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Quality Payment Programs to Physicians Rescue
QPP is a way to get rewards for your quality-driven services via accurate reporting. You spend hours and hours treating and caring for your patients. Then why not get incentives for it.
Why P3Care?
We are a trusted MIPS Qualified Registry known for delivering outcomes as per CMS requirements.
01
Experienced Consultancy
We have years of experience that is reflected through our reliable and data-driven MIPS solutions.
02
Streamlined Workflow
P3Care’s MIPS consultancy services include a seamless approach right from data collection to submission.
03
Proactive Approach
We go with the proactive approach to ensure the accuracy of your data before it reaches the CMS door.
04
Reliable Support
Right from the eligibility check to MIPS quality measures selection to the data submission, we cover it all.
What Payment Options Do QPP Addresses?
The two pathways for the QPP reporting are:
MIPS
(Merit-Based Incentive Payment System)
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.
APM
(Advanced Alternative Payment Model)
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. It includes the demonstration programs such as Accountable Care Organizations (ACO), Bundled Payments Models, Medicare Shared Savings Program (MSSP), and Patient-Centered Medical Homes (PCMH).
The Era of Quality Care Begins with Value-Based Incentive Payment Programs
Many clinicians spend so many hours struggling with the complexities of the healthcare system. However, technology incorporated in the clinical operability not only empowers clinicians with the advanced procedures but also facilitates patients.
Don’t you think these procedures must create financial opportunities for clinicians? MIPS does exactly that!
Does MIPS Reporting Really Register Your Efforts to CMS?
The Medicare incentive payment program (MIPS) helps physicians earn positive payment adjustments for their quality-based efforts. So, Yes! CMS does reward physicians for showing exceptional performance against the following categories.
Who Is Eligible for MIPS Participation?
To meet the eligibility criteria for MIPS data submission, you must:
Who Can Attest as the “Eligible Clinician”?
CMS considers the following clinicians “Eligible”
Who Is Exempted From MIPS Participation?
The following clinician types are exempted from MIPS reporting.
How CMS Measures Performance?
There is a composite MIPS score of 100 points, which includes all four performance categories. Moreover, eligible clinicians have the option to participate either as an individual or in a group against different combinations of NPI/TIN. So, no matter what data submission method you choose, you will be receiving scores individually for the individual submission and in a group for group participation.
MIPS 2022 Is Here! Are You Ready for Its Participation?
P3Care is here to help you avoid up to a 9% penalty for 2022.
Perks of MIPS 2022 Participation
Eligible clinicians can target up to 5% of MIPS incentives with successful participation.
Cons of Not Participating in MIPS
With no or poor participation, despite your eligibility can leave you with up to 9% of negative payments.
Payment Adjustment Ratios Over the Years!
Your performances in MIPS program will determine your positive payment adjustments in 2024.