--- title: How To Survive Year One of MIPS description: We are now in the seventh month of the new Merit-Based Incentive Payment System (MIPS), and the majority of MIPS-eligible clinicians still feel completely unprepared for success. With complicated and changing regulations, ensuring compliance can be a long and arduous process. Like most sizable goals, MIPS is best digested in small pieces, but it is hard to tell where to start sometimes. That is why we are going give you an order of operations to follow to ensure MIPS survival. image: https://blog.healthmonix.com/hubfs/Fact_Sheets/mips_ebook_v6_Page_01.png --- ![logo-light](https://blog.healthmonix.com/hubfs/logo-light.png "logo-light") - [Who we help](https://healthmonix.com/who-we-help/) - [Overview](https://healthmonix.com/who-we-help/) - [ACOs](https://healthmonix.com/acos/) - [Health systems](https://healthmonix.com/health-system/) - [Healthcare technology](https://healthmonix.com/healthcare-technology/) - [Physician practices](https://healthmonix.com/physician-practice/) - [Health system VPs](https://healthmonix.com/health-system-vice-presidents/) - [Chief financial officers](https://healthmonix.com/chief-financial-officers/) - [Chief medical officers](https://healthmonix.com/chief-medical-officers/) - [Chief quality officers](https://healthmonix.com/chief-quality-officers/) - [ACO executive directors](https://healthmonix.com/aco-executive-directors/) - [Solutions](https://healthmonix.com/prism/) - [MIPSpro](https://healthmonix.com/product/mips-pro/) - [Cost](https://healthmonix.com/product/cost/) - [ACO Impact](https://healthmonix.com/product/aco-impact/) - [Analytics](https://healthmonix.com/product/analytics/) - [Ambulatory Specialty Model](https://healthmonix.com/ambulatory-specialty-model-asm/) - [TEAM](https://healthmonix.com/team-program/) - [HealthConnect](https://healthmonix.com/health-connect/) - [Data integration](https://healthmonix.com/dataintegration/) - [Consulting](https://healthmonix.com/consulting-services/) - [Score optimization](https://healthmonix.com/score-optimization/) - [Patient matching](https://healthmonix.com/patient-deduplication-and-matching/) - [Outcomes](https://healthmonix.com/outcomes/) - [Company](https://healthmonix.com/company/) - [Our story](https://healthmonix.com/company/) - [Team](https://healthmonix.com/team/) - [Careers](https://healthmonix.com/healthmonix-careers/) - [Resources](https://healthmonix.com/resources/) - [Help and support](https://healthmonix.com/customer-support/) - [Healthmonix Advisor](https://blog.healthmonix.com/) - [Webinars](https://healthmonix.com/our-webinars/) - [Educational resources](https://healthmonix.com/mips-education/) - [Help and support](https://healthmonix.com/customer-support/) - [Contact us](https://healthmonix.com/contact-us/) - [Measures](https://healthmonix.com/mips-measures/) - [Quality](https://healthmonix.com/mips-measures/mips-quality-measures/) - [CMS specialty sets](https://healthmonix.com/cms-mips-specialty-measure-sets/) - [Promoting Interoperability](https://healthmonix.com/mips-measures/mips-promoting-interoperability-measures/) - [Improvement Activities](https://healthmonix.com/mips-measures/mips-improvement-activities/) - [Cost](https://healthmonix.com/mips-measures/mips-cost-performance-category/) - [Log in](https://healthmonix.com/login/) # Healthmonix Advisor # How To Survive Year One of MIPS Posted by [Christina Zink](https://blog.healthmonix.com/author/christina-zink) on July 14, 2017 ![](https://app.hubspot.com/settings/avatar/1e386ff4e65c2b2e78f1dd6f6c67a86d) Find me on: [LinkedIn](https://www.linkedin.com/in/christina-zink-062b4457) - [Tweet](https://twitter.com/share) [![mips_ebook_v6_Page_01.png](https://blog.healthmonix.com/hs-fs/hubfs/Fact_Sheets/mips_ebook_v6_Page_01.png?width=200&name=mips_ebook_v6_Page_01.png "mips_ebook_v6_Page_01.png")](https://info.healthmonix.com/mips-survival-guide-ebook)We are now in the seventh month of the new Merit-Based Incentive Payment System (MIPS), and the majority of MIPS-eligible clinicians still feel completely unprepared for success. With complicated and changing regulations, ensuring compliance can be a long and arduous process. Like most sizable goals, MIPS is best digested in small pieces, but it is hard to tell where to start sometimes. That is why we are going give you an order of operations to follow to ensure MIPS survival. #### [![New