2017 MIPS Performance

2017 MIPS Performance

QUALITY MEASURES

·         QUALITY MEASURES replace PQRS MEASURES

·         Individual clinicians or groups will choose six (6) measures to report VERSUS the nine (9) measures currently required under PQRS).  

·         Measures groups are no longer available for reporting purposes.

·         The measures must include at least one outcome measure (if available) or another high priority measure.  

·         High priority quality measures are those related to patient outcomes, appropriate use, patient safety, efficiency, patient experience, or care coordination.  

·         A cross cutting measure is not required in 2017.

·         The quality reporting threshold is 50% in 2017 (will increase to 60% in 2018).  

·         Individual quality measures can be reported/chosen from a comprehensive list or from a specialty-specific measure set (if one exists for your specialty).   

  

IMPROVEMENT ACTIVITIES

15% of total score (in year 1)

·         Clinicians can select activities that match their practices’ goals from a list of more than 90 options.

·         Performance in this category is calculated based on the provider's attestation to completing 2 high-weighted activities or 4 medium-weighted activities for a minimum of 90 days.

·         For small practices, rural practices, or practices located in geographic health professional shortage areas (HPSAs), providers are only required to report 1 high-weighted or 2 medium-weighted activities for full participation.

ADVANCING CARE INFORMATION

·         Clinicians will be required to use certified EHR technology and will choose to report customizable measures that reflect how they use technology in their day-to-day practice.

·         Unlike the existing reporting program, this category will not require all-or-nothing EHR measurement or duplicative quality reporting.

·         There are 90 day reporting periods in 2017 and 2018.

·         Bonuses available for registry reporting.

·         Clinicians will no longer be required to report on the Clinical Decision Support (CDS) and the Computerized Provider Order Entry (CPOE) measures.

The time for preparation is NOW !!!!

For more details contact  HPP Group Management

305-227-2383               1-877-938-9311         813-369-8169

PQRS - MIPS 2017

Though PQRS have suffered one of the biggest criticisms from providers, it's still in effect before MIPS rolls out in action in 2017. For now, physicians and other healthcare providers are subject to a Medicare payment reduction of up to 6% if they fail to participate in the Physician Quality Reporting System (PQRS). A 2% penalty comes from the PQRS program itself and a second program called Value Based Modifier (VBM) uses the quality data to determine whether your practice will receive a 2-4% cut or a potentially large increase in Medicare payments.

Some practices earned a 32% increase in 2016 based on their quality data from 2014. Some will see a significant decrease or increase in their payments in 2018 based on their quality data in 2016. Do you know that even if you haven't been collecting quality data all year, there are still opportunities to successfully participate in PQRS for 2016 and avoid payment cuts in 2018?

For more details call HPP Management Corp:

305-227-2383    or  Marcos Silverio at 813-369-8169