MIPS, MACRA, and the Quality Payment Program Explained
Your Medicare payments now hinge on quality scores. How MIPS categories, thresholds, and reporting translate into payment adjustments.
Under MACRA’s Quality Payment Program, clinicians are scored through MIPS (or advanced APMs) and see Medicare payments adjusted up or down years later. Ignoring it is a guaranteed penalty.
The MIPS categories
- Quality
- Promoting Interoperability
- Improvement Activities
- Cost
Score, threshold, and timing
Your composite score against the performance threshold determines a positive, neutral, or negative payment adjustment applied in a later year. Track measures all year — not at the deadline.
How Aethera helps
Aethera helps select high-yield measures, capture them in documentation, and report cleanly so your adjustments trend positive.
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