or see 20% of their Medicare patients through an Advanced APM.)

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* 7. Some clinicians who do not see many Medicare patients may be excluded from MACRA reporting requirements. In 2016, did any clinician in your practice receive more than $30,000 in Medicare allowed charges or provide care for more than 100 Medicare patients?

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* 8. If your clinicians are participating in MIPS, will they be reporting as individuals or as a group?
("Individual" is defined as a single NPI tied to a single TIN. "Group" is defined as a set of practitioners identified by their individual NPI number but sharing a common TIN, no matter the specialty or practice site. Multiple providers in a group can report either as a group or individually but this decision applies to everyone in the group.)

Quality Payment Program

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* 9. Has the practice selected its Medicare quality measures and improvement activities?

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* 10. Has the practice coordinated with IT staff to enable the required reporting?

"Pick Your Pace" Options

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* 11. How much data does your practice intend to submit for 2017? (Based on the data submitted by March 31, 2018, your 2019 Medicare payments will be adjusted up, down or remain the same.)

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* 12. What method will the practice choose to report the  6 Quality Measures that must include one outcome measure (if available) or a high priority measure (if an outcome measure is not available)?

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* 13. Is the practice a Certified Patient Centered Medical Home, comparable specialty practice, or an APM designated as Medical Home Model? (If yes, you will automatically earn full credit in the Clinical Practice Improvement area, but must still report the 6 Quality Measures including one outcome measure (if available) or a high priority measure (if an outcome measure is not available) through the APM).

MIPS Performance Categories
Merit-based Incentive Payment System

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* 14. What method will the practice choose to report its  Clinical Practice Improvement Measures? (Groups of fewer than 15 participants or if you are located in a rural or health professional shortage area, you must submit a minimum of 1 high-weighted or 2 medium-weighted improvement activities for a minimum of 90 days. Groups with more than 15 participants must submit a minimum of 4 medium-weighted or 2 high-weighted or 1 high-weighted plus 2 medium-weighted improvement activities for a minimum of 90 days)

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* 15. How will the practice report its 5 Advancing Care Information Measures? (This replaces the Medicare EHR Incentive Program.)

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* 16. Will the practice be participating in the Advancing Care Information (ACI) bonus reporting for the possibility of earning additional compensation? (Reporting on all 5 of the ACI Measures will earn 50% scoring. The other ACI performance category elements such as using patient-generated health data or enabling "view, download and transmit" by patient are optional and would award up to 10 percent in the overall performance score or a bonus in the case of public health reporting.)

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* 17. Does the practice have a process to monitor its quarterly data?

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* 18. Has the practice implemented improvement strategies to achieve excellence and maintain reimbursement?

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* 19. What actions or tools would assist your practice in complying with MIPS?

Demographic Information (This will remain confidential)

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* 20. Please provide us with the following information:

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* 21. Please select your role at the practice.

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* 22. Please indicate the total number of physicians in your practice.

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* 23. Any additional comments:

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