MACRA Acronyms

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

ACA: Affordable Care Act
ACI: Advancing Care Information – Defunct MIPS Component that was renamed to Promoting Interoperability in performance year 2018.
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
ASC: Ambulatory Surgical Center

BPCI: Bundled Payments for Care Improvement Advanced Model

CAHPS: Consumer Assessment of Healthcare Providers and Systems – Patient satisfaction and experience surveys.
CEHRT: Certified electronic health record technology
CF: Conversion Factor
CHIP: Children’s Health Insurance Program
CMMI: Center for Medicare & Medicaid Innovation
CMS: Centers for Medicare & Medicaid Services
CQM: Clinical quality measures

EC: Eligible Clinician
EHR: Electronic Health Record
EIDM: Enterprise Identify Data Management System – a system formerly used by CMS for individuals and practices to track their performance in federal payment programs. EIDM was replaced by the HCQIS Access Roles and Profile System (HARP).

FFS: Fee-for-service

HARP: HCQIS Access Roles and Profile System. A system used by CMS for practices and individuals to manage access to their quality data and MIPS feedback reports
HCC: Hierarchical Condition Category
HPSA: Health Professional Shortage Area – one of several special status categories

IA: Improvement Activities – one of four MIPS components

LVT: Low Volume Threshold – a minimum set of criteria used to determine if a physician, individual or practice is eligible to participate in the Quality Payment Program (MIPS or APMs)

MACRA: Medicare Access and CHIP Reauthorization Act of 2015 – Law that repealed the sustainable growth rate formula for determining Medicare payments and created two performance-based payment tracks: Merit-Based Incentive Payment System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. 
MedPAC: Medicare Payment Advisory Commission, a non-partisan advisory body to the Congress
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. 
MPFS: Medicare Physician Fee Schedule
MSPB: Medicare Spending Per Beneficiary – one of several MIPS cost component measures
MSSP: Medicare Shared Savings Program
MU: Meaningful Use – a term that was replaced by the term Promoting Interoperability in both the hospital and physician payment systems.

NACOR: National Anesthesia Clinical Outcomes Registry
NPI: National Provider Identifier
NQF: National Quality Forum

ONC: Office of the National Coordinator – the regulatory body that approves CEHRT and offers recommendations on EHR standards

PCMH: Patient-centered Medical Home
PE: Practice Expense
PECOS: Provider Enrollment, Chain, and Ownership System
PFPM: Physician-focused Payment Model
PI: Promoting Interoperability
POS: Place of Service
PQRS: Physician Quality Reporting System – Defunct Medicare program for physicians to document and report on clinical quality measures. Scores feed into the Value-Based Payment Modifier Program.  
PRO: Patient-Reported Outcomes Measure
PSH: Perioperative Surgical Home is a model of care that delivers health care during the entire patient surgical/procedural experience.
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.
QP: Qualifying Participant in an Alternative Payment Model
QPP: Quality Payment Program – a federal payment program consisting of two pathways, the Merit-based Incentive Payment System and the Advanced Alternative Payment pathway
QRUR: Quality and Resource Use Report – Defunct Medicare feedback report that displayed the physician and practice’s assessment under the defunct value-based payment modifier. QRURs were replaced by MIPS Feedback Reports.

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

TCPI: Transforming Clinical Practice Initiative
TIN: Taxpayer Identification Number
TPCC: Total Per Capita Costs for All Attributed Beneficiaries – one of several MIPS Cost component measures.

VBP – Value-Based Purchasing Program – a federal hospital quality reporting program. When allowed, CMS may assign a physician or group’s hospital’s VBP score as a proxy for the MIPS Quality and Cost components
VM: Value-Based Payment Modifier – Defunct Medicare payment program that was calculated to adjust physician fee-for-service payments either up or down based on how they perform on quality and cost factors.