Healthmonix Advisor

The Merit-based Incentive Payment System (MIPS) can be rewarding for those who optimize their scores, and devastating for those who fall behind. 2019 is no longer considered a transition year, which means that the program is doing away with much of the leniency that made reporting easier in the past. The financial risk is now as high as 7%, while the performance threshold has increased to 30 points.

As the stakes continue to rise, it’s more important now than ever before that organizations strategize about their MIPS reporting process for 2019 and beyond. And in the course of that effort, one major decision they will need to weigh carefully is whether to report as individuals (at the NPI level) or as a group (at the TIN level).

As we make our way through year two of the Quality Payment Program (QPP), it’s clearer than ever that simply reporting quality data is no longer enough. CMS penalties and incentives reach 5% in 2018, and in future years payment adjustments will continue to increase along with the percentage of patients you will be required to report on. Meeting quality standards and cutting costs are also increasingly important as measures are assessed against benchmarks and peers. Choosing the best reporting method for your practice is therefore an increasingly important step toward reporting efficiency and ultimately reporting success.

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).