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CAHPS for MIPS

CAHPS for MIPS

As directed by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, CMS began implementing the Quality Payment Program (QPP) as a part of the transition to value-based care. For eligible clinicians participating in the QPP, there are two available reporting tracks:

– The Merit-based Incentive Payment System (MIPS)
– Advanced Alternative Payment Models (APMs)

Most Medicare clinicians will participate in MIPS.

CMS has developed a system for scoring clinicians under MIPS with four performance categories:
1. Quality
2. Advancing Care Information
3. Clinical Practice Improvement Activities
4. Cost (Resource Use)

The CAHPS for MIPS survey is not required for the 2017 performance year. However, clinicians submitting as a group can voluntarily elect to administer the survey to count as one of the six required measures in the Quality category.

When does the CAHPS for MIPS survey occur?
The CAHPS for MIPS survey will be implemented annually, starting in Fall 2017. Groups must register by June 30, 2017. Group sample files will become available to vendors on October 24, and the first round of surveys will be mailed November 15-16. The last day for interviews will be February 1. The final day to submit data files to CMS is February 8.


How many patients are surveyed?
The number of patients surveyed will depend on the number of eligible clinicians in a group. Additionally, sample sizes can also vary based on the size of the available patient population.
– For groups of 100 or more eligible clinicians: between 415 and 860 beneficiaries will be surveyed.
– For groups of 25 to 99 eligible clinicians: between 254 and 860 beneficiaries will be surveyed.
– For groups of 2 to 25 eligible clinicians: between 125 and 860 beneficiaries will be surveyed.

Do I need a vendor to administer CAHPS for MIPS?
Yes. Groups participating in CAHPS for MIPS will need to select a CMS-certified vendor to administer the survey on their behalf. Approved vendors will collect and submit data for participating groups. Novaetus, Inc. (a SurveyVitals company) is a CMS-certified vendor and ready to administer CAHPS for MIPS surveys on your behalf. Fill out the form above to request more information.

What does the survey assess?
The CAHPS for MIPS survey covers 12 Summary Survey Measures (SSM):
1. Getting Timely Care, Appointments, and Information.
2. How Well Providers Communicate.
3. Patient’s Rating of Provider.
4. Access to Specialists.
5. Health Promotion and Education.
6. Shared Decision Making.
7. Health Status and Functional Status.
8. Courteous and Helpful Office Staff.
9. Care Coordination.
10. Between Visit Communication.
11. Helping You to Take Medications as Directed.
12. Stewardship of Patient Resources.

What languages are available for CAHPS for MIPS administration?
The CAHPS for MIPS survey is administered in English, except for in Puerto Rico, where the survey is administered in Spanish. Translations are also available in Cantonese, Korean, Mandarin, Russian, Spanish, and Vietnamese.

What modes of administration are offered?
The CAHPS for MIPS survey is administered using mixed-mode data collection including a pre-notification letter, survey mailings, and phone follow-up of non-respondents.

Will my organization’s CAHPS for MIPS data be publicly reported?
CAHPS for MIPS survey scores will publically available on the Physician Compare website starting in Fall of 2018. For more information about Physician Compare, you may visit the website at https://www.medicare.gov/physiciancompare/ or contact PhysicianCompare@Westat.com

What is the source of the sample for CAHPS for MIPS administration?
CMS will will prepare the samples and distribute them to each appropriate survey vendor for data collection activities.

Does SurveyVitals have supplemental surveys?
Yes! SurveyVitals’ 360° solutions provide insight at every level of your organization. Contact us today to to learn more about our digital solution with patient feedback year-round for improvement between CAHPS survey cycles.