--- title: Blog – The Healthmonix Advisor | PRO Tips description: PRO Tips | The Healthmonix Advisor - A Blog for healthcare professionals, health systems, and hospitals --- ![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 ## [What to Do in the Last 90 Days of MIPS 2020](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) Posted by [Phillip Spence](https://blog.healthmonix.com/author/phillip-spence) on September 30, 2020 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/MIPSblog.png)](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) The last 90 days of the year. Many might be ready to say goodbye to 2020 as a year filled with challenges, adjustments and ever-shifting expectations in our personal and professional lives. For those clinicians who are eligible for participation in the Merit-Based Incentive Payment System (MIPS), the last 90 days of the year also represents the beginning of some measurement periods and the final opportunity to improve in others. [Read More](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [IA Performance Category](https://blog.healthmonix.com/topic/ia-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [PI Performance Category](https://blog.healthmonix.com/topic/pi-performance-category) ## [Why MIPS 2020 Will Be More Difficult Than Keeping a New Year’s Resolution](https://blog.healthmonix.com/why-mips-2020-will-be-more-difficult-than-keeping-a-new-years-resolution) Posted by [Joy Rios of Chirpy Bird Health IT Consulting](https://blog.healthmonix.com/author/joy-rios-of-chirpy-bird-health-it-consulting) on January 23, 2020 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/shutterstock_1496346611%20-%20New%20Years%20Resolutions.jpg)](https://blog.healthmonix.com/why-mips-2020-will-be-more-difficult-than-keeping-a-new-years-resolution) [Read More](https://blog.healthmonix.com/why-mips-2020-will-be-more-difficult-than-keeping-a-new-years-resolution) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/why-mips-2020-will-be-more-difficult-than-keeping-a-new-years-resolution#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Policy](https://blog.healthmonix.com/topic/policy), [Healthmonix](https://blog.healthmonix.com/topic/healthmonix), [Eligibility](https://blog.healthmonix.com/topic/eligibility) ## [Last Minute Hacks for Small Group MIPS 2019 Reporting](https://blog.healthmonix.com/last-minute-hacks-for-small-group-mips-2019-reporting) Posted by [Joy Rios of Chirpy Bird and Mike Lewis of Healthmonix](https://blog.healthmonix.com/author/joy-rios-of-chirpy-bird-and-mike-lewis-of-healthmonix) on December 20, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Stock%20Images%201200%20x%20628/Fresh/accomplishment-achievement-adult-1059120-1.jpg)](https://blog.healthmonix.com/last-minute-hacks-for-small-group-mips-2019-reporting) [Read More](https://blog.healthmonix.com/last-minute-hacks-for-small-group-mips-2019-reporting) 2 Comments [Click here to read/write comments](https://blog.healthmonix.com/last-minute-hacks-for-small-group-mips-2019-reporting#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [Policy](https://blog.healthmonix.com/topic/policy), [Healthmonix](https://blog.healthmonix.com/topic/healthmonix), [Eligibility](https://blog.healthmonix.com/topic/eligibility) ## [Reporting MIPS as Individuals or as a Group: Why Not Both?](https://blog.healthmonix.com/reporting-mips-as-individuals-or-as-a-group-why-not-both) Posted by [Mike Lewis](https://blog.healthmonix.com/author/mike-lewis) on September 26, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Images/Stock%20Images%201200%20x%20628/doctors.jpg)](https://blog.healthmonix.com/reporting-mips-as-individuals-or-as-a-group-why-not-both) 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). [Read More](https://blog.healthmonix.com/reporting-mips-as-individuals-or-as-a-group-why-not-both) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/reporting-mips-as-individuals-or-as-a-group-why-not-both#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Healthmonix](https://blog.healthmonix.com/topic/healthmonix), [Administrative Burden](https://blog.healthmonix.com/topic/administrative-burden), [Hospitals & Health Systems](https://blog.healthmonix.com/topic/hospitals-health-systems), [ROI](https://blog.healthmonix.com/topic/roi) ## [MIPS Scores Impact More Than Medicare Revenue](https://blog.healthmonix.com/mips-scores-impact-more-than-medicare-revenue-commercial-payers-are-following-suit) Posted by [Shannon Scott](https://blog.healthmonix.com/author/shannon-scott) on August 8, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Businessman%20with%20his%20hands%20up%20against%20falling%20blocks.png)](https://blog.healthmonix.com/mips-scores-impact-more-than-medicare-revenue-commercial-payers-are-following-suit) Since 2017, the [Centers for Medicaid and Medicare Services](https://blog.healthmonix.com/no-cms-updates-on-covid-19-impact-on-mips-reporting-what-it-means) (CMS) [Merit-Based Incentive Payment System](https://healthmonix.com/mips-pro/) (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. [Read More](https://blog.healthmonix.com/mips-scores-impact-more-than-medicare-revenue-commercial-payers-are-following-suit) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/mips-scores-impact-more-than-medicare-revenue-commercial-payers-are-following-suit#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Industry insights](https://blog.healthmonix.com/topic/industry-insights), [VBC](https://blog.healthmonix.com/topic/vbc), [ROI](https://blog.healthmonix.com/topic/roi) ## [MIPS Hacking for Psychologists: Turbo-boost your ROI With This One Simple Trick.](https://blog.healthmonix.com/mips-hacking-for-psychologists-turbo-boost-you-roi-in-2019-with-this-one-simple-trick) Posted by [Mike Lewis](https://blog.healthmonix.com/author/mike-lewis) on August 1, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/taylor-grote-UiVe5QvOhao-unsplash.jpg)](https://blog.healthmonix.com/mips-hacking-for-psychologists-turbo-boost-you-roi-in-2019-with-this-one-simple-trick) In last week’s blog I laid out the case for opting into MIPS, an option that allows clinicians and groups to still receive a MIPS payment adjustment if they exceed 1 or 2, but not all, elements of the low-volume threshold. Although this option can be beneficial for a wide range of clinician types depending on their situation, today I want to focus on psychologists in particular. Because in my experience, they provide some of the most striking examples of this “MIPS hack” in action. [Read More](https://blog.healthmonix.com/mips-hacking-for-psychologists-turbo-boost-you-roi-in-2019-with-this-one-simple-trick) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/mips-hacking-for-psychologists-turbo-boost-you-roi-in-2019-with-this-one-simple-trick#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Eligibility](https://blog.healthmonix.com/topic/eligibility), [Small Practice](https://blog.healthmonix.com/topic/small-practice), [VBC](https://blog.healthmonix.com/topic/vbc), [ROI](https://blog.healthmonix.com/topic/roi) ## [MIPS Hacking: Why the MIPS Opt-In Policy Could Seriously Boost Your Bottom Line.](https://blog.healthmonix.com/mips-hacking-why-the-mips-opt-in-policy-could-seriously-boost-your-bottom-line) Posted by [Mike Lewis](https://blog.healthmonix.com/author/mike-lewis) on July 25, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/adult-banking-blur-1288483.jpg)](https://blog.healthmonix.com/mips-hacking-why-the-mips-opt-in-policy-could-seriously-boost-your-bottom-line) Beginning in 2019, otherwise-eligible clinicians, groups, and APM entities can elect to opt-in to MIPS if they exceed 1 or 2, but not all, elements of the low-volume threshold. That means that for the first time, these previously ineligible clinicians have the opportunity to participate in the QPP and earn a payment adjustment. Now maybe you haven’t had the time to pay close attention to policy minutiae, and this is the first you’re hearing of the opt-in option. Or maybe you’ve heard of it, but haven’t looked seriously at what it could mean for you or your organization. After all, on the surface it just sounds like work that isn’t required--and could it really make enough of a difference to your bottom line to be worth it? Well, we highly recommend you do the math to find out. Because depending on your situation, you might be very, very glad you did. [Read More](https://blog.healthmonix.com/mips-hacking-why-the-mips-opt-in-policy-could-seriously-boost-your-bottom-line) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/mips-hacking-why-the-mips-opt-in-policy-could-seriously-boost-your-bottom-line#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Eligibility](https://blog.healthmonix.com/topic/eligibility), [Small Practice](https://blog.healthmonix.com/topic/small-practice), [VBC](https://blog.healthmonix.com/topic/vbc), [ROI](https://blog.healthmonix.com/topic/roi) ## [Streamlining MIPS Reporting When Using Data from Multiple Sources](https://blog.healthmonix.com/case-study-streamlining-mips-reporting-when-using-data-from-multiple-sources) Posted by [Christina