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MIPS 2022 Quality Measures Consultation Available
for Eligible Clinicians

Maximize Your Score & Qualify for Bonus in 2024

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  • MIPS 2018
  • MIPS 2019
  • MIPS 2020
  • MIPS 2021
  • MIPS 2022

MIPS 2022 offers more than incentives and bonuses to a physician. It has a significant impact on a provider’s professional reputation as well. This payment adjustment program requires data submission from all eligible participants and give a fair payment adjustment or a penalty to them, depending upon the QPP MIPS score they get. Moreover, those who have not participated in MIPS during COVID, or have other hardship exceptions, and practices from rural areas can now also take advantage of MIPS 2022 measures to better perform and score.

The Medicare Access and CHIP Reauthorization Act (MACRA) is bipartisan legislation that is driving QPP MIPS and all such programs. This reflects the empowerment of the MACRA act. In past, President Obama took the initiative and signed the Affordable Care Act into law on March 23, 2010, to improve the quality access to affordable health practices for everyone. Likewise, MACRA was converted into law on April 16, 2015.

MIPS 2022 is now ongoing and CMS has made several changes to current MIPS reporting. For instance, CMS has upgraded the performance threshold score from 45-60 to eschew any penalty like every other year. So, all the MIPS eligible clinicians can now submit their data for different measures till March 31, 2023, in a series of steps. Just like QPP 2018, QPP 2019, QPP 2020, and QPP 2021, again CMS has allowed MIPS-qualified registries like ours to submit data on behalf of eligible practices for QPP 2022.

MACRA and MIPS work together. Quality, value, and accountability serve as the cornerstones of MIPS. Eligible clinicians (ECs) have nothing to lose and everything to gain as long as the goal is achieved. MIPS incentives are always there to provide your practice with the necessary boost.

MIPS Qualified 2022

The CMS-Trusted MIPS Qualified Registry 2022 for Physicians

As the years go by, submitting MIPS 2022 Quality Measures is just not enough! The tough administrative load, the pressure of how to report MIPS 2022 data, and how can we forget about the specialty-based reporting requirements?

Assistance from an experienced MIPS 2022 Qualified Registry gives much-needed relief from all the paperwork that clinicians require to perform well in their primary tasks. You can easily improve your clinical practices while our consultants document your performance for timely data submission. A lot goes behind the successful data submission that rewards with up to 5% incentives. If you want to receive this recognition, consult P3Care.

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Why P3Care’s MIPS 2022 Consultation

over five Years

Over 5+ Years of Experience

Customized Billing Solutions

Customized Reporting Solutions

Exceptionally Active Support

Exceptionally Active Support

Advanced Reporting Approach

Advanced Reporting Approach

MIPS 2022 Performance Categories

qulaity 02

Quality

Replaces PQRS

information 02

Promoting interoperability

Replaces MU

icon 3 02

Improvement Activities

New Category

icon 4 02

Cost

Replaces VBM

What is MACRA in MIPS 2022?

Both MACRA and MIPS are entangled deeply with each other. They both are the same as MACRA is the key legislation that covers several US healthcare programs and QPP is one among them. It has integrated the Merit-based Incentive Payment System (MIPS) as all-in-one combination of several programs like the Physician Quality Reporting System (PQRS), the Value-based Modifier (VBM), and the Medicare Electronic Health Record (EHR) program.

Through the MIPS program, value-based care is infused throughout the healthcare system. According to the Centres for Medicare and Medicaid Services (CMS), MACRA is the implementation of a new payment system that compensates physicians for providing better care rather than seeing more patients.

Now, clinicians are free to perform the best of their services covering the four MIPS performance categories i.e., Quality, Cost, Promoting Interoperability (PI), and Improvement Activities (IA). The overall MIPS score is calculated by the quality of data submitted for all these categories during the respective performance year. However, the MIPS Quality measures have a common characteristic in that they are typically six in number for practices.

MACRA

MIPS 2022 Quality Reporting Steps

  • Step 1

    Understand Your Reporting Requirements

  • Choose Your Quality Measures

    Step 2

  • Step 3

    Collect Your Data

  • Submit Your Data

    Step 4

  • Step 5

    Review Performance Feedback

PreviousNext

P3Care demonstrates optimized performance in the MIPS program on behalf of eligible physicians, surgeons, and clinicians in general.

