P3 Healthcare Solutions’ Guide to MIPS Reporting Methods
Under MIPS QPP (Quality Payment Program), physicians report clinical data to CMS.
They reward clinicians upon their contribution to make the current healthcare system an empowered one, incorporating technology and interoperability for patients’ convenience.
Throughout the performance year, medical practitioners implement interoperability that provides value without being heavy on the pockets. To rate physicians’ efforts, CMS (The Centers for Medicare and Medicaid Services) has designed 4 categories with specific percentages.
Performance Categories of MIPS healthcare 2019
In 2019, MIPS QPP will have:
· Quality 45%
· Cost 15%
· Promoting Interoperability (PI) 25%
· Improvement Activities (IA) 15%
Not many physicians know about various MIPS Submission methods. In this article, we will go through the MIPS reporting mechanisms. Let’s keep going.
MIPS submission Methods
Clinicians can report data to CMS in 3 different ways as described below.
1. Participate as an Individual Physician
Physicians have to report data with a National Provider Identification (NPI) number and the practice’s Tax Identification Number (TIN).
Physicians get incentives or bonuses based on their performance.
2. Participate as a Group
Different physicians participate as a group in the MIPS program and their performance is evaluated as a group. Generally, 2 or more eligible clinicians (ECs) can group, who work in the same specialty and can report data via CMS Web Interface. However, this option is available for the group having twenty-five or more participants.
The deadline for participating as a group in the MIPS program is June 30th, 2019.
If your group participated in MIPS 2018, you automatically register for the 2019 performance year.
3. Participate as a Virtual Group in MIPS
CMS introduced a new reporting method for eligible clinicians to participate as a virtual group in 2018. In a virtual group, one or more solo physicians are assigned two or more TINs. It is also defined as one or more groups having ten or lesser clinicians.
There is no restriction about the number of solo clinicians or groups that can participate together in this reporting method. Besides, participants do not have to belong in the same geographical region.
Note: All eligible clinicians in medical practice should participate via the same reporting method.
MIPS Reporting Methods
Generally, physicians can submit data via:
· Attestation
· CMS Web Interface
· Administrative claims
· Electronic Health Record (EHR)
· Qualified Clinical Data Registries (QCDR)
· CAHPS for MIPS Reporting Survey Vendor
· Qualified Registry as P3 Healthcare Solutions
There are certain restrictions for each MIPS submission method. It is important to take time, research, and educate yourself about the pros and cons of each reporting method.
MIPS solutions are there not only for physicians and patients’ empowerment but also for strengthening revenue cycle management. Not understanding the CMS rules and eligibility criteria of submission methods can harm the reputation and bank balance of clinicians.
Therefore, before participating in MIPS, you should be aware of all the aspects of the MIPS program to get favorable outcomes.
