Quality programs & regulatory support

Maximize reimbursements and earn positive performance-based payment adjustments.

Tebra is your complete partner for navigating the world of MACRA

Managing population health is impossible without good data and analytics. See actionable data on a single screen as Tebra equips you with a quality dashboard and guided workflows to easily track your performance on MACRA and MIPS quality measures.

Tebra’s EHR is designed by doctors for doctors with no additional data entry for reporting on MIPS measures. You simply chart as usual, and our automated MIPS reporting and tracking system keeps you on track with earning the most in positive adjustments.

Stay on track with MACRA and MIPS

Quality program and support guides

MACRA/MIPS guide

Get the essentials from this overview of the 2021 Quality Payment Program, including: changes to the scoring system and level of positive or negative adjustment to your Medicare reimbursements, exemptions and reporting methods for small practices, plus bonus points and support for small practices.

MACRA/MIPS checklist

Do you have a MIPS action plan? Our checklist walks you through how to avoid a penalty and potentially earn the full positive adjustment.

Frequently asked questions

  • What is MACRA?

    MACRA is the Medicare Access and CHIP Reauthorization Act, which is legislation that replaced the Sustainable Growth Rate (SGR). It outlines a new program for physician reimbursement that replaces fee-for-service with value-based payments under the Quality Payment Program (QPP).

  • What is the Quality Payment Program?

    The QPP is the portion of MACRA that defines the new value-based reimbursement system. It has two parts: the Merit-Based Incentive Program (MIPS) and Advanced Alternative Payment Models (APMs). The QPP replaces and consolidates the current Medicare Meaningful Use, PQRS, and value-based modifier programs.

  • Who participates in the QPP?

    The following provider types must participate in the QPP in either MIPS or APMs: physician (doctor of medicine or osteopathy, dental surgery or dental medicine, podiatric medicine, or optometry; chiropractor), physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, physical therapist, occupational therapist, clinical psychologist, qualified speech-language pathologist, qualified audiologist, and registered dietitian or nutritional professional.

  • Do I need a certified EHR to participate in the Quality Payment Program?

    Yes, for both MIPS and the APMs, you need a certified EHR. Starting in 2018, the EHR must be 2015 Edition certified.

  • Are there exceptions to the eligible provider?

    Yes, there are two exceptions applications available to clinicians in the 2021 performance year: the Extreme and Uncontrollable Circumstances Exception and the MIPS Promoting Interoperability Performance Category Hardship Exception.

Resources

See how Tebra can simplify your MIPS reporting process