This lesson will provide a crash course on the Medicare Access and CHIP Reauthorization (MACRA) and how this replaces the old Medicare reimbursement schedule with a new "pay-for-performance" program. We will be discussing the positives and negatives of both the "pay-for-performance" programs (MIPS) Merit based Incentive Payment System and (APM's) Advanced Alternative Payment Models. This lesson will also cover how HIPAA specifically applies to MACRA and the importance of providing the government "proof" of HIPAA compliance. I will explain specifically how this is done and why HIPAA is a core measurement under MACRA.
I will also explain how practice managers (or compliance offers) need to get their HIPAA house in order as this law is now fully enforced and the government is not using kid gloves anymore. I will give specific examples of litigated cases I have been involved with where HIPAA violations lead to prosecution under state laws of negligence.
I will also give specifics relating to working with (and against) the Federal government in multiple HIPAA audits from 2016.
Why should you Attend: Confused as to the inner workings of the new MACRA federal Medicare program? Unsure about what to do? How to comply? Are you prepared for which track you will choose, MIPS vs APM's? Did you also know the proving HIPAA compliance is a major piece of MACRA? Are you prepared to provide the required HIPAA aspects for MACRA?
Areas Covered in the Session: