Under MACRA’S Quality Payment Program (QPP), MIPS 2020 is well underway for clinicians to participate in. Another year of performance, outcomes, and incentives is here, not only for them but for us too because we, as their business associates, are in this together.
This page is created in view of the information released by CMS. Anything you find on this page is in accordance with the MIPS 2020 final rule; we want it to be a guide for clinicians to make informed decisions in the future. Eventually, it materializes our devotion, dedication, and commitment to the healthcare purpose.
Taking A Trip Down Memory Lane
MIPS Performance Year 2017
MIPS Performance Year 2018
How Do I Know If I Am Eligible for MIPS 2020?
For clinicians who are interested but do not know whether they are eligible or not, we bring the right data for them into the limelight. There are zero changes to this section of the program from before in 2019.
Fall in one of the eligible clinician types on Medicare Part B claims
Be above the low-volume threshold
Be enrolled in Medicare before 2020
Not be a Qualifying Alternative Payment Model Participant (QP)
If you choose to report as a group and not as an individual clinician, the final score and payment adjustment are based on collective reporting.
To confirm your eligibility status for 2020, put your NPI here: https://qpp.cms.gov/participation-lookup
The 2020 Category Weight Distribution
The announced weights – same as the previous year – for each performance category are:
45% for Quality
15% for Cost
25% for Promoting Interoperability (PI)
15% for Improvement Activities (IA)
The Types of Clinicians Who Are Eligible
Straight Up 2020 MIPS Eligibility Requirements
To be reporting MIPS 2020, clinicians must fall on the following requirements:
- Bill Medicare an amount of $90,000 or more
- Provide care to 200 or more Medicare patients
- Provide 200 or more cover professional services to Medicare patients
If you don’t meet one of the above requirements, consider yourself excluded from MIPS in 2020.
Opt-in Clinicians
The option to report MIPS through the Opt-in doorway does not require you to regularly participate and report. You may elect to opt-in to MIPS even if you don’t meet the requirements except one of them.
The Curiosity that Lies with the MIPS 2020 Quality Measures
MIPS 2020 Quality measures reflect the Quality category in the complete sense. Once you get to know them, reporting for the performance year only gets easier.
CMS MIPS 2020 is another year of transition out of the 5. We are transitioning to MIPS in a gradual process year after year with this transition phase ending in 2021. It will be the year 2021 that this program will have finalized requirements set for the Quality performance category.
The category holds a 45% weight of the total score, similar to what it did in 2019. ECs must collect data for 12 months for Quality – starting from Jan 1 to Dec 31, 2020.
For the 2020 Quality measures list, CMS’ official website contains the most accurate data for clinicians to read and understand; furthermore, the Quality measure specifications for 2020 are part of the MIPS section at qpp.mips.gov. The Quality measures, program specifications, hardship exception rules for MIPS 2020 are all there alongside data about Alternative Payment Models.
MIPS Submission Deadline 2020
As the deadline for MIPS 2019 was extended from March 31 to April 30, 2020, 8 pm EDT due to the pandemic, we may expect submissions on a large scale once COVID-19 subsides. More doctors and healthcare professionals are expected to participate in it.
Specifically speaking, the change in MIPS reporting deadline 2019 is attributed to the surge of COVID-19 patients at hospitals. According to governer.ny.gov, Governor Cuomo has announced a Statewise public-private hospital collaborative plan to neutralize COVID-19. As we speak, the number of patients continues to grow, but the on-ground efforts speak of hope, action, and implementation at the same time.
As for the MIPS performance criteria, a score above 85 will be considered for bonuses from the $500 million pool. In 2019, bonuses were allowed on a score of 75, and above so that’s changed in 2020. This 10-number increase is proof of the government’s continued commitment to quality care.
MIPS 2020 Reporting Health IT Specialists
Not to brag about it but we are recognized as a MIPS Qualified Registry for the fourth time in 2020. From the years 2017 to 2020, it is no less than an achievement to report MIPS for healthcare providers across the states. We continue to do so year after year keeping the accuracy, integrity, and security of data entrusted to us intact. Our number and email for MIPS 2020 submissions are open 5 days a week.
How Does P3 Help?
We only require 5 minutes of your time in which our analysts examine your case in light of your area of expertise. Reporting begins once the measures are finalized through mutual understanding. Besides the meticulous approach and attention to detail, we hold transparency as the distinguishing factor in our submissions. Give us a call or simply email your NPIs, contact person’s name, and practice’s name to get started.
P3 provides medical billing services and activates the revenue cycle management (RCM) process for practices in the US.
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3200 E Guasti Rd Suite 100, Ontario, CA 91761, United States
E: info@p3care.com
