The start of the new year marks one of the biggest changes Medicare has seen it its 50 years – the transition to the new Quality Payment Program (QPP) under MACRA. The QPP overhauls the way in which clinicians treating Medicare patients are reimbursed and combines and sunsets three big CMS programs: Meaningful Use, the Physician Quality Reporting System, and the Value-Based Payment Modifier. Your participation decisions in 2017 and how your scores compare to your peers will affect your Medicare reimbursement in 2019.
Not quite sure of all the ins and outs of the program? Visit our MACRA 101 page first to learn more.
1. SurveyVitals can help you satisfy reporting requirements.
Your SurveyVitals solution can help you meet more than enough measures in the Clinical Practice Improvement Activities category to satisfy reporting requirements. Additionally, for anesthesia providers, SurveyVitals anticipates being able to help clients satisfy a measure in the Quality category. CMS has not yet released the list of approved non-MIPS measures that can be reported via a QCDR, but says it will do so in early spring.
2. Most Medicare Part B clinicians will participate in the MIPS track
The MIPS program is a part of the larger Quality Payment Program which has two tracks – the MIPS track and the Alternate Payment Models (APM) track. Most all Medicare Part B clinicians will participate in MIPS, while a smaller percentage will qualify as an advanced APM and participate in the APM track. See the list of CMS-approved APM models for program year 2017 here.
3. Patient experience deemed a ‘high priority’ measure
Measuring the patient experience has been weighted more heavily under the MIPS program than in previous years. If reported, it is worth more points toward your total composite performance score than other medium-weight measures, meaning fewer measures to report on. (win-win!)
4. CAHPS for MIPS is optional, regardless of group size.
Previously named CAHPS for PQRS, CAHPS for MIPS is not required under the new program, regardless of group size. This is a notable change from PQRS as groups over 100 or those participating in GPRO previously had to participate in CAHPS. The increased flexibility under MIPS allows clinicians to forego participation in CAHPS, and, instead, identify clinical measures in their specialty to optimize their scores in the quality category.
The Centers for Medicare and Medicaid Services (CMS) has released the Quality Payment Program (QPP) proposed rule for the 2021 performance year. To accommodate for the challenges posed by COVID-19, CMS is not proposing many significant changes to the Merit-based Incentive Payment System (MIPS) for 2021. Here are the highlights of the proposed rule for […]
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