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Mips Macra

Fee for Service to Pay for Performance

The Health and Human Services (HHS) department implements the overall MIPS program. Any MIPS-eligible participant can take part in four ways. One of them is MIPS reporting and data submission via any Qualified Registry. So, being a time-tested and reliable MIPS Qualified Registry, P3Care is valuable for Medicare providers with different specialties. Anyone across the board can hire us for successful MIPS reporting to CMS.

As the US healthcare system has turned from a fee-for-service payment module to a Payment-for-Performance module, a value-based reimbursement system is much appreciated for the current practices.

As health IT consultants, we believe Healthcare MIPS is well-directed and purpose-driven. However, because of the reporting burden, it cannot always be fair to clinicians. Physicians become exhausted as a result of the administrative load, which can be attributed to EHR and its burdensome list of measures. As a result, CMS has removed some of the measures from MIPS 2022 to reduce some strain.

MIPS 2022 Specialties

Since each of the MIPS performance categories has to undergo reporting for a specific period, P3 Healthcare Solutions, Ontario, CA knows what it takes to report them. We are not only a medical billing service but have undergone PQRS successfully in the past before 2017.

As a plastic surgeon, dentist, orthopedic, pediatric, family medicine physician, physical therapist, urologist, psychiatrist, ophthalmologist, nephrologist, neurologist, pain specialist, optometrist, gastroenterologist, cardiologist, chiropractic, pathologist, cardiothoracic surgeon, radiologist, physiologist, gynecologist, obstetrician, rheumatologist, endocrinologist, and public health specialist, reporting MIPS is the easiest through a MIPS Qualified Registry such as ours.

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MIPS FOR ELIGIBLE CLINICIANS
DATA VALIDATION

Data Validation and Verification of MIPS 2022

MIPS data submission requires you to choose one of the collection types first. With us, clinicians get to choose MIPS CQMs (Clinical Quality Measures) to report ahead. Proper validation and verification of the measures to report have to happen to score above 75. That is where the incentives are, with bonuses to follow.

As a third-party intermediary, P3 follows tradition with excellence and submits on behalf of practices. You have an option to report CMS MIPS Quality measures as an individual or a group.

CMS recognizes registries and approves them year after year based on set standards and criteria. On the whole, a MIPS consulting firm, which is also a registry, is your answer to carefree and accurate submissions. In this way, you do what you are meant to do, i.e., look after your patients.

P3Care demonstrates optimized performance in the MIPS program on behalf of eligible physicians, surgeons, and clinicians in general.

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Clinician-Friendly Packages

As a MIPS Qualified Registry, we have come up with three packages to cover every reward that is out there in the name of this program.

  1. MIPS Essential – Avoid penalty
  2. MIPS Budget-Neutral – Avoid penalty and earn up to 3”x” incentives
  3. Benchmark MIPS – Avoid penalty, earn up to 3”x” incentives, and become eligible for bonuses out of the $500 million pool

Master the Process of MIPS 2022
Reporting to Maximize Score

Revenue Cycle Management

Avoid Up to 9% MIPS 2022 Penalty

Physicians just cannot ignore the 9% of Medicare penalty in MIPS 2022. We will help you cut the chase with regulatory compliance, timely reporting, and smart specialty-specific measures submission. Consult us for a seamless MIPS 2022 Quality Measures reporting performance for a penalty-less spot.

Providers Credentialing

Target Up to 5% of Medicare Part B Payments

We can help you conquer MIPS 2022 data submission like a pro. Our consultants know that not everyone has the time nor the expertise to go into the intricacies of each performance category. But, with successful MIPS 2022 reporting, you can secure MIPS incentives as a great prize.

MIPS Reporting Services

Be Among the Exceptional Performers of 2022

For reaching the highest level of MIPS Quality Measures performance, one needs to score at least 89 points. And this year is the last time one can qualify for this bonus pool then why not take this opportunity to be among the top scorers with the right tools and knowledge?

How to Get Pass-through MIPS Reporting 2022?

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Eligibility

Are you eligible to participate?

