Quality

Quality Improvement Scoring: 10 Things You Need to Know

Improvement scoring for the Quality performance category was introduced in the second year of MIPS (2018). As the name suggests, the improvement score will be calculated by direct comparison of performance data for Quality to the previous year’s performance. In other words, if an eligible clinicians scores better in 2019 than they did in 2018, they will be rewarded for it. This blog talks about 10 things you need to know.

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.

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……

MIPS 2018 Quality Performance Improvement Scoring: 10 Things You Need to Know

“Scoring Improvement” bonus points for the Quality category are bonus points available in 2018 for demonstrating improvement in 2018 as compared to 2017 scores. As 2017 is the first year for MIPS, 2018 will be the first year when these bonus points will be available. Here are 10 things that you need to know about improvement bonus points in the quality category.

Picking Submission Method for Quality Category – What’s the Big Deal?

Decision of determining the winning combination of submission method and quality measures is a tough one. For 2017 and 2018 MIPS performance years, only one submission method is available per performance category. Evaluate the available options and pick that submission method very carefully.