Healthmonix Advisor

Maximizing ROI on Primary Care First Participation

Posted by Mike Lewis on December 10, 2020

Starting in January, 920 primary care practices will embark on the one of the newest payment models from the Centers for Medicare & Medicaid Services (CMS) via the Primary Care First (PCF) Program.  The main criteria for participation in the program are:

  • 70% or more of the practice’s collective billing must be for primary care services.
  • Use of a 2015 Certified Electronic Health Record Technology (CEHRT) by the practice.
  • At least 125 services provided for attributed Medicare beneficiaries.

Also, for the first year of the program, there is a limited geographical area for participation.

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Topics: APMs, Primary Care First, 2021 PFS Final Rule