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TIME: 2.5HRS
Reimbursement: New Payment Models
MACRA, MIPS, APMs, and Bundled Payments

The information in this course will describe the new payment models developed by the Centers for Medicare & Medicaid Services (CMS), which aim to reward physicians and clinicians for providing care that is considered high-quality and lower-cost. You will learn how to choose the model that will be best for your practice; what the rules, reporting requirements, and scoring systems are; and what the potential incentives and penalties are. You will learn how payment models are changing, and what to expect in the future. This course will cover:

  • The development of quality initiatives in payment models;
  • The Merit-based Incentive Payment System (MIPS);
  • Scoring for MIPS;
  • Alternative payment models (APMs) and advanced APMs; and
  • Bundled payments.
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5 CHAPTERS
Quality Initiatives in Payment
Physicians will learn why payment systems are evolving from traditional fee-for-service to systems that require physicians to report use of quality measurements developed to promote specific patient care activities.
START
What Does MIPS Mean for Physicians?
Physicians will learn about the four key categories of the Merit-based Incentive Payment System (MIPS) and the associated incentives and penalties.
START
A Deeper Dive Into MIPS Scoring
This chapter will give physicians a framework for understanding the complexities of MIPS scoring for the four categories, and will help them determine the scoring activities most useful for them.
START
Alternative Payment Models
Physicians will learn about the requirements and reporting measurements for alternative payment models (APMs) and advanced APMs, which are more often used by physicians in large groups, ACOs, or hospitals.
START
Bundled Payments Are Gaining Ground
This chapter will inform physicians about the efforts to develop more bundled payment models, how they work, and their pros and cons.
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This content will become available after you have completed the prior chapters.
AUTHORS
Maxine Lewis, CMM, CPC
Medical Coding Reimbursement Management, Cincinnati, Ohio
ABOUT
PHYSICIAN BUSINESS ACADEMY

Medscape Physician Business Academy is designed to help all physicians, employed and self-employed as well as new and more established practicing physicians, become successful in their medical practice and career by providing the essential business information that most medical schools and residency programs don't teach.

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COURSE BENEFITS

BY COMPLETING 8 COURSES YOU WILL RECEIVE A CERTIFICATE OF COMPLETION. AFTER COMPLETING EACH COURSE, YOU’LL RECEIVE A LETTER OF COMPLETION.

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PHYSICIAN BUSINESS ACADEMY CERTIFICATE
Medscape Physicians Business Academy course content is provided for educational and information purposes only. If you have particular questions or concerns relating to your practice you should consult the appropriate legal, financial or other expert.
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