Don’t know how to report MIPS 2022? Don’t worry! Share your NPI number with our team, and we will help you determine your preliminary eligibility.So, you can plan to succeed in the program.

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Check Eligibility
Plan &
Perform

Start Planning and Performing

It’s becoming increasingly challenging to adjust to each year’s updated Final Rule. Therefore, the sooner an eligible medical practice starts for MIPS 2022 reporting, the better it is to perform and readjust performance.

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Start Planning
Collect
Data

Look for Suitable MIPS 2022 Quality Measures

With several quality measures to choose from, it’s always a tough call to select the most relevant and high-performing measure. Take help from our consultants to score high.

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Quality Measures
Review
Data

Review Reporting Requirements & Align Goals

Most clinicians think that improvements in clinical procedures simply have to be documented and sent to CMS to participate. In reality, vigilance in the reporting is crucial to see if the organizational goals align.

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Reporting Requirements
Submit Data
Timely

Report Data Before the Deadline Ends

Now, after the MIPS 2022 performance year, clinicians will be required to submit their data to CMS within the specified reporting period. A Qualified Registry is a huge help in this regard.

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Reporting Requirements 1
Review
Performance
Feedback

Review the Result of Your Submitted Data

After clinicians submit data, CMS shares performance feedback for each participant. So, they can see if they are safe from the penalty and review the percentage of their positive payment adjustments.

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Performance Feedback

The Performance Year 2022 Deadlines

  • Step 1

    October 1, 2021

    Virtual Group Election Opens

  • Step 2

    November 2021

    CMS released MIPS 2022 Final Rule and Initial Eligibility Check was Made Available

    Step 2

  • Step 3

    December 31, 2021

    Virtual Group Election Closes for 2022

  • Step 4

    January 1, 2022

    The performance period 2022 Begins

    Step 4

  • Step 5

    April 1, 2022

    Registration Begins for Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey

  • Step 6

    Spring/Summer 2022

    Quality Payment Program Exception Applications Window Opens

    Step 6

  • Step 7

    July 2022

    Qualifying Participant (QP) Determinations and MIPS APM Participation Information Available.

  • Step 8

    October 2022

    QP Determinations and MIPS APM Participation Information Available

    Step 8

  • Step 9

    October 3, 2022

    Last Day to start a 90-day Performance Period for Promoting Interoperability and Improvement Activities

  • Step 10

    December 2022

    PY 2022 MIPS Eligibility Finalized

    Step 10

  • Step 11

    December 31, 2022

    PY 2022 Ends and QPP Exception Applications Window Closes

  • Step 12

    January 3, 2023

    Submission Window Opens for PY 2022

    Step 12

  • Step 13

    March 31, 2023

    MIPS 2022 Submission Window Closes for PY 2022

  • Step 14

    Summer 2023

    Performance Feedback and Targeted Review Opens Once the Payment Adjustment Information is Available

    Step 14

  • Step 15

    August/September 2023

    Targeted Review Closes 60 days after the Release of Payment Adjustment Information

  • Step 16

    January 1, 2024

    Time to Receive 2022 Payment Adjustments

    Step 16

WHAT IS QPP MIPS 2022 ALL ABOUT?

Like the previous years, CMS plans to award eligible clinicians for their exceptional clinical performance. Physicians who choose to focus on value-based services instead of volume deserve appreciation that also adds to their revenue cycle management.

So, CMS measures performance on four categories, whose MIPS 2022 Quality Measures reporting requirements and score percentage get updated each year.

quantity

Quality – 30%

cost

Cost – 30%

Improvement Activities

Improvement Activities – 15%

Promoting Interoperability

Promoting Interoperability – 25%

Points < 75 Points

=

Penalty spot

Points >= 75 Points

=

Safe Position (Eligible for Positive Payment Adjustments)

Points >= 89 Points

=

Qualify for $500 million bonus pool

How to Submit MIPS 2022 Data to CMS?

Step 1

A health IT expert spends 30 minutes with you on the phone to understand the clinical workflow and requirements

Step 2

Shortlisting measures and informing the practice manager of the reporting activity

Step 3

We take care of the Cost component making sure no workload is on your practice

Step 4

Self-educating ourselves through feedback based on TIN level QRUR reports

Step 5

Regular reporting of updates in terms of compliance and CMS reporting criteria

How many measures are there in the MIPS Quality measures list?

