MIPS 2019 Proposed Rule Heralds Change - Part I

The QPP proposed rule for 2019 performance year was released on Jul 12, 2018. It brings in a host of changes. We will explore the proposed rule in this multi-part blog series and highlight the changes. In Part-I of the series, we will discuss the overall impact of the proposed changes including the influence of the Bipartisan Budget Act……

MIPS 2017 Incentives : OMG! CMS Analysis Was Spot On

In our last blog, we had discussed about the MIPS 2017 performance feedback reports that became available on June 29, 2018. These reports provide the final MIPS score and the corresponding final payment adjustment that will be applied to 2019 Part B payments. For most people, the final scores were what they expected. However, many are crying foul over the payment adjustments.

Get Ready for MIPS Performance Feedback Reports

The moment of truth is drawing near. According to CMS, the first MIPS performance feedback reports will be available shortly in July, and will provide the 2017 final MIPS score and the MIPS payment adjustment applicable to the eligible clinicians beginning Jan 1, 2019. Learn how to get ready for reviewing your report and how to go about requesting a Targeted Review in case you find any discrepancy in your report.

The Price and Cost of MIPS Submission

I am often asked how does MyMipsScore differ from the many “submission” options available in the market. A demo of our solution usually answers that question satisfactorily. But how do you compare yourself with a free option provided by the government? I am going to address that elephant in the room today…..

MIPS Cost Category: OLD is the new NEW

MACRA Final Rule 2018 was published back in Nov 2017, but the Bipartisan Budget Act of 2018 that was signed on Feb 9th, 2018 changed certain provisions related to the Cost Category for MIPS 2018 performance year. Cost performance category would still have a 10% weight in calculation of the final MIPS score in 2018, but there are some changes related to performance improvement in the Cost category.  

Promoting Interoperability: What's New in MIPS 2018?

As the submissions for 2017 performance year wrap up, it’s perfect time to get started with 2018. In our previous blogs, we discussed the Quality and Cost categories. In this post, we will focus our attention on the Advancing Care Information (ACI) category and the noteworthy changes for performance year 2018.

Mapping Base-EHR to MIPS ACI-Base-Score: 5 Things You Need to Know

Although providers can use a 2014 or a 2015 certified EHR for 2018 MIPS reporting year, starting 2019, 2015 edition will be required. However, the mapping between 2015 Edition EHR and the ACI category reporting requirements has providers and EHR vendors confused. In this blog, we attempt to eliminate this confusion with the help of an infographic that explains this mapping. 

Interoperability: There is FHIR® at the End of the Tunnel

Over the last decade, billions of American tax payer dollars have been spent to achieve “interoperability” in healthcare. Has it worked? The answer depends on who you ask. However, everyone agrees that we have a long way to go. Can FHIR® might be the answer to the interoperability conundrum? 

5 Key Updates by CMS for MIPS Performance Year 2018

Holiday times are over. 2018 is here and it brings a flurry of activity with it. It is time for 2017 MIPS data submissions, and start off the second year of MIPS on the right foot. CMS was hard at work churning out multiple updates last week to help us do exactly that. In this post, we focus on the five of the key MIPS updates that CMS recently made.