Zink](https://blog.healthmonix.com/author/christina-zink) on May 10, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Stock%20Images%201200%20x%20628/2019/correct-diverse-diversity-1282270.jpg)](https://blog.healthmonix.com/case-study-streamlining-mips-reporting-when-using-data-from-multiple-sources) Health systems face a unique challenge when navigating the CMS Quality Payment Program (QPP). All currently available options to comply with the QPP require the submission of some form of clinical quality measures. With multiple specialties and often multiple sources for tracking billing and clinical data, aggregating all available data in a coherent, efficient, and centralized way can seem nearly impossible for the average health system. This **case study** demonstrates how MIPSPRO assisted one of their health system clients by streamlining their quality reporting process. [Read More](https://blog.healthmonix.com/case-study-streamlining-mips-reporting-when-using-data-from-multiple-sources) 2 Comments [Click here to read/write comments](https://blog.healthmonix.com/case-study-streamlining-mips-reporting-when-using-data-from-multiple-sources#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Interoperability](https://blog.healthmonix.com/topic/interoperability), [Healthmonix](https://blog.healthmonix.com/topic/healthmonix), [Health IT](https://blog.healthmonix.com/topic/health-it), [Hospitals & Health Systems](https://blog.healthmonix.com/topic/hospitals-health-systems) ## [3 Points To Consider As You Plan Your 2019 MIPS Reporting Strategy](https://blog.healthmonix.com/3-points-to-consider-as-you-plan-your-2019-mips-reporting-strategy) Posted by [Christina Zink](https://blog.healthmonix.com/author/christina-zink) on April 17, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/plan.png)](https://blog.healthmonix.com/3-points-to-consider-as-you-plan-your-2019-mips-reporting-strategy) The 2018 MIPS reporting year is finally behind us, and you know what that means: time to plan for 2019! Although this may seem like the last thing you want to think about in the days following the 2018 deadline, MIPS can be very rewarding for those who optimize their scores—and devastating for those on the other end of the spectrum. 2019 is no longer considered a transition year, unlike the first two years of MACRA, 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. In other words, there will be winners and losers, and if you want to stay ahead of the curve it’s imperative to strategize as soon as possible. [Read More](https://blog.healthmonix.com/3-points-to-consider-as-you-plan-your-2019-mips-reporting-strategy) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/3-points-to-consider-as-you-plan-your-2019-mips-reporting-strategy#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips) ## [MIPS Hacking: Report as a Group to Maximize ROI](https://blog.healthmonix.com/mips-group-reporting-benefits) Posted by [Mike Lewis](https://blog.healthmonix.com/author/mike-lewis) on March 14, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Stock%20Images%201200%20x%20628/2019/agreement-black-business-943630.jpg)](https://blog.healthmonix.com/mips-group-reporting-benefits) I speak with many organizations who are planning to report MIPS individually, only for their eligible providers. What they fail to realize is that they can achieve significant additional revenue by reporting as a group for **all** providers in their practices, even those that are deemed ineligible. In these cases I like to do a simple cost comparison to show what organizations are missing out on, and while each case is unique, the results are often striking. [Read More](https://blog.healthmonix.com/mips-group-reporting-benefits) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/mips-group-reporting-benefits#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [ROI](https://blog.healthmonix.com/topic/roi) [All posts](https://blog.healthmonix.com/all) [Next](https://blog.healthmonix.com/topic/pro-tips/page/2) ### Subscribe Here! ### Search the Healthmonix Advisor - [MACRA & MIPS (132)](https://blog.healthmonix.com/topic/macra-mips) - [Policy (77)](https://blog.healthmonix.com/topic/policy) - [PRO Tips (57)](https://blog.healthmonix.com/topic/pro-tips) - [CMS (34)](https://blog.healthmonix.com/topic/cms) - [Quality Performance Category (32)](https://blog.healthmonix.com/topic/quality-performance-category) - [Industry insights (29)](https://blog.healthmonix.com/topic/industry-insights) - [VBC (20)](https://blog.healthmonix.com/topic/vbc) - 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