MIPS – Another Reminder

Another reminder about the Medicare Quality Payment Program (MIPS)

The performance period opened January 1st, 2017 and closes December 31st, 2017. During 2017, record quality data and how you used technology to support your practice.  This replaces PQRS, MU, and VM.

The Centers for Medicare & Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in MIPS, the Merit-based Incentive Payment System. MIPS is an important part of the new Quality Payment Program. In late April through May, practices will get a letter from the Medicare Administrative Contractor that processes Medicare Part B claimsThis letter will tell the participation status of each MIPS clinician associated with the Taxpayer Identification Number or TIN in a practice.

To potentially earn a positive payment adjustment under MIPS, send in data about the care you provided and how your practice used technology in 2017 to MIPS by the deadline, March 31, 2018. 

Medicare gives you feedback about your performance after you send your data. You may earn a positive MIPS payment adjustment for 2019 if you submit 2017 data by March 31, 2018.

MIPS defines four categories of eligible clinician performance, contributing to an annual MIPS final score of up to 100 points (relative weights are indicated for the 2017 performance year and associated 2019 payment year):

  • Quality (60% for 2017)
  • Advancing Care Information (ACI, renamed from Meaningful Use) (25% for 2017)
  • Clinical Practice Improvement Activities (CPIA) (15% for 2017)
  • Resource Use (0% for 2017, but will be weighted for 2018 and beyond)

If no reporting is recorded in 2017, there will be a -4% payment adjustment in 2019.

Please click on this link for additional information about MIPS: https://qpp.cms.gov/