REVIEW YOUR MIPS 2017 SUBMISSIONS!
We strongly recommend you to track your MIPS 2017 composite points now. As these dictate what form of payment adjustment you stand to receive in 2019 (starting 1st January 2019 until 31st December 2019).
The best way to track your Composite Point Score (CPS) for MIPS 2017 is by logging into www.qpp.cms.gov. If this feels tricky, you may contact the vendor who made your MIPS 2017 submissions for you.
A recap of your MIPS 2017 score may serve as a strong indicator toward fixing loopholes in past quality reporting processes that may help you achieve a better score for MIPS 2018.
For more guidance on tracking the score, or aiming for better 2018 MIPS submissions, you may reach out to a P3 MIPS specialist at 1-844-557-3227. Remember, 31st December 2018 is the performance deadline for MIPS 2018!
An Overview Of THE QUALITY PAYMENT PROGRAM 2017
Starting in 2016, the Department of Health and Human Services (HHS) implemented the Quality Payment Program in accordance with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) through the issuance of its final rule.
The Quality Payment Program reformed Medicare payments for more than 600,000 clinicians across the country – and will continue to play a pivotal role in monitoring, and improving the quality of care provided across the entire healthcare delivery system.
The quality payment program provides a choice between two tracks:
The QPP focuses on rewarding, patient-centric, high-value clinical care.
MIPS OR THE MERIT BASED INCENTIVE PAYMENT SYSTEM
You must have billed more than $30,000 to Medicare, and provided care to more than 100 Medicare patients (per year) and – you must have been a:
- Physician Assistant
- Nurse Practitioner
- Clinical Nurse Specialist
- Certified Registered Nurse Anesthetist
*If 2017 is your first year participating with Medicare you were not eligible to participate in MIPS 2017
The MIPS Pathways
MIPS 2017 reporting has ended; however, the Quality Payment Program continues its pace through MIPS 2018. [[For more info click here]]
MIPS 2017 pathways were as follows:
PARTICIPATION WITH ADVANCED APMS
You must have received 25% of Medicare-covered professional services;
Have had seen 20% of your Medicare patients through an Advanced APM in 2017, to be eligible for this track – and be exempt from MIPS.
Being eligible with an Advanced APM means you earned an incentive payment of up to 5% – while you took a financial risk based on patients’ outcomes.
For the program year 2017 the following models were regarded as Advanced APMs:
- Comprehensive ESRD Care Model (LDO arrangement)
- Comprehensive ESRD Care Model (non-LDO arrangement)
- Medicare Shared Savings Program ACOs— Track 2
- Medicare Shared Savings Program ACOs— Track 3
- Next Generation ACO Model Oncology Care Model OCM (two-sided risk arrangement)