The Merit-based Incentive Payment System (MIPS) is continually evolving, making it increasingly challenging for eligible clinicians to optimize their scores. Although the minimum performance threshold for 2024 remains at 75 points, reaching this goal requires meticulous planning and strategy. Our 2024 MIPS checklist offers essential tips to help you stay ahead of the game and achieve the best possible outcomes.
On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2025 Medicare Physician Fee Schedule (PFS). The proposed rule outlines CMS's plans for eligible clinicians and groups to participate in the Merit-based Incentive Payment System (MIPS), Alternative Payment Models (APM), and other aspects of the Quality Payment Program (QPP) for the 2025 performance year. This blog summarizes the proposed changes and examines how they could impact MIPS reporting in 2025 and beyond.
On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2025 Medicare Physician Fee Schedule (PFS). The proposed rule includes several key changes affecting Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), as CMS continues its shift towards digital quality measures (dQMs). With the CMS Web Interface concluding after the 2024 performance year, the proposed rule focuses on the future of quality reporting by aligning with the Universal Foundation of quality measures and extending electronic Clinical Quality Measure (eCQM) reporting incentives. This blog summarizes the proposed changes and examines their implications for ACOs in 2025 and beyond.
ACOs APM Performance Pathway eCQM reporting Medicare CQMs MSSP ACOs
The Centers for Medicare & Medicaid Services (CMS) recently announced the opening of the Final Score Preview period for the 2023 performance year of the Merit-based Incentive Payment System (MIPS). During this phase of the MIPS performance feedback period, clinicians, groups and Alternative Payment Model (APM) Entity representatives can preview their 2023 final MIPS scores before CMS releases payment adjustment information. The MIPS Final Score Preview period will remain open until the final performance feedback, which includes payment adjustments, is released in August 2024.
Navigating the complexities of the Merit-based Incentive Payment System (MIPS) can be challenging, but understanding the Quality category is crucial for clinicians aiming to optimize their performance scores. As we approach the midpoint of the 2024 MIPS reporting year, clinicians should already be actively collecting and reporting data on their Quality measures. The Centers for Medicare and Medicaid Services (CMS) has announced that it is not accepting hardship applications due to COVID-19 for the 2024 performance year, so some clinicians may find themselves reporting MIPS for the first time in several years and discover that a lot has changed. This article will provide an in-depth overview of the 2024 Quality reporting requirements, changes to quality measures, and tips for selecting the best measures for one's practice.
2024 MIPS Quality 2024 Quality Benchmarks 2024 Quality Measures
The MIPS Promoting Interoperability category focuses on the use of certified electronic health record technology to enhance patient access to their medical records and promote the transfer of data among healthcare clinicians. In this updated blog, we'll explore the latest PI reporting requirements for 2024 and offer tips to enhance reporting success.
We understand that keeping track of important dates for MIPS reporting can be a challenge, so we have prepared a list of key dates to mark on your calendars for your MIPS reporting. Knowing what to do, and when, throughout the calendar year can help you maximize your MIPS reporting.
2024 MIPS Reporting MIPS Reporting Deadlines MIPS Submission Dates
The U.S. healthcare system has long struggled with establishing an efficient and effective process for storing and sharing patients’ medical information, but the adoption of the Fast Healthcare Interoperability Resources standard, known as FHIR, is now paving the way for transformative change in this area. FHIR is not only a solution for the seamless exchange of health information but also can alleviate the burden on providers who need to adhere to various quality data reporting mandates. In this article, we'll explain what FHIR is, how it can ease quality data reporting compliance in programs like the Merit-based Payment Incentive System (MIPS) and the Alternative Payment Model Performance Pathway (APP), and what healthcare providers can do today to connect with FHIR.
The Centers for Medicare and Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2023 performance year. Clinicians can now verify their final 2023 eligibility 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 preliminary MIPS status for 2024. This blog will guide clinicians through understanding MIPS eligibility and determining their reporting requirements.
APM Low Volume Threshold MIPS Eligibility MIPS Eligible Clinicians QPP Participation Status Tool
On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the 2024 Medicare Physician Fee Schedule (PFS) Final Rule, which includes updates to the Quality Payment Program (QPP). This blog summarizes the key policy changes affecting the traditional Merit-based Incentive Payment System (MIPS) program, as well as changes in reporting for Alternative Payment Models (APMs) and Accountable Care Organizations (ACOs), and expansion of MIPS Value Pathways (MVPs). While wrapping up your 2023 MIPS reporting should be a priority, it’s also important to stay informed of the upcoming changes that will impact your reporting during the 2024 performance year.
2024 MIPS Final Rule 2024 MIPS Quality Measures 2024 MVPs 2024 Proposed MIPS Rule Medicare CQMs