Reporting is the most crucial step of MIPS. As it will decide the provider’s fate whether to get reimbursed or pay the penalty after the set period of CMS.
Tired of Complex MIPS Reporting Processes
Are you tired of the tedious and time-consuming process of MIPS reporting? Let us help you streamline the process and simplify your life! Our MIPS reporting solution is designed to make reporting quick, easy, and stress-free.
The performance year 2022 saw a significant rise in the use of MIPS reporting as healthcare organizations continued to strive for quality and efficiency in patient care. organizations that participated in MIPS were required to submit data on various quality measures, demonstrate their use of certified electronic health record technology, and show evidence of improvement activities that positively impact patient outcomes and care.
With our intuitive platform, you can quickly enter data, track progress, and generate comprehensive reports with just a few clicks. Our platform is user-friendly, efficient, and designed to meet the needs of healthcare providers just like you. Whether you are a solo practitioner or part of a larger group, our platform is designed to work for you!
MIPS Healthcare Reporting
The MIPS healthcare is the program that will determine Medicare payment adjustments. A composite performance score has been utilized in this program. And eligible clinicians may either receive a payment penalty, bonus, or no payment adjustment. In the present era, healthcare refers to any aspect, service, or device that helps you take care of your health.
MIPS reporting Score evaluation from 2017-to 2021
CMS has attempted to ease people into the MIPS program from its beginning in 2017. By progressively increasing the minimum score from 3 points in 2017 to 15 points in 2018. Afterward, in 2019 and 2020, it stood at 30 & 45 points, respectively, and 60 points in 2021. CMS would continue to observe the rise in the threshold, with an ironic increase scheduled in the coming years.
These days, practitioners are searching for answers to the appended questions, i.e., what is MIPS reporting in 2022?
In 2022, the CMS set a minimum performance criterion of 75 MIPS points (up from 60 MIPS points in 2021). That is the mean final score from the previous performance year. To avoid a MIPS penalty next year, doctors must attain a final MIPS score of at least 75 points.
Top Motivation to Hire NEO MD Billers and MIPS Consultants
NEO MD stood best among competitors’ Revenue Cycle Management Companies due to the following cores;
- Delivering Certified MIPS Consultancy with a 40% Client incentivized ratio
- Our experts work hard to reduce your front-end denials by 20%.
- Claim first level acceptance ratio; 95-97%
- Refunds adjustment and Payment posting to improve the cash flow.
- Offer Provider & Staff Productivity Analysis
- Offering state-of-the-art medical billing services for small practices, medium-sized, and large ones.
- Offer internal Medical Billing audits to uncover loopholes
- Improve RCM system efficiency with a robust credentialing team.
- Provide fortnightly financial and practice overviews
- Deliver customized Revenue Cycle Management Services to unearth operation shortcomings.
- Provide in-depth MIPS Healthcare Reporting services that are of high quality and error-free.
Don’t let MIPS reporting bog you down. Let us help you take control of your MIPS scores and improve your performance! Try our MIPS reporting solution today and see the difference it can make in your practice.
Mechanisms for Reporting
Eligible MIPS Clinicians may also pick to collect and submit data through a variety of channels, such as
- Claims (Restricted to Physicians in Small Practices),
- Registries,
- Certified Electronic Health Records (EHR),
- And Web-Based Attestation (Via the QPP Portal).
Although the majority of clinicians use a single reporting mechanism, clinicians may use different mechanisms across performance categories (e.g., report quality measures via claims and improvement activities via registry) and within performance categories (e.g., report quality measure A via claims and quality measure B via registry).
MIPS Reporting Categories
MIPS annually assigns a 100-point performance scale to eligible Medicare Part B clinicians, resulting in a Composite Performance Score (CPS). The payment adjustment will base on the Composite Performance Score, calculated using the reported measures and categories.
There are four scalable categories of MIPS,
- Quality 30%
- Promoting Interoperability 25%
- Cost 30%
- Improvement Activities 15%
Quality Category:
The quality category in MIPS reporting accounts for 30% of the total MIPS performance score for 2022.
- Physicians must provide six measures, one of which must be an outcome measure. The reporting period is one calendar year.
- For 2022 and 2023, data completeness will remain at 70%. However, this threshold increases to 75% for the 2024 and 2025 performance years.
