MIPS 2017

What's the Quality Payment Program?

The Quality Payment Program improves Medicare by focusing on the quality of care and ultimately, making patients healthier. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula and created a new payment structure for Medicare Part B reimbursement rates for physicians. The Quality Payment Program’s purpose is to provide new tools and resources to help enhance patient care. Providers can choose how they want to participate based on their practice size, specialty, location, or patient population.

The Quality Payment Program has two tracks you can choose:

Providers that decide to participate in an Advanced APM, through Medicare Part B, may earn an incentive payment for participating in an innovative payment model.

Providers that decide to participate in traditional Medicare Part B, will participate in MIPS and earn a performance-based payment adjustment.  

 

How does MIPS work?

Providers that select to participate in traditional Medicare Part B, rather than an Advanced APM, will participate in MIPS.  For Medicare payments, they will earn a performance-based payment adjustment based on practice-specific quality data. High quality, efficient care will be demonstrated by sending in information in the following categories.

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QUALITY

Replaces PQRS

MDinteractive Services available 2017

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ADVANCING CARE
INFORMATION

Replaces Meaningful Use
(Medicare EHR
Incentive Program)

MDinteractive Services available 2017

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IMPROVEMENT
ACTIVITIES

New Category

MDinteractive Services available 2017

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COST

Replaces the Value Based Modifier

Calculated and used by CMS 2018

Note: The cost category will be calculated in 2017, but will not be used to determine payment adjustments. In 2018, the cost category will be used to determine payment adjustments.

 

MDinteractive currently has MIPS Reporting services available for 2017.

 

Additional Resources:

Register with MDinteractive