The Basics of Reporting Under MIPS MIPs, which is a short for Merit-Based Incentive Payment System is a payment mechanism providing annual updates to the physicians from 2019. The performance will be measured in four different categories including the meaningful use of EHR, clinical practice improvement activities, resource use, and quality. Reporting Requirements under MIPS MIPS requirements require reporting as an individual or under a group. The MACRA statute guidelines lay out the requirements. The reporting requirements needed to be fulfilled as per the individual physicianâ€™s choice, relating to their participation in MIPS. Previously, MACRA brought significant changes for individuals, who can now collectively report for MIPS data when existing in groups of two or more individuals. It has led to immensely benefitting the sub-specialists, empowering them to become successful in MIPS reporting. Practice specialty of a physician also matters, determining the use of appropriate reporting method. Reporting method for a group or individual depends on the type of practice that a physician chooses to engage in. MACRA altered the way medical care is offered by introducing new regulations, and passing them into law.
How Will Groups Operate Under MIPS? Many physicians use group reporting under MIPS. It depends a lot on the performance of the group that is reporting. The eligible clinicians can get payment adjustments. If the overall performance of the group is well, the payment will be adjusted according. The same case applies if the group underperforms. CMS determines all the consequences by evaluating the ability of the participants to meet thresholds. Similarly, there are consequences for a group not able to perform well. MIPS and PQRS CMS wants the clinicians and medical organizations to focus on the critical qualities while delivering healthcare services. MIPS reporting involve giving accurate information relating to advancing care, quality, and improvement activities. PQRS has some similarities to the concept of MIPS. CMS offers PQRS as a voluntary incentive given to particular healthcare services professionals like psychologists participating in the Medicare. Overview of Quality Payment Program Rule Here are the core objectives linked to the QPP final rule. - Clinicians can easily participate in Advanced APMs. - To improve the care coordination to ensure better health care services are delivered. - To minimize the burden of clinicians. - To make the program’s activities and measures meaningful. The second year aims to offer greater flexibility to help smoothen the transition period. The second year’s QPP introduces significant changes for deciding how Medicare pays clinicians. Here are some of the critical areas to help clinicians during the transition year. - To offer new incentives to participants. - To provide greater flexibility for reducing the burden on clinicians. - Give clinicians enough time to ensure full implementation in the third year. The clinicians and healthcare services providers can also use QPP’s Technical Assistance to ask any questions or concerns that they may have.
MIPS Highlights for the Second Year Here are some of the MIPS highlights for the second year. - To raise performance threshold to 15 points for the second year instead of 3. - To let providers use 2014 and 2015 CEHRT during the second year, while only offering a bonus for 2015 CEHRT. - Offer a maximum of 5 bonus points for adding to the final score to treat patients with complex ailments. - To not weigh clinicians performance for Advancing Care Information, Improvement Activities, and Quality, impacted by natural disasters and hurricanes (Harvey, Irma, and Maria). - To add 5 points for small practices to their final scores.
Published on Mar 8, 2018
Published on Mar 8, 2018
MIPs, which is a short for Merit-Based Incentive Payment System is a payment mechanism providing annual updates to the physicians from 2019....