MIPS Payment Adjustment

MIPS 2020 Proposed Rule: The Climb Gets Steeper

The QPP proposed rule for 2020 performance year was released last week. As anticipated, the requirements have become steeper. Performance thresholds and data completeness have increased substantially. On the other hand, many policies introduced for the 2019 performance year remain unaltered for 2020.

Targeted Review of MIPS 2018 Feedback Reports

The moment of truth is here. The Performance Feedback Reports for MIPS 2018 became available earlier in July. In this blog, we will focus on the things you need to know to timely review your feedback report and request a Targeted Review in case you find a discrepancy in the report.

MIPS 2019: Show Me The Money!

Is it worth the trouble to do well in MIPS? Since the launch of the MIPS program, healthcare organizations have struggled with this simple question to decide their degree of commitment to the MIPS program. If you had previously decided it is not worthwhile beyond avoiding penalty, 2019 is the year to reevaluate your decision. This blog will help you understand why.

MIPS Report Cards Coming Soon on Physician Compare

Quality Payment Program performance data for 2017 will be publicly available on Physician Compare website in early 2019 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.

MIPS 2019 Final Rule: Key Changes

The QPP 2019 Final Rule was released in November 2018 in which many of the changes in the proposed rule were finalized. The biggest changes are bringing new clinician types under the MIPS fold, making 2015 edition Certified EHR a requirement, restructuring of the Promoting Interoperability category, making multiple submission methods available for Quality and Facility-based scoring. Let's take a closer look.

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.

MIPS Score Portability and the Ancient Wisdom

“As you sow, so shall you reap” is an adage we are all familiar with. This ancient wisdom holds true for MIPS too. MIPS performance in 2017 will determine the payment adjustments in 2019. Furthermore,  MIPS score will be linked to provider NPI  and follow the providers even if they change groups or switch their reporting preferences.