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April 2018

April 2018

MACRA – What Does It Mean and What Is the Impact?

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MACRA is a Quality Payment Program (QPP) which replaces the current Sustainable Growth Rate (SGR) methodology and will streamline multiple current programs and reporting. This new framework will offer providers the opportunity to focus on quality health care rather than simply more care.

To Query or Not to Query…

It is the responsibility of the coder to assign codes based on documentation in the chart and as guided by the code-set and the official coding guidelines. But what happens when documentation in the chart is not clear cut?