Call-to-action](https://no-cache.hubspot.com/cta/default/2017045/28d2685b-7d91-468c-89c7-0ce5a80cd0f6.png)](https://cta-redirect.hubspot.com/cta/redirect/2017045/28d2685b-7d91-468c-89c7-0ce5a80cd0f6) ![1.png](https://blog.healthmonix.com/hs-fs/hubfs/Images/List_Elements/1.png?width=25&name=1.png "1.png")Understand If You Need To Report In 2017, Physicians, PAs, NPs, Clinical Nurse Specialists, and CRNAs need to report MIPS. If you are another type of clinician you [may become eligible in 2019](https://blog.healthmonix.com/what-impact-does-mips-have-on-you-), but for now, reporting is optional and will only result in a feedback report. If you are unsure if you qualify, CMS has put out a [participation status lookup tool](http://qpp.cms.gov). ![eligibility-exemptions.png](https://blog.healthmonix.com/hs-fs/hubfs/Images/Vectors/eligibility-exemptions.png?width=320&name=eligibility-exemptions.png) There are three exceptions for clinicians that would otherwise be considered eligible. If a clinician is participating in an Advanced Alternative Payment Model such as a track 2 or 3 MSSP ACO or other qualifying model, they do need to participate. Additionally if a clinician has been enrolled in Medicare too late in the year to count for a full reporting period, they will be exempt. Finally, if a clinician bills less than or equal to $30,000 in Medicare Part B charges, or sees less than 100 Medicare Part B beneficiaries, they will not be subject to the MIPS penalty. In 2018, the low-volume threshold is proposed to be $90,000 or less in Medicare Part B charges or less than 200 Medicare Part B beneficiaries. If you are a clinician who doesn't fit under this year, but will next year, it may affect the pace that you pick this year. ![giphy.gif](https://blog.healthmonix.com/hs-fs/hubfs/giphy.gif?width=423&height=238&name=giphy.gif) #### ![2.png](https://blog.healthmonix.com/hs-fs/hubfs/Images/List_Elements/2.png?width=25&name=2.png "2.png")Plan Your Reporting Strategy  For this year at least, CMS is allowing eligible clinicians to "Pick Their Pace," which effectively means that [you can get away with reporting basically anything within reason](https://blog.healthmonix.com/minimum-mips-reporting). The "Pick Your Pace" program allows clinicians to aim towards any one of 3 tiers of participation. **Full Participation 70+ MIPS points, +4% incentive, eligible for exceptional performance bonus of up to 22%** Eligible clinicians who completely report to all three weighted performance categories will be eligible for a moderate positive payment adjustment. To review, complete reporting requires:      • Quality: Six measures covering 50% of eligible patient visits      • Advancing Care Information: Attesting to all base measures, and accumulating some performance                  score and / or bonus points.      • Improvement Activities: 40 points achieved **Partial Participation 4-69 MIPS points, 0 - 3.9% incentive** Eligible Clinicians who submit “more than minimal” data for any of the three categories for at least 90 days will be eligible for a slight positive payment adjustment. Longer reporting periods will be more likely to result in higher incentives, as will reporting to the full requirements of each performance category. **Minimal Participation 3 MIPS points, 0% payment adjustment** Minimal reporting for MIPS is considered to be either:      • One measure from the Quality Performance Category      • One activity from the Improvement Activities Category -OR-      • All base measures from the Advancing Care Information (ACI) Category Failing to successfully complete any one of these options will result in a negative 4% payment adjustment.   #### ![3.png](https://blog.healthmonix.com/hs-fs/hubfs/Images/List_Elements/3.png?width=25&name=3.png "3.png")Anticipate Your MIPS Score Understanding how CMS will determine your final MIPS score is imperative to anticipating your payment adjustment for the 2019 payment year. You could read up on how the [Quality](https://blog.healthmonix.com/how-to-score-mips-quality-measures), [Advancing Care Information](https://blog.healthmonix.com/mips-aci-performance-category-scoring-2017), and [Improvement Activities](https://blog.healthmonix.com/improvement-activity-selection) categories will be scored. However, any MIPS data submission vendor worth using will have a built in tool that will calculate your score and show you opportunities for performance improvement. 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