In 2022, eligible clinicians get to choose and report out of 200 MIPS Quality measures. These measures are available through a range of collection types, one of which is a MIPS registry. As a MIPS consultant, it is on us to report most efficiently for you to score high and handsome. In short, it is a burden-free MIPS data submission method leveraging ease, peace of mind, and incentives at the same time.

How many incentives should I expect with my submission?

In 2022, while we submit your data before the deadline, you can expect up to 5% incentives with P3 Healthcare Solutions.

Why is the registry method better than other collection types?

Because it is hassle-free. You don’t have to take the burden of reporting, instead, it is the registry that takes the stress on your behalf. CMS-recognized registries establish, verify, and validate data as per the requirements of your specialty or practice.

What is required of me from MIPS in physical therapy?

First, your eligibility has to confirm. Second, you have to share your input in selecting measures. MIPS full form in healthcare returns profits on your Medicare reimbursement resulting in increased revenue. Give us a call; we won’t take much of your time and get right to it.

Is MIPS billing too much to handle?

Not at all. It’s pretty easy on the pocket. However, it is not a one-size-fits-all thing with the pricing. Since your practice may have more than one clinician who has to report MIPS, prices vary. Besides, they also vary from specialty to specialty. Therefore, it is best to leave your info such as NPI, the best time to call, whom to talk to at info@p3care.com; and, we’ll try to back to you as soon as we can.

Final Score Calculation Chart According to Category Weights – An Example

MACRA MIPS

Plan Ahead. Score More.

ADMINISTRATIVE LOAD of MIPS 2022 Reporting is the hardest part! And we will take care of it.
We assist you:

  • Create a solid plan to avoid a 9% penalty
  • Select the right specialty-specific MIPS 2022 Quality Measures
  • Optimize performance for incentives and potential bonus
  • Analyze and improve category performance
  • Successfully and timely report data to CMS
  • Satisfy queries with unparalleled customer support

Frequently Asked Questions

How many ways can I participate in MIPS 2022?

An eligible participant can take part in MIPS 2022 in four ways, depending on which option better suits them or they are eligible for:
1. Individual Level
2. Group Level
3. Virtual Group Level
4. MIPS APM Entity

Which factors can influence my eligibility for MIPS 2022 reporting?

Various factors can directly or indirectly influence your eligibility for MIPS reporting. Some of them are listed below:
● MIPS data submission for segment I but not for segment II
● Not being consistent with your provider type in both segments of the Eligibility Determination Period
● Change your TIN in segment II of billing Medicare Part B claims without informing MIPS
● Join up to any APM Entity in segment II of billing Medicare Part B claims
● Not exceeding LVT in QPP MIPS 2022 Eligibility Determination Period
● QP status Change (A MIPS reporting EC doesn’t require achieving QP status to be eligible in PY22)

What’s new in MIPS categories for PY22?

There are several significant changes that are subject to be effective in QPP MIPS for Performance Year 2022 but two considerable changes are in the ECs list and the changes in reporting categories.
As per the new law, now both Cost and Quality performance categories share equivalent weight in the MIPS final score formation i.e.,30% from each category. The rest of the 40% MIPS reporting score is calculated by considering 15% weightage from Improvement Activities and 25% from Interoperability Promotion.

Does CMS ensure that all MIPS-related vendors will be successful in submitting data to MIPS if I utilize a third-party vendor?

No, CMS does not assure the success of every vendor. CMS, however, makes a public list of the qualified registries (QRs) and qualified clinical data registries (QCDRs). You can review them to find the best possible option for you.

What should I do if I don’t have an Electronic Health Record?

The certified 2015 electronic health record technology (CEHRT) edition is required for medical practitioners to participate in MIPS. It is possible to get a hardship exemption though depending on (1) the reporting options given for the category and (2) whether you participate as an individual, group, or virtual group.

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p3 mips 2022

We primarily provide HIPAA medical billing services and MIPS consultancy, among other services. As your HIT consultant, we optimize providers’ performance for improved RCM.

info@p3care.com

(844) 557-3227

3200 E Guasti Rd Suite 100, Ontario, CA 91761, United States

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