How can You Make Your MIPS Reporting Successful?

Although MIPS reporting is not a new process for any professional healthcare provider, non-medical personnel merely have sufficient information about MIPS (Merit-based Incentive Payment System). Anyhow, the idea of reporting Medicare Part B claims data to a government body, CMS, seems interesting.

If you are a non-medical personnel, listen: this MIPS reporting informational blog is truly for you.

Do you know what the main motto of CMS is?

Why does CMS ask clinicians to report their performance data in the MIPS programme?

What is the underlined benefit that QPP-MIPS provides to its participants?

For all such queries, let’s start our topic today with a short but general overview of the MIPS programme. Later, we will see how providers strive to score high MIPS final scores.

MIPS Reporting Programme; Generalised Overview

The Merit-based Incentive Payment System is an initiative by the Quality Payment Programme. The government entity, the Centres for Medicare and Medicaid Services (CMS), has established it. This programme assures value-based care delivery to everyone. Thereby, it supports the meaningful use of healthcare services. Those eligible clinicians who perform well get payment adjustments as per the MIPS policy. Every year, MIPS makes several adjustments to its policy. CMS builds up the MIPS policy strategically to incentivize clinicians to improve their performance quality to the fullest.

Moving through MIPS reporting without getting a QP status (complete or partial) is mandatory. Otherwise, you will lose the exemption as a result. Thus, MIPS participation can be a little challenging for your practise. However, several ways might be helpful for you to make your reporting fruitful.

Be Aware of MIPS Policy Updates

As we have stated earlier, clinicians get the MIPS final rules every year before entering the performance year. Although the CMS lets the clinicians know about the tentative changes from time to time, it still uploads the MIPS final rule in a well-understood format on its official forums. So, you must visit the CMS and QPP websites from time to time and check for updates. If you have subscribed, then you may be more likely to get updates via newsletters.

So, MIPS has four performance categories from the very beginning. These are Quality, Promoting Interoperability, Improvement Activities, and Cost. The contribution from individual performance category final scoring to the MIPS score may vary. However, CMS has asked all providers to complete the data completeness requirement for at least one selected category measure.

Select the most Relevant MIPS Measures

As soon as you get a comprehensive view of your MIPS final rule, you can move on to the next step. This time, you have to pick your MIPS reporting measures for each performance category. The measures must be relevant to your MIPS requirements. Before finalizing any measure, it is wise to check all the measure specifications attentively. Resultantly, you will get the clarity that nothing is missed out and you can easily report that measure.

Fulfill every Data Completion Requirement

Data collection and reporting are real tasks. The MIPS performance year is a timeframe when providers have many burdens on their shoulders. They have to perform well on all four battlegrounds simultaneously. So, they merely have time to focus on data collection and documentation. Here comes the role of a MIPS-qualified registry. These qualified registries not only offer MIPS consulting services, but they also have certified EHRs. Therefore, they easily handle and manage everything.

Adhere to MIPS Data Submission Deadlines

Typically, the MIPS reporting data submission deadline is March 31 of the year next to the MIPS performance year. For instance, the MIPS 2023 performance year will have March 2024 as its data submission deadline. Similarly, every MIPS step group, sub-group election, and exception application has clear deadlines. These participants have to be aware of all related details of the snapshot. Only then, they can make themselves prepared for the phase coming ahead.

The CMS provides different options for data submissions, such as:

● CMS web interface

● Qualified Clinical Data Registries (QCDRs)

● Electronic Health Record (EHR) systems

Always choose the submission method that is most convenient for you.

Performance Monitoring for MIPS Reporting

It’s critical to keep an eye on your performance after submitting your MIPS data. Depending on how well you perform in each category, CMS will assign you a MIPS score. Depending on the score, you’ll either get a payment modification or a penalty. You can find areas for development and change your procedures to raise your score for the following year by keeping track of your performance.

Conclusion

MIPS reporting is an effective framework for QPP MIPS. It has added its valuable contribution to helping the CMS raise healthcare standards. Although MIPS seems a little complicated, it is tiresome to be a part of such tough competition. However, we assure you that if you are already following the guidelines mentioned above, you’re safe. MIPS reporting will only help you score benefits then.

Healthcare Providers need your attention here, please!

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