The Medicare Access and CHIP Reauthorization Act established two pathways to Medicare physician payment, the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). Most physicians report to the program via the MIPS pathway. As we enter Year 3 of the program, while CMS is implementing revisions to program requirements aimed at reducing physician burden, the Agency is increasing the threshold for successful reporting and greater positive and negative payment adjustments are at stake. Through this session ASGE’s Washington representative Camille Bonta, MHS, takes you through the specific reporting requirements for the MIPS performance categories for the 2019 performance year. 

Because all browsers continually roll out new versions and updates, it is not always practical to point to a particular browser as "better" than another. Because browsers are free, you can easily shift from one to another for various purposes. Whatever browser you are using, here are some tips for better streaming and viewing of ASGE videos:

1. Close other applications and browser tabs. This decreases the load on memory so your computer or other device can focus on streaming.
2. Use a 5 GHz frequency if your router supports it. The common 2.4 GHz frequency is used by household appliances, so is more crowded. Avoiding it is like getting into the carpool lane on a freeway: smoother sailing.
3. Use Ethernet instead of Wi-Fi if possible but GI LEAP is built with Wi-Fi in mind. 
4. Monitor your internet connection. If your ISP has promised you 5MBps and you are getting only 1MBps, it's time for a phone call to your internet provider to sort that out.

Windows Requirements: 
Operating system: Windows 7+ 
Browser: Internet Explorer 8+, Firefox 10+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection 
Flash: Adobe® Flash® Player 12+ 

Macintosh Requirements: 
Operating system: Mac OS X 10.6.8+ 
Browser: Mozilla Firefox 10+, Safari 5+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+

For technical difficulties or questions related to content or CME credits, please contact ASGE between the hours of 8:30 AM and 5:00 PM (CST) at 1-866-353-2743 or email education@asge.org.