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CMS Proposes to Exempt More Small Practices from MACRA

Posted in Accountable Care Organizations, Affordable Care Act, Legislation and Public Policy, Medicare and Medicaid, Reimbursement Matters

The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule that would update the physician payment system under the Medicare Access and CHIP Reauthorization Act (MACRA) to reduce the administrative burdens for small practices. CMS released a fact sheet on the proposed rule. [NOTE: The fact sheet page on CMS’s website is down as of 6/29/17, but we’re leaving the link here on the assumption that they will eventually fix it.]

Under the proposed rule, physician practices with no more than $90,000 in Medicare revenue or no more than 200 unique Medicare patients per year would be exempt under MACRA. For performance periods occurring in 2017, the low-volume threshold was previously set at no more than $30,000 in Medicare allowed charges or no more than 100 Medicare patients. Comments to the proposed rule will be accepted through August 21, 2017.

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