MIPS Blog

Quality Payment Program Hardship Applications Now Available

Posted on Wed, 08/15/2018 - 16:19
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CMS has opened the Quality Payment Program (QPP) Exception Application process for the 2018 MIPS performance year. MIPS eligible clinicians and groups may submit a hardship exception application for the Promoting Interoperability (formerly ACI) performance category or for the MIPS Program Extreme and Uncontrollable Circumstances. Applications may be submitted to CMS between August 6th, 2018, and December 31st, 2018.

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Extreme and Uncontrollable Circumstances Hardship Exception Process MACRA MIPS Promoting Interoperability

CMS Announces Proposed Changes for MIPS in 2019

Posted on Wed, 08/08/2018 - 16:23
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The Centers for Medicare and Medicaid Services (CMS) recently published a 2019 Proposed Rule with several proposed changes to the Quality Payment Program (QPP). A final rule will be released later this fall before the 2019 MIPS reporting year begins on January 1, 2019. While clinicians have several months left to fulfill their 2018 MIPS reporting requirements, it is a good idea to begin thinking about the changes ahead for Year 3 of the program and how you might be impacted.

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2019 MIPS Proposed Rule CMS Proposed Rule MACRA

MIPS Relief for Small Practices

Posted on Mon, 07/23/2018 - 16:14
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Are you a solo practitioner or small practice struggling to understand MIPS requirements? When it comes to MIPS reporting, small practices face unique challenges that can make compliance seem like a daunting task. Choosing not to report could be a costly mistake, though, since the penalty for not reporting in 2018 has increased to 5% of your Medicare Part B reimbursements. Fortunately, CMS has taken several steps to provide relief to small practices so they can successfully participate in MIPS for the 2018 performance year.

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MACRA MIPS Small Practice Small Practice Bonus

2017 MIPS Performance Feedback and Final Scores Now Available

Posted on Mon, 07/02/2018 - 20:59
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Are you wondering how you performed in the 2017 MIPS program?  The wait is finally over. MIPS eligible clinicians and groups can now view their performance feedback for their 2017 MIPS submission on the CMS Quality Payment Program (QPP) website.  The performance feedback will include the clinician's or group’s final score and payment adjustment information.  Any upward, downward or neutral payment adjustment will apply to the provider's or group’s 2019 Medicare Part B payments for covered professional services.

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2017 MIPS Final Score 2017 MIPS Payment Adjustment MIPS Targeted Review

Your MIPS Score Matters: How Will It Affect Your Medicare Reimbursement?

Posted on Mon, 06/18/2018 - 19:44
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Year 2 of the MIPS program, which runs from January 1, 2018, to December 31, 2018, will directly impact your Medicare Part B reimbursements in 2020. Understanding how CMS determines your final MIPS score will ensure your practice avoids any Medicare cuts, while giving you the opportunity to maximize your practice revenue.

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Bonus Points Exceptional Performance Bonus MIPS MIPS Score MIPS Threshold

CMS Exceeds MIPS Participation Goal

Posted on Thu, 06/07/2018 - 18:40
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CMS announced it exceeded its year one participation goal for the Quality Payment Program. According to CMS Administrator Seema Verma, 91% of eligible clinicians participated in the Merit-based Incentive Payment System (MIPS) in 2017. Submission rates for Accountable Care Organizations (ACOs) were 98% and rural practices were 94%.

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CMS MACRA MIPS MIPS Participation

2017 MIPS Final Scores Available This Summer

Posted on Tue, 06/05/2018 - 14:30
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CMS announced it will release MIPS Final Scores and Feedback for the 2017 Performance Year in July. Clinicians can view their preliminary performance feedback now on the Quality Payment Program website. However, the scores can change between now and July based on a few different factors.

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Feedback Report MACRA MIPS MIPS Score

Succeeding Under MIPS: Is Group Reporting Right for Your Practice?

Posted on Thu, 05/31/2018 - 14:22
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Choosing what MIPS measures to report for your practice can be overwhelming, especially when you are reporting on behalf of several providers, across multiple specialties, and in some cases at different practice locations. An important consideration is whether group reporting could reduce the amount of time and resources your practice spends on your data reporting activities, while maximizing your MIPS scoring potential.

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Group reporting MIPS

Your Guide to 2018 MIPS Reporting - What’s Changed?

Posted on Tue, 05/29/2018 - 22:10
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The 2018 MIPS reporting year is well underway. CMS is continuing to offer some flexibility during Year 2 of the program, but the financial stakes are higher for not reporting or failing to meet the minimum MIPS threshold. Whether you have already started collecting data or are still developing your MIPS reporting plan, there are some important changes you need to know to ensure your reporting stays on the right track.

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2018 MIPS changes MIPS MIPS categories MIPS penalties

MIPS Promoting Interoperability (formerly Advancing Care Information) New Name, Same Requirements

Posted on Tue, 05/29/2018 - 22:00
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CMS recently announced it is changing the name of the MIPS Advancing Care Information category to the Promoting Interoperability category.  While the name is different, the requirements for reporting this MIPS category are the same.

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ACI Advancing Care Information Promoting Interoperability

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