APMA has the resources you need to help you through every step of your career. With detailed information about MIPS and recent coding trends along with compliance guidelines and practice marketing materials, APMA has you covered whether you are just getting started in practice, preparing for retirement, or anywhere in between.
Today's podiatrist has the necessary education and training to treat all conditions of the foot and ankle and plays a key role in a keeping America healthy and mobile while helping combat diabetes and other chronic diseases.
Your feet are excellent barometers for your overall health. Healthy feet keep you moving and active. They are quite literally your foundation. In this section, learn more about APMA Seal-approved and accepted products, proper foot care, common foot and ankle conditions, and how your podiatrist can help keep you and your feet healthy.
APMA is the only organization lobbying for podiatrists and their patients on Capitol Hill. As the voice of podiatric medicine to your legislators and regulators, APMA is active on a variety of critical issues affecting podiatry and the entire health-care system.
CY 2018 Updates to the Quality Program—MIPS Year 2
Clinicians with less than $90,000 Medicare Part B allowable charges or fewer than 200 Part B beneficiaries are excluded from the 2018 MIPS reporting period.
The threshold to avoid a penalty in 2020 is now 15 MIPS points, versus three MIPS points for 2019. The exceptional performance threshold remains at 70 MIPS points.
The 2018 Reporting Periods are as follows:
12 months—Cost and Quality performance categories
90 days—ACI and CPIA performance categories
The Cost performance category will count now for 10 percent of MIPS score, which will be calculated by Medicare Spending per Beneficiary (MSPB) and total per capita cost measures. There is no active reporting for this category, which CMS will calculate.
2014 and 2015 CEHRT are allowed, but bonus ACI points will be available only to physicians using 2015 CEHRT.
Practices with 15 or fewer clinicians are exempt from the ACI category. Those practices will then have their Quality performance category reweighted to 75 percent of the MIPS composite score.
Clinicians affected by Hurricanes Harvey, Irma, or Maria who do not submit 2017 MIPS data will not have a negative adjustment in 2019. Additionally, physicians affected by these hurricanes may file a hardship exemption application for Quality, ACI, and CPIA categories for the 2018 performance period.
Clinicians can now participate in Virtual Groups.
CMS has provided a fact sheet on the new rule. Members can read APMA's comments to the proposed rule at www.apma.org/CommentLetters, and we are reviewing the final rule to determine what most affects our membership so we can submit additional comments.
CY 2018 Medicare Physician Fee Schedule (MPFS)
Podiatrists on average will experience a 1-percent increase in allowed charges across their book of business. The overall update to payments under the Medicare Physician Fee Schedule based on the finalized CY 2018 rates will be +0.41 percent.
CMS agrees with APMA's comments that the E/M documentation guidelines need to be streamlined. It will address comments and stakeholder concerns in future rulemaking.
CMS will finalize the start date for the Appropriate Use Criteria (AUC) Program for Advanced Diagnostic Imaging. It will begin with an educational and operations testing year in 2020, which means physicians would be required to start using AUCs and reporting this information on their claims.
As part of its "Patients over Paperwork" initiative, the 2018 MPFS included reducing reporting requirements and removing downward payment adjustments based on performance for practices that meet minimum quality reporting requirements.
APMA will be reviewing this final rule in more detail, and will provide a summary of its impacts to our members in the near future.