The Riddle of MIPS 2018 Participation Status

Recently, an update was made in the QPP participation tool, referred to as “Final 2018 MIPS Eligibility Status” in a recent CMS newsletter which has many MIPS eligible clinicians and groups thoroughly confused. This blog aims at removing the confusion by helping clinicians understand how the MIPS 2018 participation status is determined and if they would be required to participate in MIPS.

2015 Certified EHR in 2019: What’s the Deal?

The final rule for 2019 Quality Payment Program was released earlier this month. Although there are many important updates in the rule, there is one item in particular that seems to be causing a lot of confusion. We have received many variations of this core question – “Is 2015 Edition Certified EHR required for 2019? If so, by what date?”.  

Patient Engagement Changes Bigly for MIPS In 2019

Last week, CMS released the QPP final rule for 2019. We will be doing a series of blogs and webinar to discuss the changes in details and how it impacts EHR developers and providers. However, there is one change that deserves a blog of it’s own. In my opinion, it is the biggest change since the start of Meaningful Use program almost a decade ago.

MIPS Report Cards Coming Soon on Physician Compare

Quality Payment Program performance data for 2017 will be publicly available on Physician Compare website in late 2018 to help the Medicare beneficiaries and caregivers make informed decisions, and to encourage clinicians to deliver quality care. With that, MIPS score and its impact on reputation will begin to get very real. This data will serve as the MIPS report card for all providers participating in QPP (MIPS, APMs). So, it would be best to understand what data would be published on Physician Compare, in what format, and for whom.

Improvement Activities: 2019 Proposed Changes Ensure Alignment - Part V

With the QPP 2019 proposed rule, CMS is making conscious efforts to make QPP participation meaningful and less burdensome for the clinicians and addressing the opioid epidemic. To that end, the modifications proposed for the Improvement Activities category are geared towards fine-tuning, addressing the existing gaps, and aligning IA closely with other performance categories. Let’s see how.

MIPS and The Godfather: "This is the business we’ve chosen."

Last week, CMS held a support call for Qualified Registries, a regular monthly call that all Qualified Registry vendors like MyMipsScore have to attend. There was an announcement by CMS during the call that I would like to discuss and share. Here is the exact text from the agenda for the call: 
Cherry Picking: It has come to CMS’ attention that certain vendors may be advertising services…….

Promoting Interoperability: Will the 2019 Proposed Changes Help? Part IV

Major restructuring is proposed for the Promoting Interoperability performance category for 2019. The redesign of this category aims at achieving better transition of care, improved communication between the caregivers, getting data for public health initiatives, and empowering patients to take charge of their care.  Will the PI category live up to it’s new name?

The Cost Category Balancing Act: Proposed Changes for MIPS 2019 Part III

Evaluating the cost of care alongside the quality of care is not new. It was an element of PQRS program (QRUR reports) and with MIPS, CMS aspires to make further progress in this area. Can proposed changes for MIPS 2019, lead to a meaningful reduction in cost? Can CMS strike the delicate balance between Cost and Quality of care with the new mix of measures?. 

Proposed Quality Category Changes for MIPS 2019 - Part II

In the previous blog we looked at the highlights of the 2019 QPP Proposed Rule for MIPS. In this post we would explore how the 2019 proposed rule will affect the Quality performance category, the category with highest weight. The Meaningful Measures Initiative has led to "redefining" of the Quality performance category. Under this initiative, CMS has been working to……