Acronyms

MACRA Acronyms

The list of acronyms below are related to or part of MACRA.

ACO: Accountable Care Organization
AF: Adjustment Factor
APMs: Alternative Payment Models – One of two payment tracks under MACRA. Examples include accountable care organizations, patient-centered medical homes, bundled payment models and other initiatives. 
AQI: Anesthesia Quality Institute

CAHPS: Consumer Assessment of Healthcare Providers and Systems – Patient satisfaction and experience surveys.
CEHRT: Certified electronic health record technology
CHIP: Children’s Health Insurance Program
CMMI: Center for Medicare & Medicaid Innovation
CMS: Centers for Medicare & Medicaid Services
CPIA: Clinical Practice Improvement Activity – New Medicare performance category that may help physicians gain some credit under MIPS.
CQM: Clinical quality measures

EHR: Electronic Health Record
EP: Eligible Professional

FFS: Fee-for-service

MACRA: Medicare Access and CHIP Reauthorization Act of 2015 – Law that repealed the sustainable growth rate formula for determining Medicare payments and created two performance-based payment tracks: Merit-Based Incentive Payment System and Alternative Payment Models. 
MIPS: Merit-based Incentive Payment System – One of two payment tracks under MACRA. MIPS consolidates the Centers for Medicare & Medicaid Services’ Physician Quality Reporting System, Value-Based Payment Modifier Program, and Electronic Health Records Incentive Programs into one single program. 
MU: Meaningful Use – Refers to meaningful use of electronic health records, which is the objective of the Centers for Medicare & Medicaid Services’ Electronic Health Records Incentive Programs. 
MPFS: Medicare Physician Fee Schedule
MSSP: Medicare Shared Savings Program

NACOR: National Anesthesia Clinical Outcomes Registry
NPI: National Provider Identifier

PCMH: Patient-centered Medical Home
PFPM: Physician-focused Payment Model
PQRS: Physician Quality Reporting System – Medicare program for physicians to document and report on clinical quality measures. Scores feed into the Value-Based Payment Modifier Program. 
PUF: Participant User File

QCDR: Qualified Clinical Data Registry – An entity approved by the Centers for Medicare & Medicaid Services that collects medical and/or clinical data for purposes of patient and disease tracking to foster improvement in the quality of care.
QM: Quality Management
QP: Qualifying Alternative Payment Model Participant
QR: Quality Reporting
QRUR: Quality and Resource Use Report – Medicare feedback reports on physicians’ quality and resource use (cost) scores and how their performance compares with that of their peers.

SGR: Sustainable Growth Rate – Former Medicare formula to calculate physician fee-for-service payment rates. Repealed by MACRA.

TIN: Taxpayer Identification Number

VM: Value-Based Payment Modifier – Medicare calculation to adjust physician fee-for-service payments either up or down based on how they perform on quality and cost factors.