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Democratic Group Practice Section Newsletter - October 2017

Surviving and Thriving in the New World of Quality Reporting

Message from the Editor

In this newsletter, you will find a nice update on MACRA and MIPS written by Jim Blakeman, Senior Vice President of Emergency Groups Office. He has been involved in emergency physician billing and coding policy development for more than thirty years, and frequently lectures on those topics throughout the country.  Also, Dr. Pawan Goyal, ACEP’s Associate Executive Director for Quality, explains CEDR and how it is serving the quality reporting needs of emergency physicians and groups.

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MACRA – MIPS and APMS: Democratic Groups Can Prosper in the New System

Some believe that fee-for-service medicine is not likely to survive this latest round of complex payment schemes and that independent emergency physician groups will soon be on the endangered list. The changes appear to some to be so daunting as to overwhelm the average emergency physician group that is looking to meet its commitments to its patients, hospital and providers. Click here to read more about the changes now. 

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The Clinical Emergency Data Registry (CEDR): Quality Measurement, Reporting and Improvement for the Emergency Physician

Instead of physicians being mired in an alphabet soup of reporting requirements, CEDR allows for a single data capture to fulfill the requirements of multiple programs, making physician quality reporting more efficient. The healthcare environment is transitioning from volume-based to value-based payment for care. The CEDR registry ensures that emergency physicians, rather than other parties, are identifying what practices work best for whom. The advantages of participating in CEDR are:

  • Protection of revenue/ability to gain share of bonus
  • Medicare and CHIP Reauthorization Act (MACRA)/Merit-based Incentive Payment System (MIPS) compliance
  • Establish national benchmarks for EM specific quality measures

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Mark Your Calendar!

Democratic Group Practice Section Annual Meeting

ACEP17 in Washington, D.C.
Marriott Marquis – Liberty Ballroom, Salon O-P
Monday, October 30
10:00 AM

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8 Ways to Know if You Should Participate in the Quality Payment Program

During this first year as we move to the Quality Payment Program, CMS is committed to working hard with clinicians to make the reporting and participation process easier. It’s CMS’ priority to further reduce burdensome requirements so that clinicians can deliver the best possible care to patients. 

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