- Scoring For the quality measures.
- New quality measures will have a 7-point floor for the first performance period. Alternatively, another 5-point floor for the second performance period.
- Removal of 11 Quality Measures
- E2E Reporting and Additional Outcome Measures do not get bonus points. Bonus points will no longer be provided in 2022 for end-to-end (ETE) electronic reporting. Whereas reporting additional Outcome/High-priority measures beyond the required standards will add to the difficulty of meeting or exceeding the 75-point threshold.
- CMS Web Interface for Groups of 25+: For the 2022 performance period, traditional MIPS will maintain this collection and submission type for registered groups and virtual groups. And it will also cover APM Entities with 25 or more clinicians. That collection type will also be available as a reporting option for Medicare Shared Savings Program ACOs through 2024.
- For groups of 16 or more qualified physicians with a minimum of 200 eligible patients. The “CMS” (Centers for Medicare & Medicaid Services) will use claims data to establish the all-cause hospital readmission measure.
What is MIPS quality reporting? MIPS’ Quality category replaces the Physician Quality Reporting System (PQRS). It requires eligible clinicians to provide data to CMS on quality measures. Such measures include patient outcomes, proper usage of medical resources, patient safety, efficiency, patient experience, and care coordination.
Promoting interoperability
What is the PI category?
The MIPS PI (Promoting Interoperability) category replaced the Meaningful Use program. The PI provides standards to encourage electronic information exchange utilizing certified electronic health record technology (CEHRT).
Promoting interoperability category accounts for 25% of the total MIPS performance score for 2022. And it was the same 25% in 2021.
Automatic reweighting: In addition to the hospital-based and non-patient-facing eligible clinicians and groups. CMS will apply automatic reweighting of the PI category in 2022 for the following:
- Small practices
- Clinical Social Workers
MIPS Reporting requirements: Following Changes made in PI requirements.
- To assist public health agencies, specific reporting burden requirements for the Public Health and Clinical Data Exchange objective have reduced.
- CMS will require reporting of the Immunization Registry Reporting and ECR (unless an exception is available).
- Reporting the measures for Clinical Data Registry and Syndromic Surveillance will be optional. However, MIPS-eligible clinicians who report a “yes” response for any of them might receive an additional 5 bonus points.
- SAFER GUIDES: CMS has established a new required measure called the Safety Assurance Factors for EHR Resilience Guides (SAFER Guides). Solely designed for the performance period of 2022. This measure demands MIPS-eligible clinicians to certify to use of the SAFER Guides on an annual basis.
- For the performance period of 2022 only, a fourth exclusion was added to the Electronic Case Reporting.
- CMS Modified the Prevention of Information Blocking attestation statements.
COST Category
The cost category of MIPS reporting weighted 30% of the total performance score for the year 2022.
5 brand-new episode-based measures have been added to the cost category for 2022.
- 2 procedural measures: Melanoma Resection, Rectal and Colon Resection,
- 1 acute inpatient measure: Sepsis,
- 2 chronic condition measures: Diabetes, Asthma/Chronic Obstructive Pulmonary Disease (COP)
- CMS is also beginning to prioritize and conceptualize four more episode-based cost measures. These will introduce between 2022 and 2023.
Improvement Activities (IA) Category
- The reporting period has still at a minimum of 90 days.
- Group Reporting: At least 50% of the providers must engage in the designated Improvement Activities. Created for the same 90-day (period as in 2021) for a Group submission.
- Changes in IA Measures Since the Inventory of 2021:
- 7 new measures added to the Group reporting.
- The 15 existing measures have changed.
- 6 former measures have been eliminated.
- Eligible clinicians and their affiliated groups should retain documentation of their improvement activity performance.
Hurry up, Clock is Ticking for the 2022 MIPS Reporting
Along with Traditional MIPS and Advanced APMs, the MIPS 2023 landscape is evolving and transforming to create space for the new MIPS Value Pathways. As a result, each of the performance categories observed significant changes. The most considerable change is increasing the Performance Threshold to 75 points to avoid a penalty.
If you want to avoid a penalty or gain exceptional performance, i.e., 89 points, you are on the right platform. Our NEO MD is a CMS Certified Registry, and MIPS consultants work with various practices to help them provide and report on the best quality of care measures.