MIPS Tips (July)

The Merit-based Incentive Payment System (MIPS) 2019 reporting year is approaching the last 90-day reporting period for Promoting Interoperability. Be sure you are staying on track with the changes for 2019 and review the following if applicable to your practice.

12.3 SP3 Upgrades 
Quatris Healthco will announce the release of CPS 12.3 SP3 soon and begin upgrades shortly after that.

2015 CEHRT Compliance for Promoting Interoperability 
Information regarding the 2015 CEHRT Requirements for PI is vital to your success if reporting to the PI category! Because the website is updated frequently, we recommend you review any new information.

CPS12.3 and 2015 CEHRT Compliance Timing
The timing of your upgrade and the additional 2015 CEHRT requirements that must be in place are dependent upon special statuses and the categories of MIPS that will be reported in 2019.

2018 Final Scores Released
On July 3 CMS released the final scores and payment adjustments for the 2018 reporting year via this Quality Payment Program listserv announcement:

“If you submitted 2018 Merit-based Incentive Payment System (MIPS) data, you can now view your performance feedback and MIPS final score on the Quality Payment Program website.”  

You can access your 2018 MIPS performance feedback and final score via this link: cms.gov/login

Targeted Review period opened with the release of the 2018 final scores and payment adjustments. Information was provided via the July 3rd Quality Payment Program listserv announcement:

“The MIPS payment adjustment you will receive in 2020 is based on your final score. A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished by a MIPS eligible clinician in 2020.”

MIPS eligible clinicians, groups, and virtual groups (along with their designated support staff or authorized third-party intermediary), including APM participants, may request CMS to review the calculation of their 2020 MIPS payment adjustment factor(s) through a process called targeted review. 

When to Request a Targeted Review
If you believe an error has been made in your 2020 MIPS payment adjustment factor(s) calculation, you can request a targeted review until September 30, 2019. The following are examples of circumstances in which you may wish to request a targeted review: 

How to Request a Targeted Review
You can access your MIPS final score and performance feedback and request a targeted review by:

When evaluating a targeted review request, CMS may require documentation to support the request. If your targeted review request is approved, CMS may update your final score and the associated payment adjustment (if applicable), as soon as technically feasible. Note: targeted review decisions are final and not eligible for further review.

For information about how to request a targeted review, refer to the 2018 Targeted Review Fact Sheet and the 2018 Targeted Review FAQs.

If you have questions about your performance feedback or MIPS final score, contact the Quality Payment Program via phone 1-866-288-8292/TTY: 1-877-715-6222 or email: QPP@cms.hhs.gov”.  

MIPS Consulting
Quatris Healthco offers quality consulting services to our Centricity customers. For information contact mkeller@qhco.com.

*Note: The content of this email may not apply to your practice. Contact your EMR vendor on processes for support and quality reporting programs.