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"MACRA’s Patient Relationship Codes — Measuring Accountability for Costs"

The New England of Medicine

The new patient relationship categories and codes may be one of the least known but most important provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). As of January 1, 2018, clinicians may voluntarily submit these billing-code modifiers to help Medicare determine the extent to which they are responsible for various elements of a patient’s care. Ultimately, this attribution of responsibility will be used to assess clinician performance, particularly with respect to resource utilization and cost, and will probably be tied to reimbursement.