MIPS 2023 Reporting FAQs: Your Essential Guide for Success

MIPS 2023 Reporting FAQs: Your Essential Guide for Success

Whether you’re a healthcare professional or just interested in learning more about MIPS, we’ve got you covered. MIPS may appear to be a labyrinth of laws, measures, and deadlines, but fear not! We’ll provide you with concise responses to the most commonly asked questions in this blog. You may feel confident with our guide to MIPS 2023 reporting.

Get ready to maximize your performance and uncover the enigmas of MIPS reporting. We can take your practice to new heights with our MIPS consulting services for 2023. So let’s get started and learn everything you want to know about MIPS 2023 performance reporting.

MIPS 2023 Made Easy | Get Answers to Your Most Pressing FAQs

P3 Care is leveling the MIPS-related confusion of clinicians. Our MIPS consulting and reporting services will make your participation easy and rewarding. For now, we have answered some burning questions about MIPS 2023 below:

Q: What is the threshold for data completeness in MIPS 2023?

A: CMS has informed its clinicians in the PFS final rule for PY 2023 about the data completeness requirement. All clinicians have to report a minimum of 70% of eligible encounters for the selected quality measures. Apart from this, CMS has already declared that the threshold may increase. It may be modified to 75% for the coming performance years of 2024 and 2025.

*The term “eligible encounter” may refer to different meanings or contexts depending on the program requirements. However, MIPS quality reporting describes specific patient encounters, such as office visits, etc. The encounters within a particular period make the basis for quality measures data reporting. It may include patient outcomes and experiences along with adherence to clinical guidelines.*

Q: How do Medicare Part B claims, CQMs, eCQMs, and registry measures differ from one another?

A: There are different ways in which clinicians can submit measure data to CMS.

  • Medicare Part B claims are for small practice providers participating in MIPS 2023.
  • An EHR or registry vendor, such as P3 Care, can help you submit a MIPS CQM. Typically, it is obtained through precise billing and diagnostic coding.
  • An electronic clinical quality measure is known as an eCQM. It is articulated and formatted to use information from EHRs or other health IT systems to collect such information in a structured form during patient care to gauge quality.
  • Only a Qualified Registry (QR) or Qualified Clinical Data Registry (QCDR), like P3 Care, may submit registry measure data.

Q: Is it possible to utilize both QCDR measures and EHR measures concurrently?

A: Yes. There are several ways you can submit for the Quality component. In other words, if relevant to you, you can employ a mix of the CQMs through your EHR, QCDR, or other accessible reporting methods. Additionally, CMS will determine which approach will result in the highest score if you are unclear. Now what if you submit the same measure via multiple methods? In such a case, CMS will provide points for the submission that has better performance statistics than its peers.

Q: How can I identify an appropriate outcome measure for my practice?

A: Simply put, you can drill down to evaluate each measure type using CMS’ search tool at QPP.cms.gov/mips/exploremeasures. For instance, the CMS Geriatrics Measure Set has multiple outcome measures. It includes “Depression Remission at Twelve Months,” which may be relevant to neurology practices.

Q: Are there any potential benefits for me in exceeding the minimum requirement of six quality measures?

A: Yes. Do more than the bare minimum and think ahead. Your chances of having measurements that apply to you increase as you provide more data to CMS. Thus, the practice will eventually be worth more than three basic-level points. Your top six performance metrics are used by CMS to calculate your Quality score.

Q: How can P3 Care help me in my MIPS 2023 reporting journey?

A: A qualified registry is one of the data collection types for MIPS and ACO reporting, and P3 Care is one of them. All qualified clinicians can rest easy with the help of our MIPS consulting services. We assist you in creating an effective reporting plan by demystifying the complicated MIPS standards. Additionally, we improve your MIPS performance and identify underutilized performance areas. With cutting-edge patient care and knowledgeable assistance, we assist you in maximizing your MIPS rewards.


With our reporting and consulting services, MIPS reporting is no longer a challenging task. By following our recommendations, you may maximize your potential for improved performance and precise compliance. We have an excellent reputation among MIPS-reporting companies. Allow our team to handle the challenging aspects of MIPS 2023, so you can concentrate on your strengths.

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