MACRA Meets Your Revenue Cycle: Four Steps for the Value Journey

The shift from fee-for-service to value-based reimbursement models represents one of the biggest billing transitions and greatest financial opportunities for physician practices. On the heels of ICD-10 adoption and against the backdrop of new digital infrastructure and workflows, practices face a new journey toward the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the Quality Payment Program. Knowledge of how to traverse the path, navigate the intersections, and optimize the opportunities of healthcare payment reform is essential. This article offers an overview of the new Medicare reimbursement landscape and specific steps that practices can take to protect revenue streams today and ensure they thrive tomorrow.