--- title: "MACRA: Flexible But Still a Reality" description: "MACRA: Flexible But Still a Reality" --- [![Metro Practice Management, Inc.](https://blog.metropm.com/hubfs/MPM_February2019/Images/logo2.png)](http://metropm.com/) Call Us: 973-256-1998 Sales: 973-256-1998 Ext 2 - [Home](http://metropm.com/) - | - [About](http://metropm.com/about/) - [Medisoft](http://metropm.com/#) - [Medisoft](http://metropm.com/medisoft/) - [Medisoft Clinical](https://metropm.com/medisoftclinical/) - [Medisoft Add-Ons](https://metropm.com/medisoft-add-ons-programgs/) - [Medisoft Hosting](https://metropm.com/medisoft-remote-hosting/) - [Medical Billing Services / RCM](https://metropm.com/medical-billing-services-rcm/) - [NextGen Office](http://metropm.com/#) - [Nexgen Office Meditouch](https://metropm.com/nexgen-office-meditouch/) - [NextGen Office Billing Software](https://metropm.com/nextgenoffice-meditouch-billing-software/) - [NextGen Office EMR](https://metropm.com/nextgenoffice-meditouch-emr/) - [Medical Billing Services / RCM](https://metropm.com/medical-billing-services/) - [NextGen Office Patient Portal](https://metropm.com/nextgen-office-patient-portal/) - [NextGen Office Specialties](https://metropm.com/meditouch-specialties/) - [Billing Services](http://metropm.com/#) - [Medical Billing Services / RCM](http://metropm.com/medical-billing-services-rcm/) - [Workers Comp Billing](http://metropm.com/workers-comp-medical-billing/) - [Medical Billing Service Specialties](https://metropm.com/medical-billing-service/) - [Frequently Asked Questions](https://metropm.com/frequently-asked-questions/) - [Support](http://metropm.com/#) - [Online Support](https://metropm.screenconnect.com/) - [Downloads](http://metropm.com/downloads/) - [Support Plans](http://metropm.com/support/) - [About](https://metropm.com/about/) - [Blog](https://blog.metropm.com/) - [Contact](http://metropm.com/contact/) # MACRA: Flexible But Still a Reality After much physician feedback and criticism since they announced the proposed rule for the bipartisan [Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)](https://www.healthfusion.com/blog/2016/value-based-payment/macra-begins-how-did-we-get-here/), The Centers for Medicare & Medicaid Services (CMS) announced last week that it will allow providers to choose the level and pace at which they comply with the new rule, which will transition healthcare from fee-for-service to fee-for-value beginning on January 1, 2017. This flexibility will come in the form of three different reporting options for [MIPS](https://www.healthfusion.com/blog/2016/uncategorized/merit-based-incentive-payment-system-mips-performance-categories-an-overview/) in order to help practices transition to the new Quality Payment Program. These three reporting options **for MIPS** are as follows: 1. Full-year reporting, beginning January 1, 2017 – Practices who are ready to go on January 1, 2017 may want to choose this option for the potential of a “moderate” positive payment adjustment. 2. Partial year reporting – Submit information for a reduced number of days. You may begin your first performance period later than January 1, 2017 for a possible “small” positive payment adjustment 3. Test submission by reporting a minimal number of data elements – Avoid a negative payment adjustment by submitting some data in order to ensure that your system is working and that you are preparing for broader participation in coming years. To note: - Opting for full-year reporting will make you eligible for a “modest” increase - Opting for partial-year reporting may earn you a “small” increase - The test submission option will not earn you an increase, but you will not receive a penalty, either - Organizations who choose to report nothing will experience a -4% penalty - The Advanced APM track remains available and has not been impacted - Providers should [prepare for MACRA](https://www.healthfusion.com/blog/2016/health-topics/macra/what-you-can-do-to-prepare-for-macra-now/) by continuing to report through existing programs Andy Slavitt also announced that CMS will release the final rule by November 1, 2016. Our goal is to provide you with the tools to find success in this transition, as we did through Meaningful Use and ICD-10 implementation.     Call our office today to schedule a demo, upon purchase you may qualify for a FREE IPAD On October 5, 2016   /   [NextGen Office\\Meditouch](https://blog.metropm.com/tag/nextgen-officemeditouch)   [![Pros and Cons of Outsourcing Medical billing](https://no-cache.hubspot.com/cta/default/5375737/d0d673b6-811e-47b8-a190-f182f0f6322a.png)](https://cta-redirect.hubspot.com/cta/redirect/5375737/d0d673b6-811e-47b8-a190-f182f0f6322a) ### Subscribe for Updates ### Recent Posts ### Categories - [NextGen Office\\Meditouch (64)](https://blog.metropm.com/tag/nextgen-officemeditouch) - [Medisoft (43)](https://blog.metropm.com/tag/medisoft) - [Lytec (36)](https://blog.metropm.com/tag/lytec) - [eMD (35)](https://blog.metropm.com/tag/emd) - [Outsourcing Billing Service (28)](https://blog.metropm.com/tag/outsourcing-billing-service) - [ICD-10 (3)](https://blog.metropm.com/tag/icd-10) See all - [Home](http://metropm.client.tagonline.com/) - [About](http://metropm.com/about/) - [Electronic Services](http://metropm.com/electronic-services/) - [Lytec/MD](http://metropm.com/lytec-md/) - [Medical Billing](http://metropm.com/medical-billing/) - [Medisoft](http://metropm.com/medisoft/) - [NextGen Office](http://metropm.com/meditouch/) - [Frequently Ask Questions](http://metropm.com/about/#) - [Medisoft Clinical](http://metropm.com/emr-software/medisoftclinical/) - [Practice Choice](http://metropm.com/emr-software/practice-choice/) - [Medical Billing Services](http://metropm.com/medical-billing-services/) - [NextGen Office](http://metropm.com/meditouch/) - [Medisoft Technical Support](http://metropm.com/support/) - [Blog](http://metropm.com/blog/) - [Contact](http://metropm.com/contact/) MPM, Inc 4 Century Drive Suite 230 Parsippany, NJ 07054 **Sales:** 800-503-3911 Ext 506 **Support:** 800-503-3911 Ext 505 © 2021 **Metropolitan Practice Management, Inc.**