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A MIPS Score Below 75 Will Result in a Negative Payment Adjustment

While providers are serving in healthcare with a passion for putting patients first, CMS has always well-performed its part to make healthcare safer and affordable for all. Merit-based incentive payment system with its deeper entanglement with MACRA is one of the steps taken by the US government under its Quality Payment Program. For providers who invest in patients’ health by facilitating their patients with a quick response and considerable care, the Merit-based Incentive Payment System has paved a route for getting reimbursements in the form of MIPS payment (either penalties or incentives). So, after completing 6 years of its valued contributions to the provider’s professional reputation and financial aspects, we are now ready to report for MIPS 2023. That’s why P3Care has opened its doors for all providers to cater MIPS consulting and MIPS reporting services throughout the performance year 2023.

What Coming Your Way via MIPS 2023?

The quality payment program is moving with its strategic objectives. Thereby, it has come up with some policy updates. This year, the Centre for Medicare and Medicaid Services is destined to promote meaningful provider participation through its MIPS reporting program along with improved healthcare. Thereby, QPP challenges the limits of healthcare with its MIPS reporting program. It invites all eligible clinicians to report a relatively more connected and cohesive set of measures. This will allow CMS to provide comparative feedback with their payment adjustments

Underlined Goals Behind MIPS Healthcare Reporting during PY 2023

QPP MIPS performance year 2023 reporting focuses more on future benefits in healthcare. It is the following goals to achieve under MIPS program implementation:
  • Embed quality into the care journey
  • Drive in advance health equity through careful measure and improvement activity selection
  • Foster participants’ engagement to maximize clinical participation
  • Improve data and information sharing through enhanced, comparative feedback
  • Development of New MVPs
  • Refinement of Subgroup Participation
eligible-clinician-healthcare-reporting

Eligible Clinician Types For MIPS Healthcare Reporting

Physicians

Chiropractors

Physician assistants

Clinical nurse specialists

Nurse practitioners

Physical therapists

Occupational therapists

Clinical psychologists

Certified registered nurse anesthetists

Qualified speech-language pathologists

Qualified audiologists

Registered dietitians or nutrition professionals

Qualified speech-language pathologists

Certified nurse midwives

Osteopathic practitioners

Physicians

Chiropractors

Physician assistants

Clinical nurse specialists

Nurse practitioners

Physical therapists

Occupational therapists

Clinical psychologists

Certified registered nurse anesthetists

Qualified speech-language pathologists

Qualified audiologists

Registered dietitians or nutrition professionals

Qualified speech-language pathologists

Certified nurse midwives

Osteopathic practitioners

Win Maximized Payment Adjustments; Let Us Help You Out!

MIPS 2023 does not have any modification in its categories’ weightage contribution at all. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has specified earlier that the maximum negative payment adjustment for the 2022 payment year (2020 performance year) and beyond will be -9% onwards. So, fulfillment of the MIPS reporting requirement in the performance year 2023 will decide the fate of your performance by calculating your MIPS final score during the payment year 2025.

Here we as a Qualified MIPS reporting registry are available to share your reporting burden. We set you free for doing excellent practice and satisfying your patients as much as required for developing and maintaining a healthy patient-provider relationship. However, our responsibility is to meet the MIPS reporting deadlines and develop reliable MIPS reporting strategies for those asking for MIPS consulting services from us.
maximized-payment-adjustments

We have Electronic Health Record (EHR) with 2015 Edition Cures Update

The American Medical Association (AMA) has a strong faith in efficacy of EHR due to its role in:
electronic-health-record

Facilitating a physician’s practice

Improving patient care

Enhancement of care coordination, practice efficiencies, and processes

Get through MIPS 2023 with Us – A CMS-Trusted MIPS Qualified Registry

The possibilities for exceeding the maximum performance threshold in all segments of the MIPS eligibility determination period are endless when you are getting a MIPS consultation from us. We cater to your most secure and compassionate MIPS reporting service throughout and help your score higher MIPS final score eliminating the chance of a penalty to zero. With digitized healthcare reporting systems, we strive to meet data completeness requirements for every category measure. For instance, we can guide you in securing MIPS points by following and much more:
  • We can help you report at least 70% of the denominator-eligible patients/cases for all 6 selected quality measures. Along with that, we have strategies to improve your quality category performance to win max quality improvement score. Also, we can assist small practices in securing 6 additional bonus points available only for them.
  • We will guide your practice for maximizing their improvement activities. That’s how they will earn a maximal score for reporting high-weighted and medium-weighted activities in a 90-day performance period during the calendar year (CY) 2023.
  • P3Care can provide your assistance for getting the privilege of cost improvement scoring. It is a modification in the Cost Category of MIPS 2023 that awards 1/100 percentage points for effective cost performance category reporting.
That’s only a glimpse of our capabilities as a MIPS Qualified Registry that can serve you with the best MIPS reporting services during the performance year 2023. Connect with us for extreme benefits from MIPS 2023 reporting.
MIPS-Qualified-Registry

Be Aware of MIPS 2023 Deadlines Beforehand!

Step 1

October 1, 2021 – September 30, 2022

Initial Eligibility Determination Period (Segment 1)

Step 2

October 3, 2022

Virtual Group Election Initiates for PY 2023

Step 3

November 2022

Physician Fee Schedule (PFS) Final Rule releases for CY 2023

Step 4

December 2022

Initial PY 2023 MIPS Eligibility Available

Step 5

December 31, 2022

Virtual Group Election Ends for PY 2023

Step 6

January 1, 2023

PY 2023 Commence

Step 7

April 3, 2023

  • CAHPS for MIPS Survey Registration Starts (Optional)
    [Open till June 30, 2023]
  • MIPS Value Pathways (MVPs) Registration Starts
    [Open till November 30, 2023]

Note: For those reporting CAHPS for MIPS Survey associated with an MVP, MVP registration and the CAHPS for MIPS Survey registration must be done separately within their individual deadlines.

Step 8

Spring/Summer 2023

Quality Payment Program Exception Applications Window Opens
  • Apply for Quality Payment Program Extreme and Uncontrollable Circumstances Exception either for any or all MIPS categories
  • Apply for Hardship Exception to the Promoting Interoperability performance category
    [Available till January 2, 2024]

Step 9

June 30, 2023

  • CAHPS for MIPS Survey Registration Ends

Note: For those reporting CAHPS for MIPS Survey associated with an MVP, MVP registration may also be done by June 30 for alignment with CAHPS for MIPS registration deadline.

Step 10

November 30, 2023

MVP Registration Closes for PY 2023

Step 11

December 2023

  • Final Eligibility Confirmed for MIPS Reporting PY 2023

Step 12

December 31, 2023

Completion of Performance Year (PY) 2023 of MIPS Reporting

Step 13

January 2, 2024

  •  Closure of QPP Exception Applications Window for PY 2023
  •  Opening of Submission Window for PY 2023

Step 14

April 1, 2024

Closure of Submission Window for PY 2023

Step 15

Late Spring/Early Summer 2024

MIPS Final Score Preview Available for PY 2023

Step 16

Late Summer 2024

  • Performance Feedback Available along with Payment Adjustment Information
  • ➢ Targeted Review Opens
    (After Availability of Payment Adjustment Information)

Step 17

Fall 2024

Targeted Review Ceases

(60 Days after Releasing Payment Adjustment Information)

Step 18

January 1, 2025

  • Payment Adjustments for MIPS PY 2023

    [Continue through December 31, 2025]

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

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