We understand that keeping track of important dates for MIPS reporting can be a challenge, so we have prepared two lists of key dates to mark on your calendars for your 2022 and 2023 MIPS reporting. Knowing what to do, and when, throughout the calendar year can help you maximize your MIPS reporting.
CMS has updated the Quality Payment Program (QPP) Participation Status Tool for the 2022 performance year. Clinicians can now check their final 2022 eligibility status for the Merit-based Incentive Payment Program (MIPS) by entering their individual National Provider Identifier (NPI) into the tool or checking their MDinteractive account dashboard. Clinicians can also check their eligibility in an Advanced Alternative Payment Model (APM) and their initial 2022 MIPS eligibility status. It's important to review the participation tool in case there have been any changes in a clinician’s MIPS eligibility.
The MIPS Value Pathways (MVPs) is a new reporting structure available for the Merit-based Incentive Payment System (MIPS) beginning in 2023. The MVP framework is intended to ease the reporting burden on clinicians and groups by aligning measures and activities across the Quality, Cost, and Improvement Activities categories of MIPS that are more relevant to a clinician’s scope of practice. This article answers key questions about MVPs and how MIPS reporting is expected to change in the years ahead.
Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) will be required to report electronic clinical quality measures (eCQMs) or MIPS CQMs beginning in 2025 after the CMS Web Interface sunsets. The shift towards a new reporting method has significant implications for ACOs, so understanding how quality will be reported and assessed is critical. In this article, we will cover what ACOs need to know about the new reporting requirements and why gaining early experience with the measures can lead to better reporting results in the future.
On November 1st, 2022, the Centers for Medicare and Medicaid Services (CMS) released its Medicare Physician Fee Schedule (PFS) Final Rule which makes changes to the Quality Payment Program (QPP) for 2023 and future performance years. The rule provides policy updates to the traditional Merit-based Incentive Payment System (MIPS) program, the new MIPS Values Pathway (MVPs) framework, Alternative Payment Models (APMs), and Accountable Care Organizations (ACOs). This article provides a summary of the key provisions in the Final Rule.
The MIPS Promoting Interoperability (PI) category, which replaced the Meaningful Use program, establishes requirements that promote the electronic exchange of information using certified electronic health record technology (CEHRT). MIPS eligible clinicians and groups are scored on their performance on several PI measures. The last day to start a minimum 90-day reporting period to attest to PI is October 3, 2022. Making sense of all of the requirements can be challenging, so let’s examine how to report the PI category and the potential impact on the MIPS final score.
The Centers for Medicare & Medicaid Services (CMS) has released the Merit-based Incentive Payment System (MIPS) performance feedback for the 2021 performance year, including MIPS final scores and associated payment adjustments. Clinicians, groups and Alternative Payment Model (APM) Entities that participated in MIPS and believe there’s an error in the calculation of their MIPS payment adjustment can request a targeted review until October 21, 2022 at 8:00pm EST. This article outlines how to check your performance feedback to determine if you are receiving a positive, negative, or neutral payment adjustment and what steps to take if you have any concerns.
The MIPS Improvement Activities (IA) performance category measures a clinician or group’s engagement in clinical activities that improve clinical practice, care delivery, and outcomes. This year clinicians will need to attest to the Improvement Activities category, alongside reporting other MIPS categories, to ensure they reach the new minimum threshold of 75 points needed to avoid a MIPS penalty. The last day to start a new activity for a minimum 90-day reporting period is October 3, 2022. This article provides an overview of the IA category and offers tips on selecting activities most relevant to a clinician’s practice.
Small practices could find it tougher to avoid a penalty under the Merit-based Incentive Payment System (MIPS) in 2022 due to a higher minimum performance threshold and an increased weight for the Cost category. Just over 9% of MIPS eligible clinicians in small practices received a negative payment adjustment for their 2020 MIPS reporting and this number could go higher this year. While special policies have been established to ease the reporting burden on small practices, it is more important than ever to start MIPS reporting early. Here’s what small practices need to know about the 2022 MIPS reporting requirements and steps they can take to get started now.
We have almost reached the halfway mark for the 2022 MIPS performance year, so clinicians should be actively collecting and reporting data on their Quality measures. Each year the Centers for Medicare and Medicaid Services (CMS) updates the list of Quality measures eligible clinicians and groups can report under the MIPS program. Some measures get added to or deleted from the inventory, while other measures go through substantial revisions. This article summarizes important changes to the 2022 Quality Measures so that clinicians can make sure their data collection and reporting is on the right track.