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Webinar: Healthcare Payment Reform and the Wound Care Practitioner

from APWCA and USWR

Dr. Steven Kavros, DPM, MAPWCA,

Date:   January 11 and 13
Time:  Noon - 1 p.m. EST
About:   A four-part educational series. Learn and grasp a firm understanding of MACRA, MIPS reporting options and the role of the QCDR.

Dr. Steven Kavros, APWCA President, discusses the implications of MACRA:

Why did APWCA think it was important to take a leadership role and offer this critical information to its members?
One of missions of the APWCA is to continue to educate its membership in all aspects of wound healing. This includes the major changes that are now facing physician practitioners as part of the Affordable Care Act, which has been passed by Congress. Understanding and complying with these initiatives are paramount for the ongoing success of physician providers involved in the delivery of healthcare.

How will reimbursement be affected by MACRA?
Very simply, by utilizing the electronic medical record (EMR), well documented patient care protocols can be utilized to substantiate quality care thought the episode of wound healing. CMS will reward physicians for better care not just "ongoing" or "more care." Practitioners who provide substandard care can be penalized with reduced Medicare reimbursement. Clinicians with the worst MIPS scores (Merit-based Incentive Payment System) may see as much as a 9% decrease in their Medicare Part B payments. Conversely, highest performers can potentially see a maximum payment increase of as much as 27%. Adjustments of Part B payments under MIPS lag two years behind the reporting data, so penalties or bonuses that accrue in 2018 (for example) will be experienced in 2020.

How is MACRA likely to positively impact outcomes?
Providers should be striving to improve patient outcome daily. Unfortunately, there are gaps in even the most basic of standard of care (SOC) algorithms in the venous leg ulcer, diabetic foot ulcer and pressure ulcer patient populations. By reporting patient visits via electronic medical record (EMR), it will be quite evident of the level of care provided. It is the intent to elevate all wound healing protocols to demonstrate basic SOC for all patients and hopefully improve outcomes. For example, there are many patients with venous leg ulcers that are not offered compression dressings and diabetic foot ulcer patients that are not offloaded. This will certainly negatively affect positive outcomes and be more of a financial drain to Medicare and CMS.

How will practices and patients ultimately benefit by MACRA?
Practices will benefit by financial reward from Medicare Part B by providing and demonstrating favorable wound healing practices that improves patient outcomes. Patients will certainly benefit from these provider practices with improved outcomes. We all realize there is an intangible aspect, "patient compliance." However, with the documented EMR are able to verify the best practices have been initiated and maintained by the provider.

Are educational offerings going to continue to be part of APWCA valuable member ben more

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