Solutions Improve MIPS Registry Reporting Eligibility Determination

     

The Merit-Based Incentive Payment System (MIPS) is a reimbursement program that rewards high-value and high-quality healthcare performances with pay increases and incentives. It is designed to improve care processes and healthcare outcomes. The main goal of MIPS is to support a healthier population.

MIPS Reporting Is Challenging

Besides efficiencies and potential there are some serious challenges posed by the MIPS and reporting is one of them. Scoring and  MIPS reporting are only sometimes accurate and also not a reliable reflection of the quality of care, especially when providers only report the performance measures that are very easy to achieve.

Differentiate between Registry Reporting and eQCM Reporting

When it comes to MIPS reporting, there are only two ways to report and track.
eQCM
Registry

Registry Reporting

Registry reporting is a long-standing and traditional reporting method. Despite there being more efficient models and newer ones, registry reporting has its benefits. It includes the following:

· Complete flowsheets to track trends and plan

· Comprehensive dashboard to measure progress and monitor data

There is one drawback to registry reporting, and that’s its inability to stand alone without any supporting documentation system. Registry reporting requires a tedious amount of admin that wastes a practice’s energy, resources, and valuable time. The main disadvantage of registry reporting is that the points earned for a specific Quality measure are much lower when reported through the registry versus eCQM reporting. General Surgery Billing Services

What is eCQM Reporting?

Electronic Clinical Quality Measures (eCQMS) reporting systems work along with Electronic Health Records (EHR) to increase access to real-time information. eCQMs have the advantage of lowering the requirement for additional IT resources and administrative assistance for MIPS reporting because they operate in real-time with automated procedures and systems. This means:

 

Maximizing financial reimbursement by earning the most MIPS points reduces the time and energy spent on the submission process While clinical data from the medical record is used in eCQM reporting, the clinical record must be organized. Also, the tool(s) used for extraction are built to scrub items against the vast array of accessible measures. The EHR and the extraction software must be seamlessly integrated, with providers receiving ongoing feedback.

What Are the Challenges of MIPS Reporting?

Just like every other program, there are also some challenges with MIPS reporting. It includes:

· Comprehensive Reporting

MIPS reporting has a comprehensive framework that can occupy a significant amount of attention and time. Therefore, taking away the attention from care delivery. All reporting must be completed completely, accurately, and on time because there are consequences for subpar performance and non-participation.

Each year, data is collected from January 1 through December 31, and all reporting is due by March 31 of the following year.

· Pay Division

MIPS is a budget-neutral program, and every positive payout is funded by the negative adjustments of the poor performers.

MIPS Reporting Eligibility

For each practice there is a specific eligibility status that is associated with and based on the following factors:
Registration Date
Type of a Clinician
APM Status
Payment Threshold
For the Part B services bill of more than $90,000
See more than Part B patients

If your medical practice is eligible for MIPS, then you are required to report activities and measure data for performance throughout the performance year.

What Are the Options for MIPS Reporting?

1. Traditional MIPS

The original reporting structure for MIPS, traditional MIPS reporting, can be used to choose Quality Measures and Improvement Activities to gather data for and report on.

2. MIPS Value Pathways

MIPS Value Pathways is known as MVPS. It provides a subset of measures and activities that are more significant to specialized services because they are more relevant to specialties, medical conditions, or episodes of care. Neurology Billing Services

3. APM Performance Pathways

The Alternative Payment Model Pathway, or APM Performance Pathway, is a redesigned, more streamlined reporting framework that intends to make reporting easier by introducing new scoring opportunities.

How Can You Improve MIPS Reporting?

Early Eligibility Determination

Early eligibility determination is an important step in the MIPS reporting process since there are stringent reporting requirements and severe penalties for non-participation. To ensure the most significant possible payment adjustments, pre-outlining your benchmarks and requirements enables you to choose target measures early on and start recording your best-performing measures.

Using Electronic Technology

EHRs with the ability to initiate Electronic Clinical Quality Measures (eCQMs) offer greater advantages because they make it simple to gauge and monitor the track of healthcare services.

eCQMs, which are integrated into EHR systems, make QPP MIPS reporting simpler for clinics across the US. eCQMs eliminate the need for human data entry while increasing the overall number of MIPS points by using organized fields for reporting.

Healthcare providers may deliver effective, safe, and efficient patient care with the support of automated systems, and they can do so without losing out on important MIPS points.

Read More: Know About Future of MIPS Reporting Performance Score Value Pathways