Quality

‘Twas the Night Before MIPSmas

Before we put MIPS 2021 to bed for the year, better pay attention to this cautionary tale, or you can end up on CMS’s naughty list despite having been nice all year long. This is a tale of misinformation and confusion that involves two issues impacting your Promoting Interoperability category score and hence your MIPS score.

MIPS 2021: MIPS Reporting During the Pandemic

Now that we are in the final MIPS 2021 reporting quarter, there is still an opportunity to finish out the year, not only avoiding a 9% penalty but to achieve an Exceptional Performer score (85 to 100). In this blog, we will expand on the opportunities.

MIPS 2021 Proposed Rule: The Road Ahead

CMS released the MIPS 2021 Proposed Rule pertaining to the requirement on August 3rd, 2020. As with the 2019 MIPS Performance Year, the COVID-19 crisis has figured into CMS decision making on what to include in the MIPS 2021 performance year. However, it is evident from the proposed rule that the MIPS program is not going away and will maintain significant negative payment adjustments for non-participation. This blog summarizes the proposed rule for MIPS which is subject to change at time of the final release.

MIPS 2020 - Applying Lessons Learned from COVID-19

CMS is taking action regarding MIPS 2020 by offering COVID-19 related relaxation and adjustment. These announcements are trickling in slowly. The latest update was released yesterday on Jun 24, 2020. There might be additional tweaks and retroactive adjustments that are announced later in the year, but reading between the lines, it is evident that MIPS will go on. The latest update was released yesterday on Jun 24, 2020. There might be additional tweaks and retroactive adjustments that are announced later in the year, but reading between the lines, it is evident that MIPS will go on. We witnessed up and close how different provider organizations handled MIPS 2019 submissions during COVID-19 pandemic ranging from single providers to multi-specialty, multi-location practices . Some organizations handled the crisis better than the others. In this blog we have distilled the lessons learned from these provider organizations into 10 things they did right.

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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.