Merit-Based Incentive Program for Physicians and Hospitals

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Start Time:12:00 AM
End Time:12:00 AM
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Provided by MHA Health Institute
Health Institute

Date & Time

Wednesday, July 12, 2017
10 - 11:30 a.m.

Register on or before Thursday, July 6, to ensure delivery of instructional materials.

MHA members — $225
Nonmembers — $275

The webinar registration fee is for one phone line connection. Additional phone line connections each will be charged a registration fee. Multiple participants on the same connection is encouraged. Get more value by inviting colleagues to join you!

This webinar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.


clinical staff, nursing staff, physicians, non-physician practitioners, physician practice managers, clinic administrators, financial analysts, revenue cycle specialists, chargemaster coordinators, provider-based clinic staff, compliance staff

The following program content was provided by the speaker.


The Centers for Medicare & Medicaid Services is in the process of eliminating the sustainable growth rate and replacing it with a value-based or merit-based incentive payment system as required through MACRA 2015, Section 102. MIPS also includes significant requirements for the measurement of quality for physician services. These activities start Jan. 1, 2016, with payment occuring by 2018. During this short timeframe, physicians must acclimate to this new paradigm and make certain that the data collected is accurate and will lead to proper payments.


  • review the main components of MPFS
  • discuss the development and use of the SGR
  • discuss the increasing role of quality relative to payment for physicians along with other health care providers
  • discuss the MIPS program and its potential impact on physicians and hospitals
  • review the timeline for implementation
  • explain the way in which various sized practices are being affected by implementation of MIPS
  • review the APMs and their relationship to MIPS
  • discuss how reimbursement for physicians can be affected by MIPS
  • recall clinical practice guidelines in the context of best practices
  • review the current status of implementation and the readiness of physicians to effectively participate in MIPS


  • Review of MPFS and RBRVS
    • use of relative value unit
      • work component
      • practice expense components
      • malpractice component
    • conversion factor and the SGR
    • geographic adjustments for MPFS
    • non-physician practitioner involvement
    • major policy areas for the MPFS
    • other areas affected by the MPFS
  • MACRA 2015
    • MIPS
    • APM
    • timing of changes
    • payment impacts
    • relationship to SGR
    • PQRS and VM modifier status
  • Performance Measures
    • quality
    • resource use
    • clinical practice improvement activities
    • advancing care information
  • Program Operation
    • data gathering for eligible clinicians
    • positive, negative, neutral payment adjustments
    • large practice vs. small practice considerations
    • timeline for implementation
    • EHR for MACRA
    • training process for implementation
    • private third-party payers
    • other related programs and initiatives
  • The Future of MPFS


Duane C. Abbey
Abbey & Abbey Consultants, Inc.
Ames, Iowa

Duane Abbey is a management consultant and president of Abbey & Abbey Consultants, Inc., based in Ames, Iowa. For more than 20 years, Abbey & Abbey Consultants, Inc., has provided health care consulting services to hospitals, hospital systems, physicians, medical clinics and integrated delivery systems. In addition to consulting, Abbey has been an invited presenter for hospital associations, medical societies and other groups. He also has published articles and books on health care topics. Abbey earned his graduate degrees from the University of Notre Dame, in South Bend, Indiana, and Iowa State University, in Ames.