Healthmonix Advisor

CMS Has Released MIPS Feedback Reports: What To Do Next

Posted by Usman Safdar on July 19, 2018

It’s that time of year again: CMS has released final QPP performance feedback for 2017, including final scores and payment adjustment information. Here at Healthmonix, we believe in turning data into outcomes, taking control of performance, and driving revenue through value-based payments—which is why, now that you have access to your feedback, we’re outlining a few important next steps your practice can take to use that feedback in a meaningful way.

Review your score.

Check to see if you passed or failed. A passing score for 2017 is at least 3/100, while a failing score is anything below that.

If you passed: great job! Per CMS, scores between 4 and 69 can qualify for up to 4% incentives on their Medicare Part B reimbursements in 2019. Scores 70 or greater can qualify for incentives as high as 22%.

If you failed: if you reported / submitted through the MIPSPRO registry and received a failing score, you should reach out to our support team. They can assess what might have happened, resolve any potential errors, and help you submit an informal review to CMS.


Develop an improvement plan.

We are already halfway through the 2018 MIPS performance year, which means it is imperative to get a plan finalized and executed ASAP if you intend to keep up with CMS’ new requirements and increase your MIPS score. Here are a few points to consider as you come up with your plan:

  1. Take advantage of MIPSPRO measure determining capabilities to research additional measures for your practice.
  2. Research additional categories of MIPS and assess whether your practice would be able to report them in the future.
  3. Determine how you can incorporate MIPS into your clinical workflows to make the reporting process more efficient and less labor intensive.
  4. Assess your submission methods: are you reporting via registry, EHR, or claims? (At 99.8%, the MIPSPRO registry has the highest submission success rate amongst these methods.)


Get started!

Reporting MIPS is more than just dumping your data somewhere the day before submission. In order to maximize your outcomes, it’s essential to finalize your plan and start reporting! Execute your improvement plan and begin tracking, analyzing, and optimizing your overall MIPS performance for the current year.

If you are interested in finding out more about MIPSPRO or have questions about MIPS reporting in general, talk to a member of our quality reporting team today.


Free "What is MIPS?" 2018 Fact Sheet - Download Now!

Topics: PRO Tips, MACRA & MIPS, CMS