The Healthmonix Advisor

Everything You Need To Know About MIPS Quality in 2019 Part 2: Scoring

Posted by Christina Zink on May 30, 2019

In our last blog we gave an overview of the MIPS Quality Performance Category and discussed its reporting requirements. This week, we'll look more in-depth at how this category will be scored for the 2019 performance year.

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Topics: MACRA & MIPS, Policy, Quality Performance Category

Everything You Need To Know About MIPS Quality in 2019: Reporting Requirements (1/2)

Posted by Christina Zink on May 23, 2019

The CY 2019 Medicare Physician Fee Schedule Final Rule involves a slew of regulatory changes that will apply to the 2019 performance year. Of course, wading through the final rule to find and understand the most important features of the policy can be grueling; but you’re in luck, because we’ve already done it so you don’t have to! In today’s blog, we’re focusing on the MIPS Quality Performance category.

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Topics: MACRA & MIPS, Policy, Quality Performance Category

Everything You Need To Know About MIPS Facility-Based Quality and Cost Performance Categories

Posted by Lauren Patrick on January 4, 2019

As laid out in the 2019 MACRA final rule*, one of the ways CMS hopes to expand participation options in the program’s third year is by offering certain facility-based clinicians, if they participate as a group, the option to use facility-based Quality and Cost performance measures. CMS expects to release a facility-based scoring preview for this option, which does not require any data submission, in Q1 of 2019. In today’s blog, we’ll take an in-depth look at the details of facility-based scoring and how it will be applied.

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Topics: MACRA & MIPS, Policy, Quality Performance Category, Cost Performance Category

How to Hit the 60% Reporting Rate for MIPS Quality

Posted by Phillip Spence on June 7, 2018

For many practices, one of the biggest differences between MIPS reporting for 2017 and 2018 is the amount of information that needs to be reported to achieve a high score. Gone is the test option that allowed clinicians to simply report on 90 days worth of patient visit information for the Quality performance category—now clinicians need to report on 60% of eligible patient visits per measure for all payers. This is typically a phrase I repeat a few times when discussing MIPS with practices who reported minimally for 2017.

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Topics: PRO Tips, MACRA & MIPS, Policy, Quality Performance Category

Interested in providing feedback to CMS about the burden that MIPS places on your practice?

Posted by Lauren Patrick on February 25, 2018

Apply to help CMS in its new study, running from April 2018 through March 2019, and make your voice heard.

CMS is looking for groups and individuals that are eligilbe for MIPS to help study the burden that the MIPS program, particularly the Quality component, place on eligible clinicians. In return, successful participants will receive full credit for the Improvement Activity component of MIPS this year (2018).

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Topics: MACRA & MIPS, CMS, Quality Performance Category, Administrative Burden

Improvement Provision for Quality and Cost Measures

Posted by Lauren Patrick on February 22, 2018

In year two of MIPS and beyond, CMS is including an Improvement score for Quality and Cost measures. This week we take a deep dive into what this score entails, as well as what you need to know to keep yours ahead of the curve.

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Topics: MACRA & MIPS, Policy, Quality Performance Category, Cost Performance Category

MIPS Performance Categories in 2018

Posted by Christina Zink on November 3, 2017

With the first performance year of the Merit-based Incentive Payment System (MIPS) drawing to a close, you may have just started getting accustomed to how MIPS reporting works. Although the 2018 MACRA final rule introduced changes to how MIPS performance data should be captured for the upcoming performance year, it may be a relief to hear that largely the changes just build upon the existing 2017 regulations.

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Topics: MACRA & MIPS, Policy, Quality Performance Category, ACI Performance Category, IA Performance Category, Cost Performance Category

Data Completeness for MIPS Quality Measures [Infographic]

Posted by Christina Zink on August 25, 2017

Over the last two weeks, we've shown you how to select quality measures. Now that you've decided which measures to collect data for, it's time to start reporting! If you have reported PQRS in the past, the process will be similar with a few major changes. Eligible clinicians who are new to reporting may want to first check out our article on the basics of quality measures prior to understanding how to completely report a quality measure.

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Topics: MACRA & MIPS, Policy, Quality Performance Category

A Guide to Choosing Quality Measures (Part 2)

Posted by Lauren Patrick on August 18, 2017

In our last post, we covered some of the basic questions you should be asking yourself when choosing quality measures to report under MIPS. In part two of this series, we go over a few more specific questions that can help guide you to picking the best measures for your practice.

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Topics: MACRA & MIPS, Policy, Quality Performance Category

A Guide to Choosing Quality Measures (Part 1)

Posted by Lauren Patrick on August 11, 2017

So you’re a MIPS-eligible clinician (if you’re not sure about your participation status, check out our post about how to find out), and you don’t want your practice to miss out on the reimbursement you know you deserve. But how should you decide which quality measures to actually report to CMS? How can you know if the measures you’re choosing will ultimately lead to reporting success, and is there a way to use those measures to not just fulfill the requirements but actually improve your practice? We’ve put together a two-part post to guide you through the most important factors to consider when deciding what might be best for you and your practice. First, the basics:

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Topics: MACRA & MIPS, Policy, Quality Performance Category