The Healthmonix Advisor

CMS Releases Additional Tools for MIPS

Posted by Christina Zink on May 12, 2017
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The first performance year of the Merit-based Incentive 2017_MIPS_Scoring.pngPayment System (MIPS) is well underway. One of the most marked differences between MIPS and previous CMS initiatives is the quality of educational resources available to eligible clinicians. However, wading through all the different documents can be confusing if you are just starting out. This article will walk you through the available resources for each step of your MIPS educational journey.

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1.pngDetermining MIPS Eligibility

CMS is sending out MIPS Participation Status Letters from late April through the end of May 2017. They have also released a lookup tool so you can determine prior to recieving your letter if you will be eligible for the MIPS payment adjustment. If you are not eligible for the MIPS payment adjustment this year but will be in the future, you can still report MIPS. You will not recieve an incentive or a penalty, but you will have access to a feedback report so you can determine changes that may need to be made to maximize your incentive int he future.

Resources for determining eligibilty:

2.pngUnderstanding MIPS Performance Categories

Quality Performance Category

The MIPS Quality Performance Category is closely related to its predecessor, the Physician Quality Reporting System (PQRS). Much Like PQRS, the Quality Performance Category can be reported individually or as a group, and requires submission of quality measure information to CMS. It is the most valuable performance category in 2017, worth 60% of the MIPS composite score.

Resources for the Quality Performance Category:

Advancing Care Information Performance Category

The Advancing Care Information Performance Category is Meaningful Use updated to be more flexible, customizable, flexible and focused on patient engagement and interoperability.

Resources for the Advancing Care Information Performance Category:

Improvement Activities Performance Category

The Improvement Activities Performance Category is a new concept introduced by MIPS reporting and rewards eligible clinicians for participating in activities related to their patient population. Clinicians and groups can choose to participate in activities most relevant to both their practice and patient population. The Improvement Activities Performance Category is worth 15% of the MIPS Composite Performance Score in 2017.

Resources for the Improvement Activities Performance Category:

3.pngChoosing Level of Participation

To ease the burden of transitioning to MACRA/MIPS, CMS has introduced 3 pacing options for at least the performance year 2017. Each pacing option has different reporting specifications; however, all three options offer the safety of knowing the MIPS negative payment adjustment can be avoided.

Resources for the Quality Performance Category:

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Topics: MACRA and MIPS, MIPS