MIPS Resources

Clarify your path to success with MACRA/MIPS support from LTPAC leaders.

As the stakes get higher and the program increases in complexity, GEHRIMED has made MIPS as easy to understand as possible. Picking the best strategy for your practice can be confusing. We understand that every practice has an optimum participation pace, and we will provide MACRA/MIPS support that helps you become more successful at reporting quality and obtaining the highest scores under the MIPS program. From avoiding penalties, to earning incentives, we’re here to help.

 

Important MIPS Update April 25, 2018

Promoting Interoperability – CMS Releases Proposed Rule Updating EHR Incentive Programs

On Wednesday, April 25, 2018, CMS released its 2019 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System Proposed Rule. In addition to affecting payment policy rates for IPPS and LTCH, the 1,800-page proposed rule includes several changes and updates to the EHR Incentive Programs.

Key Takeaways:

  • The Medicaid Meaningful Use program has been renamed the “Promoting Interoperability” program.
  • The Merit-Based Incentive Payment System (MIPS) Advancing Care Information (ACI) performance category is renamed the “Promoting Interoperability” performance category.
  • The proposed rule would implement a 90-day EHR reporting period for providers participating in the EHR Incentive Programs in 2019 and 2020.
  • CMS has proposed to update scoring methodology and add new measures, including one to address e-prescribing of opioids.
  • Additionally, the rule mandates that providers use 2015 Edition certified EHR technology (CEHRT) starting in 2019 to qualify for incentive payments and avoid reductions to Medicare payments.

GPM is in the process of analyzing the rule for impact to LTC providers and to our software product. We strive to actively support and improve your workflow, while ensuring that we continue to capture the required information to maintain compliance and quality reporting requirements.

We will continue to keep you informed. If you have any questions, please contact us.

  • MIPS is complicated. We make it easier.

    Navigating MIPS can be stressful, even if you’re a seasoned LTPAC practitioner. Here are some basics to get you started.

  • What is MIPS?

    The Merit-Based Incentive Payment System (MIPS) program leverages and augments PQRS, Value-Based Modifier (VBM) and Meaningful Use requirements into a cohesive program. MIPS will also include the introduction of a new reporting category, Improvement Activities.

  • When will the payment adjustments from MIPS begin?

    The payment adjustments will begin in 2020; however, the payment adjustment schedule will be based on 2018 performance scores (scores will be positive, zero, or negative).

  • How is the budget supported for MIPS?

    MIPS is a budget-neutral program. The incentives are funded by the penalties incurred by other eligible clinicians.

  • What are the MIPS Components and Weights?

    MIPS will become increasingly more difficult in the subsequent years. While Improvement Activities and Advancing Care information weights remain constant, Quality decreases and Resource Use weight increases significantly over time.

     

    Year: 2020*

    • Quality: 50%
    • Resource Use: 10%
    • Improvement Activities: 15%
    • Advancing Care Information: 25%

    *Based on calendar year (CY) 2018 participation

     

    Year: 2021**

    • Quality: 30%
    • Resource Use: 30%
    • Improvement Activities: 15%
    • Advancing Care Information: 25%

    **Based on CY 2019 Participation

  • What is the Advancing Care Information (ACI) hardship exemption?

    If clinicians face significant hardship and are unable to report ACI measures, they can apply to have their ACI performance category score weighted to zero. However, doing so will increase the Quality component weight from 50% to 75%.

  • Are the MIPS performance scores made publically available?

    Yes. The MIPS Eligible Clinician’s performance scores are publicly available on the CMS Physician Compare website.

  • What are the requirements for end-to-end electronic reporting?

    • Use a CEHRT to recorded the measure’s demographic and clinical data elements.
    • Export and transmit the measure data electronically to a third party. The third party, such as a registry, uses automated software to aggregate the measure data, calculate measures, perform any filtering of measurement data, and submit the data electronically to CMS.

     

    GEHRIMED is both a Qualified Registry and a QCDR.

Request a Demo

Get in touch for a free, no-obligation live demonstration to see how the GEHRIMED long-term care EHR can increase efficiencies and improve profitability.