MIPS 2019

Promoting Interoperability: A MIPS 2019 Makeover

The PI performance category has undergone a complete makeover for 2019 MIPS performance year. This redesign affects how the measures are scored, the reweigting of points if exclusions are claimed, the bonus points and thus the PI score. Understand how this change impacts the PI category score and thus the MIPS score.

MIPS, Patient Engagement, HIPAA & 2015 Certified EHR

In a recent webinar, we discussed how CMS has redefined the Patient Engagement requirements for MIPS 2019 PI category. Additionally, in the NPRM announced at HIMSS 2019, ONC proposed a new certification criterion targeted towards the objectives that 2015 Certified EHRs will need to support going forward. It is a lot to process simultaneously, and many of our clients (both providers and EHR vendors) have reached out to us for clarification of these requirements and the associated security concerns, which this blog aims to address.

Get Ready for MIPS 2019: Webinar Q&A

During the webinar “Get Ready for MIPS 2019”, we discussed the significant changes in all the performance categories and how 2019 version of MyMipsScore is equipped to handle them. Particularly how you can find the best Quality measures across multiple collection types, and how scoring and reweighting works for the newly restructured PI category. We have compiled a list of questions and answers from the webinar for your ready reference.

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.

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.

2015 Certified EHR in 2019: What’s the Deal?

The final rule for 2019 Quality Payment Program was released earlier this month. Although there are many important updates in the rule, there is one item in particular that seems to be causing a lot of confusion. We have received many variations of this core question – “Is 2015 Edition Certified EHR required for 2019? If so, by what date?”.