Planning today for QPP MIPS is going to benefit your reporting process in the long run. There will be lesser time to stress over the hectic data submission process because you already had figured out every detail.
Moreover, you can pick out the most relevant and useful MIPS
reporting strategy for your medical practice, provided you start early.
MIPS Planning Is Not Easy!
As a MIPS eligible clinician, especially, if you already had
participated in the previous years, you might think that MIPS reporting is
easy.
However, you would also know that reporting requirements change every year, and if we do not comply with them, we are simply risking our
financial responsibilities.
Hence, nowadays, devising a plan of action should be your
priority, for which MIPS consultants can also help you.
Things to Consider While Strategizing MIPS Reporting Plan
As you go through the MIPS reporting process, you will
encounter many issues that you have to surpass through your strategy. Also, if
your reporting strategy has a solid base, it will maximize your MIPS score.
Here is an overview of the performance categories upon which
clinicians’ scores will be judged.
Quality, Improvement Activities (IA), Promoting
Interoperability (PI), and Cost are the four major performance
categories.
Based on the submitted data, MIPS eligible clinicians would receive 9% of positive or negative payment adjustments from Medicare.
- In MIPS 2021, the performance threshold is 61 points to at least maintain the neutral position.
- For exceptional performance, clinicians have to score at least 85 points.
- To target these goals, physicians or MIPS Qualified Registries must report data for all categories except for the Cost one.
·
For PI category data submission, you must have
the certified Electronic Health Record (EHR).
The following are the brief details regarding each MIPS
performance category.
Quality
This most workable and the highest weighted category require
a lot of work. If you mean to target exceptional results out of this category,
clinicians must report at least 70% of the eligible cases for both Medicare and
non-Medicare patients.
Otherwise, you can receive zero points for the data
completeness constraint.
However, there is a QPP MIPS 2021 reporting flexibility for
small medical practices that even if they send data for less than 20 eligible
cases, they can still receive 3 points.
Improvement Activities
The last day you can start performing improvement activities
is October 03, 2021. You can check from the list of IA measures to see if you
are already performing some activity or not.
Moreover, you have to devise a strategy to ensure accurate
documentation of each IA activity. Otherwise, you might lose major points there
only because you could not support your efforts in a systematic order.
Promoting Interoperability
As mentioned above, if you want to report MIPS data for
promoting interoperability, you must have a 2015 certified EHR system.
This category also has to perform for at least 90 days, just
like the IA category.
Cost
Although CMS (Centers for Medicare and Medicaid Services)
does not require data submission for cost; however, a solid strategy must be in
place by MIPS consultants to add points into this category.
There is a 5% increase in the cost measurement performance.
So, it can add to a fruitful total of the MIPS score.
If You Prepare Today for MIPS Reporting, You Are More Likely to Target Successful Medicare Payment Adjustment
QPP MIPS reporting is a challenge that does not come in
handy if you want to maximize your score. Especially, when it comes to making a
fruitful strategy for successful MIPS reporting, physicians cannot do it on
their own. They need professional assistance for going about the best approach
to collect, compile, and report data to CMS.
Therefore, it’s better to find the right MIPS Qualified Registry and start as early as possible to improve MIPS performance.
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