You will need an Active Program to get your share of MACRA.
Adding "G Codes" is not the only key to making money for your providers any more. Of course, there are other companies that are happy to take payment from your clients to help.
But what if you could tap into a $100 - $600 per provider annual revenue?
MACRA is paid in part from a "budget neutral" pool of money, funded by providers who pay MACRA Penalties. In MACRA's first few years, CMS created a set of transitional rules designed to reduce those penalties. As a result, no more than 3% of all providers paid into the pool in each of the previous years.
Starting in 2022, the law requires that any provider below average will pay a penalty. Oh -- "average" has been in the high 80% to low 90% range. Starting in 2022, somewhere around 50% of all providers will be paying penalties -- by law.
If you are going to get your providers into the money, you will need an active program. Just publishing a dashboard is not a competitive advantage (everybody already does that).
What's your program?
MACRA has not resulted in big Medicare increments - yet. But as "transitional rules" phase out, top performers can earn up to an additional 19%. It may take a while to achieve this level, but you can help! And when your customers get paid more, so do you.
With our wonderful, creative arrangement for sharing in the revenues your providers are already paying someone else, we will save them money, while putting a little more in your pockets as well. Maybe more than just a little.
So, what if your next proposal included Clinical Quality Registry services, bundled in with your RCM service? The net result is eliminating a giant expense with a uniquely sophisticated service that other RCM companies can't touch.
We will share our Registry Revenues with you.
The sharing rate will depend on your level of coding, and your own system sophistication. Give us a call to come up with this powerful competitive weapon.
MACRA won't always be easy. By law, starting in 2022 half of the providers in the country will be penalized - and between now and then CMS is gradually phasing in rules designed to increase the penalty pool. We will help you to interact with your clients on a regular schedule - monthly if you like - to review their metrics, find shortfalls, and recommend mitigations.
If you could dedicate one of your smartest people full time to absorbing the thousands of pages of MACRA regulations, you still wouldn't have the depth of experience our team gains. We support hospital based providers, radiologists, family practitioners and even ACOs in MACRA, all day long. And our team's expertise becomes your team's expertise.
Did you know that CMS expects you to reconcile your entire provider population against their MIPS database - twice each year? We do that task for you. Our automated integration ties together PECOS, QPP, your systems and CMS data.gov.
When we work with your providers throughout the year with our Monthly MACRA Optimization, year end is a snap. We automatically submit all your TINs, on time and accurately.
You might be shocked to find that CMS makes mistakes in MACRA scoring. Our automated systems query CMS after submission to pull in MACRA scores, compare them to what you expected, and flag anomolies for Directed Review. Closing the loop makes money.
C3 Partners, LLC 414-640-2817 28717 Blue Crane Court, Waterford, WI