As the Cost performance category for the Merit-based Incentive Payment System (MIPS) evolves, and the stakes associated with MACRA rise, it is important for providers to establish the nature of their relationships with their patients and their degree of responsibility for each patient’s care. CMS attributes patient care costs and episodes of care to providers. This attribution can ultimately play a role in a provider’s MIPS score and, subsequently, his or her reimbursement. CMS has developed Patient Relationship Categories and Codes (PRCs) to allow providers to self-identify their relationships with patients.
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