Demystifying the challenges of MACRA

With over 100 years of providing physicians leadership and guidance, the California Medical Association, the Texas Medical Association and the Florida Medical Association bring you experience to help navigate the new MACRA requirements including an easy-to-use Action Plan.

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Glossary


AAPM (Advanced APM): Advanced Alternative Payment Model

ACA: Affordable Care Act

ACI: Advancing Care Information

ACO: Accountable Care Organization

AF: Adjustment Factor

APM: Alternative Payment Model

BPCI: Bundled Payments for Care Improvement

CAHPS: Consumer Assessment of Healthcare Providers and Systems

CCM: Chronic Case Management

CDA: Clinical Document Architecture

CEC: Comprehensive End Stage Renal Disease Care Model

CEHRT: Certified Electronic Health Record Technology

CHIP: Children’s Health Insurance Program

CJR: Comprehensive Care for Joint Replacement Model

CMF: Care Management Fee

CMMI: Center for Medicare & Medicaid Innovation

CMS: Centers for Medicare & Medicaid Services

CPC: Comprehensive Primary Care Initiative

CPC+: Comprehensive Primary Care Initiative Plus Model

CPCP: Comprehensive Primary Care Payment

CQM: Clinical quality measures

EC: Eligible Clinician

ECQM: Electronic Clinical Quality Measure

EHR/EMR: Electronic Health Record/Electronic Medical Record

ESRD: End Stage Renal Disease

FFS: Fee-for-Service

IA: Clinical Practice Improvement Activity

MACRA: Medicare Access and CHIP Reauthorization Act of 2015

MIPS APM: Merit-Based Incentive Payment Alternative Payment Model

MIPS: Merit-Based Incentive Payment System

MSSP: Medicare Shared Savings Program

MU: Meaningful use

NCQA: National Committee for Quality Assurance

NextGen ACO: Next Generation Accountable Care Organization

NPI: National Provider Identifier

OCM: Oncology Care Model

PAI: Physician Advocacy Institute

PBIP: Performance-Based Incentive Payment

PCMH: Patient Centered Medical Home

PCMH: Patient-centered medical home

PCSP: Patient Centered Specialty Program

PQ: Partially Qualifying Advanced APM Participant

PQRS: Physician Quality Reporting System

QCDR: Qualified Clinical Data Registry

QP: Qualifying Alternative Payment Model Participant

QPP: Quality Payment Program

QRUR: Quality and Resource Use Report

SGR: Sustainable Growth Rate

TIN: Taxpayer Identification Number

VM: Value-Based Payment Modifier Program

Source: Centers for Medicare & Medicaid Services