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For 2018, eligible professionals who satisfactorily report evidence-based and practice-specific quality data across three of four categories: Quality, Improvement Activities, Advancing Care, and Cost may avoid the negative payment adjustment or earn a positive payment adjustment equal to up to 5.0% of their Medicare Part B Physician Fee Schedule (PFS) allowed charges in 2020. Penalties and rewards increase over time. The Merit-based Incentive Payments System (MIPS) program strives to engage physicians in expanding quality reporting to improve the overall quality of patient care.
What is MIPS?
On October 14, 2016, the Department of Health and Human Services (HHS) implemented the Quality Payment Program (QPP) part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA replaced three Medicare reporting programs (Medicare Meaningful Use, the Physician Quality Reporting System, and the Value-Based Payment Modifier) with MIPS. MACRA defined four performance categories for MIPS – all relating to quality and value of patient care.
QUALITY • IMPROVEMENT ACTIVITIES • ADVANCING CARE INFORMATION • COST
CMS has made several reporting mechanisms available to physicians who wish to participate in MIPS. M2S, Inc. is an approved Qualified Clinical Data Registry (QCDR) vendor for MIPS reporting of individual quality measures for the 2018 reporting period. Note that M2S will report only the Quality Component of MIPS (no reporting of the Improvement Activities or Advancing Care Components).
To participate using the QCDR-based submission method for 2018 MIPS, physicians must report on at least 60% of their total patient population that meet individual QCDR measure criteria for six or more measures. M2S supports reporting of 12 MIPS individual measures and 13 QCDR non-MIPS individual measures for the 2018 MIPS reporting period.
*Many data and quality improvement activities that are the foundation of the Society for Vascular Surgery Patient Safety Organization (SVS PSO) and VQI will fulfill several requirements of MIPS, however, the SVS PSO cannot publicly report data to CMS. M2S can submit your data through the VQI QCDR if desired.
WEBINAR RECORDING: Merit-based Incentive Payment System (MIPS) for your Vascular Team
Contact us today to take the next step toward your MIPS sucess. Our specialists can be reached at 603-298-6717 or [email protected]
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