The Department of Health & Human Services (HHS) issued a final rule to implement the Medicare Access and CHIP Reauthorization Act.  HHS expands exemptions and offers more flexibility to providers to meet the requirements of the law in the final rule, which requires physicians participate in one of two reimbursement tracks: a merit-based incentive payment system (MIPS) or advanced alternative payment models (APMs).  Under the rule, HHS will exempt physician practices with less than $30,000 in Medicare charges or fewer than 100 unique Medicare patients per year.  Additionally, the agency plans to provide $100 million in technical assistance to clinicians participating in MIPS who are in small practices, rural areas and in areas with a shortage of health professionals.  HHS also reduced the total number of required measures under its EHR incentive programs under the category to five from 11.

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