MIPS REPORTING AND CONSULTING SERVICES
Report to the highest payment incentive models with our MIPS consultants against your value-based healthcare services!
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You spend hours and hours treating and caring for your patients. Then why not get incentives for it via the MIPS reporting services program?
We are a trusted MIPS Qualified Registry known for delivering outcomes as per CMS requirements.
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Our years of experience reflect our reliable and data-driven incentive payment solutions that benefit the revenue cycle.
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P3Care’s consultancy includes a seamless approach right from data collection to MIPS quality measures submission.
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We analyze every measure via a proactive approach to ensure the accuracy of your data before it reaches the CMS door.
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From the eligibility check to MIPS quality measures selection to the data submission, we are with you at every step.
The two pathways for the QPP reporting are:
MIPS has streamlined the previously existing quality Medicare reporting programs as:
Most clinicians did qualify for the MIPS reporting in its first year, 2017. However, as the years progressed, CMS established some eligibility rules and performance parameters to enhance quality care and reward satisfaction.
This framework provides an alternative payment strategy for eligible clinicians to register their high-quality and cost-efficient care to authorities to receive incentives. It focuses on the following aspects:
MIPS-eligible clinicians participating in an APM are also subject to MIPS reporting services. It includes demonstration programs such as Accountable Care Organizations (ACO), Bundled Payments Models, Medicare Shared Savings Program (MSSP), and Patient-Centered Medical Homes (PCMH).
To meet the eligibility criteria for MIPS quality measures submission, you must:
The following clinician types are exempted from MIPS reporting.
The following clinicians are “Eligible” for MIPS reporting services.
The process goes like this: Eligible clinicians participate either as an individual or in a group/virtual group against different combinations of NPI/TIN. No matter what data submission method they choose via MIPS consultant services, they receive a score by CMS over a composite score of 100 points based on their performance. The final score decides if they will be receiving incentives or not.
You can avoid up to a 9% penalty in 2023 and we are here to assist you.
Eligible clinicians can target up to 9% of MIPS incentives with successful participation.
If you’re eligible for participation and choose not to, you may receive up to 9% of negative payment.
With each passing year, CMS updates incentives to motivate eligible clinicians. This year, the ratio is up to 9%.