On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) issued the Final Rule for the 2022 Medicare Physician Fee Schedule (PFS) which includes several changes to the Quality Payment Program (QPP). The Rule makes significant revisions to the existing MIPS program and outlines a timeframe for transitioning to the new MIPS Value Pathways (MVPs). Here are the key takeaways that will have a major impact on the future of clinician reporting.
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. 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.
A timeframe to gradually implement the new MIPS Value Pathways (MVPs) program was recently released as part of the Final Rule for the 2022 Medicare Physician Fee Schedule (PFS). The Rule will allow clinicians to report MVPs beginning with the 2023 MIPS performance year. This article answers key questions about MVPs and how MIPS reporting is expected to change in the years ahead.
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. It is one of four categories under the MIPS program. This year clinicians will need to attest to Improvement Activities, in addition to reporting the MIPS Quality and Promoting Interoperability categories, to ensure they reach the new minimum threshold of 60 points to avoid a MIPS penalty. This article provides an overview of the Improvement Activities category, explains how to maximize MIPS points, and offers tips on selecting activities most relevant to a clinician’s practice.
The MIPS Cost category weight is increasing to 20% of a clinician’s final MIPS score in 2021 and 30% in 2022. The increase reflects the priority that the Center for Medicare and Medicaid Services (CMS) has placed on controlling the cost of health care services as a component of the MIPS program. As Cost makes up a larger portion of the total MIPS score, it’s beneficial to understand how CMS measures Cost. Let’s review the basic components of the Cost category and examine strategies to manage and potentially improve performance.
Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program will have new reporting requirements beginning in 2025. The Centers for Medicare and Medicaid Services (CMS) has established a multi-year transition period to change the data that these organizations must report and how the data gets submitted. The changes are intended to reduce reporting burdens and improve patient outcomes. The provisions will allow ACOs to partner with CMS Qualified Registries like MDinteractive to meet their data reporting needs.
The clock is ticking for clinicians and groups who want to report MIPS. MDinteractive can report all available registry and EHR MIPS Quality measures and is here to help, whether you have been collecting data throughout the year or are just getting started. In this article we explain how to choose your Quality measures, and the benefits of using a registry like MDinteractive. With the end of the 2020 performance year getting closer, there’s still time to choose measures to report and start gathering your data.
MIPS eligible clinicians, groups and virtual groups can now apply for the 2020 Promoting Interoperability (PI) Hardship Exception or the MIPS Program Extreme and Uncontrollable Circumstances Exception. Applications must be submitted to CMS by December 31, 2020. Exceptions will be available to those who meet certain criteria established by CMS. Those who qualify for automatic reweighting of PI reporting do not need to apply for this exception.
‘Tis the season for MIPS! We know this can be a stressful time of year, but using a CMS approved Qualified Registry such as MDinteractive can simplify your MIPS reporting and help you cross it off your to-do list. Not only can registries help you stay on top of the changing rules each year, but they can also provide useful tools to simplify the reporting process so you reach your MIPS goals. In this article we have listed some of the top reasons to consider using a registry like MDinteractive and the ways in which we can make your MIPS reporting less stressful.
The Centers for Medicare and Medicaid Services (CMS) has released its Final Rule for the Quality Payment Program (QPP), with several changes to MIPS in 2020 and future reporting years. The Final Rule continues to gradually increase the reporting requirements under the MIPS program. In this article we will highlight the most important changes you need to know for the 2020 performance year and how they could impact your bottom line. We will also cover how CMS plans to transform the program in 2021 to reduce your reporting burden.
Cost is the fourth performance category under the MIPS program and makes up 15% of your total MIPS score for 2019 (up from 10% in 2018 and 0% in 2017). This category will steadily increase to 30% by the year 2022 when it will have the same weight as Quality. If CMS is unable to calculate a Cost score for a clinician, the category will be reweighted to Quality. While clinicians can relatively quickly change their MIPS Quality score by tracking some specific outcomes (e.g., track smoking status and give cessation advice), Cost is more challenging. It is more complex with many different variables, so monitoring Cost becomes important as it contributes more towards your final MIPS score. MDinteractive can help you access your CMS performance feedback reports which will provide your Cost score from prior MIPS reporting years. In this article we will explore the different cost measures, how they are scored and the potential impact on your practice.
With another MIPS performance year behind us, it is not too early to start thinking about a reporting strategy to ensure MIPS success for 2019. This year CMS is providing new flexibility to report quality measures through multiple submission methods which can help improve MIPS scores and increase incentive payments. In this article we demonstrate how combining registry and EHR measures will help specific clinicians with their MIPS reporting. The strategy would not only boost their MIPS scores, but it would also increase their Medicare payments by thousands of dollars.
CMS has updated the Quality Payment Program (QPP) Participation Status Tool for clinicians to check their final 2018 eligibility status for the Merit-based Incentive Payment System (MIPS). Clinicians can enter their individual National Provider Identifier (NPI) here to learn if they are required to report MIPS for 2018. It’s important for them to check their eligibility status now to determine if they must report. MIPS eligible clinicians who do not report MIPS this year will receive an automatic negative 5% penalty on their Medicare Part B payments in 2020.
The wait is over - the Centers for Medicare and Medicaid Services (CMS) has finally released the 2019 Quality Payment Program Final Rule which takes effect on January 1, 2019. There are several changes to MIPS for the 2019 performance year. While providers are still working to complete their 2018 reporting requirements, it’s a good idea to become familiar with some of the changes ahead and understand how you might be impacted.
As we head into the final stretch of Year 2 of the Merit-Based Incentive Payment System (MIPS), clinicians can finally see the finish line approaching for the 2018 performance year. This year MIPS is made up of 4 components: Quality, Promoting Interoperability (formerly ACI), Improvement Activities and Cost. The Quality category accounts for the most at 50% of your total MIPS score. While many clinicians have already collected data throughout the year, it’s not too late to develop a strategy to successfully report Quality and potentially maximize your Medicare reimbursements in 2020.
Before you begin your 2018 MIPS reporting, the first step you should take is to determine if you are required to report this year by checking your participation status on the CMS website. The Quality Payment Program (QPP) Participation Status tool allows clinicians to view their status for each performance year for both the Merit-based Incentive Payment Program (MIPS) and the Alternative Payment Model (APM). Keep in mind if you are not exempt from MIPS participation in 2018, failing to report will result in a 5% penalty on your Medicare Part B payments in 2020.
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.
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%.
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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