Since 2017, the Centers for Medicaid and Medicare Services (CMS) Merit-Based Incentive Payment System (MIPS) has provided eligible clinicians a score of zero -100 annually based on the clinician’s efforts and data collection in four program categories: Quality, Improvement Activities, Promoting Interoperability, and Cost. A clinician’s final score for each year’s MIPS performance ultimately dictates a payment adjustment that is applied to his or her Medicare Part B reimbursement rate two years later. In practical terms, this means that a clinician’s 2017 performance impacts all of his or her Medicare claims that are filed in the 2019 calendar year.
Shannon Scott
Shannon Scott is a Regulatory Informatics Specialist at Chirpy Bird Health IT Consulting. In this role, she supports clients in navigating the Merit-based Incentive Payment System (MIPS). She uses her nearly two decades of experience as a Practice Administrator to train and educate healthcare professionals on quality, promoting interoperability, improvement activities, and ways to improve EHR usage. She has a B.A. in Interdisciplinary Studies and with years of experience in health IT, she offers expert guidance to all her clients.
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Topics: PRO Tips, MACRA & MIPS, Industry insights, VBC, ROI