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.
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.
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.
In our last blog we discussed how Apple, Google, Microsoft and Amazon are planning to leverage the HL7® FHIR® standard. This discussion would be incomplete without the mention of probably the largest FHIR solution in the country today managed by a (non-tech) organization. I am talking about Blue Button 2.0 by Centers for Medicare and Medicaid Services (CMS).
A recent blog post by ONC in 2018 highlighted some amazing analysis around the adoption of FHIR® in the US. The post briefly mentioned how Apple, Google, Microsoft and Amazon are planning to leverage the HL7® FHIR® standard. This blog discusses how some of these big companies are approaching FHIR.
If you are reporting as a group, you may need to report the All-Cause Hospital Readmission Measure (ACR). Read this post to get your questions answered about Applicability, Reporting, Case Minimum, and Scoring of the All Cause Hospital Readmission Measure.
Reporting as a group might not only be beneficial for administrative burden reduction and meeting the case-minimums, it might also help increase performance rates and the total positive payment adjustment. To understand how that is possible, read how MIPS group reporting works.
Learn how MIPS Payment Adjustment Calculation will work for 2018 and the implications of MIPS Score that go beyond money. If you are thinking of submitting just enough data to avoid the penalty, read on why you should work on maximizing your MIPS score instead.
The time is ripe to direct the attention towards MIPS 2018 submissions. To get ready, the first step is to check the participation status and then evaluate the reporting options to determine the option that will get you the highest MIPS score and maximize the payment adjustment. As you embark on the preparations for second year of MIPS, there are 3 significant changes that you must be aware of:
Recently, QPP tool was updated to reflect the latest MIPS 2018 Participation Status. This was referred to as the “Final 2018 MIPS Eligibility Status” in a recent CMS newsletter, which has many MIPS eligible clinicians and groups thoroughly confused. This blog aims at removing the confusion by helping clinicians understand how the MIPS 2018 participation status is determined and if they would be required to participate in MIPS.