What are the advantages of reporting MIPS via Registry vs. Claims?

Advantages of registry reporting vs. claims include:

  • Reliabilty:  Registries are more reliable. Per CMS, "18 percent of those who attempted to participate via claims were unable to submit any measures satisfactorily, compared to 1 percent for those using a registry". 
  • Ability to Edit Data Before Submission: With claims based reporting once you file a claim with quality codes on it, you can't correct it or make changes on it.
  • Avoids Extra Work Coding Claims: Each quality measure may involve 1 or 2 G-codes. Depending on the quality measures chosen, you may need to send a claim with 9 extra lines to do the reporting.
  • Maximize Your Score: If you change you mind during the year and you would like to report another measure(s) where you can reach higher performance, you can't do it with claims reporting. CMS expects every measure reported to reach a 60% reporting rate or else the submission will fail. With the registry, you can choose to report only the measures that will maximize your quality scores.
  • Ability to Track Performance: Tracking performance with claims reporting is very difficult. Once some clinical data is entered into the registry, you can see your performance in a dashboard anytime you login.
  • Low Cost for Reporting: The registry fee is lower than the potential loss of revenue if claims reporting fails. For example, according to the last available PQRS experience report, only 114,513 providers reported PQRS successfully out of 283,837 providers using the claims reporting method. The claims success rate was 40%.
  • Better Opportunity for Upward Adjustments: Per CMS, "among individual participants, incentive eligibility rates were 93 percent among those using registry measures groups, 59 percent for registry individual measures, 57 percent for EHR, 43 percent for QCDR, and 40 percent among eligible professionals participating via claims."
  • Accuracy: Per CMS, "for the claims reporting mechanism, the main challenges to satisfactory reporting  included:
    1. failure to identify eligible patients or claims;
    2. Quality Data Code submission errors;
    3. failure to submit Quality Data Codes for at least 50 percent of eligible instances". 
  • Customer Support Service:  Working with a registry doesn't just mean working with the software.  We have a MIPS educated and dedicated staff that will help you avoid a potential penalty and achieve the highest earning potential based on your practice goals. 

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