Since the launch of our MIPS100™ program, we have received emails with reactions ranging from “Wow!” to “Is that even possible?” and everything in between. In this post, I would like to address five steps that providers and healthcare organizations can take to achieve a MIPS score of 100.
1. 100% score in ACI and Improvement Activities is easily achievable
As most of you already know (and agreed), the ACI and Improvement Activity categories combined will account for 40 of the 100 points for most providers. If you were able to achieve meaningful use in previous years, you should be able to achieve the full 25 points in the ACI category.
Although Improvement Activities (IA) is a new category, the large number of options available make it easy to select the ones that fit your practice. Once you have found those, you will be able to score full 15 points in IA.
Everyone we talked to agreed that it is possible to get the maximum points on both these categories, so I wouldn’t go in further detail on these. [Learn more about IA and ACI]
The Quality category is the one that everyone is most concerned about, so let’s discuss that.
2. You do NOT need to have a 100% performance rate on a quality measure to earn full points
The most common misunderstanding about Quality score is that you have to score a 100% on every measure to get a perfect MIPS score. That is not correct. The example below shows how you can earn full 10 points at just 81% performance rate for controlling blood pressure quality measure. There are many such measures. Actually, many EHR measures do NOT require a 100% performance rate to earn 10 points.
3. Scores for different submission methods vary for the same performance rate
It is VERY important to understand that you can get different scores for the same performance rate based on the submission method you choose. The difference can be significant. We discussed this in detail in a previous blog.
4. Bonus points make up a significant portion of the Quality score
Even if you are unable to achieve the full 10 points on some of the quality measures, you can earn additional bonus points for quality measures to cover up for those points.
- CEHRT Bonus Points: The first bonus point category is the end-to-end reporting bonus also called as the Certified EHR Technology (CEHRT) Bonus. You can earn up to 6 bonus points under this category - 1 point for each measure that satisfies the end-to-end data submission criteria.
- Bonus Points for High Priority, Outcome, Patient Experience Measures: You can earn additional bonus points for reporting the measures that are classified as high priority measures, outcome measures or patient experience measures. These bonus points combined with the CEHRT bonus can really get you across the finish line. [Learn more about Bonus Points]
5. Regular analysis and monitoring is vital
As you can see, getting a perfect MIPS score of 100 is realistically possible. However, how do you analyze every measure across every submission method for a practice on an ongoing basis to find the best combination to get the perfect score? That is where MyMipsScore comes in.
While you focus on the patients, MyMipsScore analyzes your data in the background on an ongoing basis to find the best combination of submission method and measures for you. Based on the analysis it will nudge you with suggestions for improvement. In most cases you will already be doing what is required and the issue might just be missing documentation. Regular monitoring will help you identify these gaps and fix them in time.
Still not convinced you can get a 100?
Schedule a MIPS100 Roadmap Session for your organization and find out.