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MIPS 2019 REPORTING IS THE FUTURE OF QUALITY HEALTHCARE

MIPS 2019 reporting doesn’t cost you much but it is a progressive path.

The success of a clinician depends on efficient reporting because they are reaching out to CMS with proof of their performance.

P3 Healthcare Solutions and other Qualified Registries are on a mission to promote quality over quantity. Clutch ranks companies like P3Care on their leaders’ matrix. To see the names of successful companies in the health IT sector, the following link is worth a look – https://clutch.co/bpo/medical-billing/leaders-matrix

When you don’t have benchmarks or companies to look up to, it is difficult to reach a goal or achieve a target. P3Care sets the tone of success for other medical billing companies to follow.

MIPS 2019 Reporting Needs Critical Thinking

As a MIPS Qualified Registry deals with only the registry-associated measures, every submission type has its own list of acceptable measures.

Merit-Based Incentive Payment System is one of the tracks of the Quality Payment Program (QPP) with Alternative Payment Model (APM) as the other one. Both these value-based reimbursement models have their own benefits. However, if you go for MIPS 2019 reporting, it is the more frequent path chosen by eligible clinicians (ECs).

What do the reviewers say about P3?

Clutch.co reports P3 Healthcare Solutions as a leading organization. Reviews are an interpretation of the quality and performance of an organization, and if they are in favor, the company is worth your time and money.

Founder, SunCoast RHIO, Lou Galterio says, “P3 Healthcare Solutions enables our providers to get paid faster, and they make billing consistent and reliable”.

He continues in his interview with Clutch and talks about efficiency and responsiveness.

“They’re incredibly responsive, answering my questions on the weekends and at night. We’re a few hours ahead of them, but they still answer our calls, even when it’s early in the morning for them. They’ve also trained some of our internal team to understand their products.”

Client satisfaction is the maximum output of a company – The ultimate criterion that matters in the end.

Essentials to Report Quality Measures in 2019

Quality is one of the four performance categories of MIPS 2019. It carries 45% weight in the final score. Back in 2018, it was 50% weight, and that was 5% more than the current weight.

Why is that?

It is an effort to reduce the burden of MIPS 2019 reporting requirements of eligible clinicians according to the proposed rule.

First, to fulfill the Quality category, ECs have to undergo MIPS 2019 reporting over a span of 12 months.

Second, there are four ways to submit quality measures:

  • Electronic Clinical Quality Measures (eCQMs)
  • MIPS CQMs (Previously “Registry Measures”)
  • Qualified Clinical Data Registry (QCDR) Measures
  • Claims-based measures for small practices

To report collected data for Quality for at least 6 measures or a specialty set is what is required. One of those six measures is an outcome measure or a high-priority measure.

MIPS as a Group

With the condition to report as a group of 16 or more clinicians, under the 200 Medicare beneficiaries criteria, the administrative claims-based all-cause readmission measure will automatically count as the seventh measure.

Therefore, in order to stay on top of MIPS 2019 reporting, go for at least one submission type. If you report a measure through more than one type, the best score for that measure will add to the final score.

Moreover, P3 Healthcare Solutions connects you with the patients which are your first preference!

With P3Care as your third-party intermediary and reporting on your behalf, you, as a healthcare professional, can focus on your patients. We become part of your cure to people in distress.

The Case of Specialty Measure Sets

MACRA MIPS never falls short of requirements. ECs, as individuals and groups, have the flexibility to choose between a specialty and subspecialty measure set.

In any case, they must tend to data on at least 6 measures within a specific set. If a set has less than 6 measures, the clinician or group should report each measure in the set.

CMS Web Interface users have to report all the 10 required quality measures for the full year (January 1 to December 31, 2019)

As value-based care enters the third year successfully, CMS tones down the reporting requirements for clinicians. It is in response to physician burnout because MDs and other professionals are not able to look after their patients. The lack of patient association and engagement is attributed to difficult EHR handling.

Follow us on LinkedIn https://www.linkedin.com/company/p3-healthcare-solutions for a solid knowledge base in American healthcare.

What do you think is a common problem clinician’s will likely face in MIPS 2019 reporting?