New Programs for the New Year

Happy New Year! Starting 2017 with some of the new programs/regulations to be aware of:

*MACRA- The Medicare Access and CHIP Reauthorization Act. This program from Centers for Medicare and Medicaid (CMS)is a new payment model that rewards clinicians for quality care rather than volume through two value based payment system: 1. Merit-Based Incentive Payments System (MIPS)and 2. Advanced Alternative Payment Model (APMs). To successfully receive reimbursement, clinicians and other providers will need to become Patient Centered Medical Home or Patient Centered Specialty Practice.

*Cone Beam Computed Tomography (CBCT). Although New York City regulation became effective January 20, 2016, dental practices utilizing CBCT will need to be accredited by a nationally recognized accreditation program by July 2017. A licensee or registrant that fails to obtain accreditation or if a facility loses their existing accreditation status, they must report this fact within 30 days to the Department. New licensees/registrants will have 18 months from the effective date to become accredited, but must demonstrate that they have initiated the accreditation process within 90 days of the start of operations.

*Total Hip and Knee Replacement: growth in the number of total hip and knee replacements. Between 2005 and 2030, growth projections for primary total joint arthroplasties published in The Journal of Bone & Joint Surgery estimates: total hip to grow by 174% to more than 570,000 procedures; primary total knee to grow to nearly 3.5 million or 673%. The benefits for organization seeking accreditation or certification are obvious:from demonstrating excellence in patient care that leads to better outcomes, to attracting talented providers and financial reimbursement.