Rule for Year 2 of Quality Payment Program
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The document outlines the Merit-Based Incentive Payment System (MIPS) as part of the MACRA framework, which aims to improve decision-making and provide incentives for healthcare practices. It describes eligibility criteria, reporting mechanisms, and recent updates for MIPS in 2018, including changes to encourage participation among clinicians treating complex patients. Additionally, it emphasizes the importance of following CMS updates for successful implementation of the Quality Payment Program.
Rule for Year 2 of Quality Payment Program
- 2. The Performance Score is based on four performance categories: How your Score is calculated?
- 3. What is MACRA? MACRA stands for The Medicare Access and CHIP Re- Authorization Act, and “CHIP” is the anagram for the Children’s Health Insurance program. MACRA combines - incentive program into one single program called the Merit-based Incentive Payment System, or “MIPS”.
- 5. You are eligible, If...
- 6. Administration Physicians Finance Operations Working effectively as a team will result in good decision making. The ultimate goal of implementing MIPS is to get good incentives for your practice forever. Multidisciplinary team Team Members:
- 7. Individual Reporting: QCDR Qualified Registry EHR Administrative claims( No submission required) Claims Group Reporting: QCDR Qualified Registry EHR Administrative claims( No submission required) CMS Web Interface (groups of 25 or more) Report by Multiple Mechanisms
- 8. Solo practitioners or practices with less than ten physicians can form a online virtual team and report MIPS measures together. Changes For the 2018 MIPS CMS will reward five bonus points to clinicians who treat patients with complex mental and physical illnesses. CMS is working to reduce the amount of reporting in MIPS to encourage more participation.
- 9. (Beginning 2018)Providers who treat less than 200 patients or fewer Part B Medicare beneficiaries or bill Medicare Part B for $90,000 or less in allowed charges don’t have to report MIPS Changes For the 2018 MIPS (Cont.) CMS might assign 10% under cost category in 2018.
- 10. NEED HELP IMPLEMENTING QPP? Closely follow CMS for any changes made to the Quality Payment Program. All updates are published on the CMS.gov website. Do you have a successful MIPS Strategy in place?
- 11. TOLL FREE: 1-877-272-1572 Do you have a successful MIPS Strategy in place? 11517, Belvedere Ct Cerritos CA, US – 90703