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.
In August, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on the 2019 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Prospective Payment System Final Rule (CMS-1694-F). That’s a long-winded title, but the contents are every more complicated. I will try to save you some time […]
In a September 2018 Blog post I opined on CMS’s Total Per Capita Cost (TPCC) methodology proposed for the CY 2019 Physicians Fee Schedule. The lead line pretty much summed up my opinion of the measure – “CMS Continues punishing Geriatric, LTPAC, and Palliative Medicine for serving the frail elderly nearing the end of life.” […]
Interoperability isn’t just on your mind; the federal government is thinking a lot about it and planning some action that is likely to impact all of us. Speaking at the Office of the National Coordinator (ONC) Interoperability Forum in Washington, DC, last month, Centers for Medicare & Medicaid Services Administration (CMS) Seem Verma said, “CMS […]
Navigating MIPS can be stressful, even if you’re a seasoned LTPAC practitioner. Here are some basics to get you started.
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.
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).
MIPS is a budget-neutral program. The incentives are funded by the penalties incurred by other eligible clinicians.
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.
*Based on calendar year (CY) 2018 participation
**Based on CY 2019 Participation
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%.
Yes. The MIPS Eligible Clinician’s performance scores are publicly available on the CMS Physician Compare website.
GEHRIMED is both a Qualified Registry and a QCDR.
-Dr. Jim Demidovich - HealthCare Providers, LLC
-Dr. Art Gendelman - Carespring NP, LLC
-Dr. Karen Hoyt - Pioneer Continuing Care Providers
-Dr. Christine Weller - Weller Health Transitions, LLC