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 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 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 value-based reimbursement system. It has two parts: the Merit-Based Incentive Program (MIPS) and Advanced Alternative Payment Models (APMs).

  • 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, clinical social workers, certified nurse midwives, 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. The EHR must be 2015 Edition Cures Update certified.

  • Are there exceptions to the eligible provider?

    Yes, there are two exceptions applications available to clinicians in the 2023 performance year: the Extreme and Uncontrollable Circumstances Exception and the MIPS Promoting Interoperability Performance Category Hardship Exception.

2015 Edition Cures Update Certification

This Health IT Module is 2015 Edition Cures Update compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

  • Vendor Name: Tebra Technologies, Inc.
    • Website: www.tebra.com
    • Address: 1111 Bayside Drive, Suite 150 Corona Del Mar, CA 92625
    • Contact: Beth Lyn Onofri, Sr. Product SME - Regulatory, [email protected], (866) 93-TEBRA (83272)
  • Product Version: Tebra (Kareo) EHR v. 5.0
  • Date certified: 12/19/2022 by Drummond Group, Inc.
  • Certification No.: 15.04.04.2777.Tebr.05.02.1.221219
  • Tested and Certified Modules: 170.315(a)(1-5,9,12,14); (b)(1-3,10); (d)(1-9,12-13); (e)(1,3); (f)(5); (g)(2-7, 9-10)
  • Additional Software Required: LabSoft, Updox, DrFirst Rcopia, SmileCDR

Cost and Limitations

The monthly subscription fee for Tebra (Kareo) EHR v 5.0 includes all tested and certified modules listed above with exception of a one-time small set-up for implementation of e-prescribing of controlled substances. For a detailed explanation of costs and guidance, click here. Optional services, which are not required for CMS Incentive Programs, are available for a nominal fee. These services include custom template development and private CMS Incentive Programs coaching.

Real World test plans:

Year Test Plan Test Result
2022 2022 Test Plan 2022 Test Results
2023 2023 Test Plan 2023 Test Results
2024 2024 Test Plan

APIs


EHI Export Functionality

Tebra (Kareo) EHR enables providers to export out EHI for individual patients and their patient population at any time without developer assistance. Export formats include C-CDA documents for clinical records, PDFs for claims and billing information, and also documents in the original native format which they were uploaded.

Resources

See how Tebra can simplify your MIPS reporting process