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.
If you’re having trouble keeping up with what’s happening in health care reform, you’re not alone. Among recent efforts of interest to post-acute and long-term care practitioners, the Medicare Payment Advisory Commission (MedPAC) is urging the immediate repeal and replacement of the Merit-based Incentive Payment Systems (MIPS). According to MedPAC, MIPS places a burden on […]
1st LTPAC Medical Group to earn CMS ‘High-Quality’ status! How an analysis of 2016 Quality Resource and Use Reports (QRUR) can guide better MIPS strategies
Apologies for describing these two CMS programs by using the words of Charles Dickens – but they fit exactly. The Best of Times – the CMS’s revisions to MACRA/MIPS regulations suspends the worst aspects of VBP and opens the door to avoiding all penalties for LTPAC Medicine in 2019, based on 2017 behavior. This is […]
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.