“I could not be more satisfied with the Medflow ophthalmology EHR and the Medflow team. They have been available during the Meaningful Use transition and now the ICD-10 transition. The support staff has been there to answer our questions and keep us moving during those times of transition and help to make it as seamless as possible.”
What does your MIPS roadmap look like? Are you staying on top of the Merit-based Incentive Payment System (MIPS) reporting requirements and documentation? Do you know what you need in your MIPS Audit File? Are you sure that you are reaching your Medicare payment potential? If not, myCare MIPS Assurance can help you overcome the MIPS reporting challenges, maximize performance incentives, and avoid penalties.
But first, let us understand. What is MIPS?
MIPS is one of the two tracks (the other track is Advanced Alternative Payment Model) for value-based reimbursement under the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP) to improve and innovate clinical activities.
MIPS ties payments to quality and cost of care. It focuses on reducing costs while improving care delivery and health outcomes. Payments to providers are adjusted based on their overall MIPS performance score, which is a significant incentive for clinical participation.
If you are a MIPS eligible clinician, your medical practice should be actively collecting data that highlights your performance in three of the four performance categories – Promoting Interoperability, Quality and Improvement Activities. The Cost category will be measured based on your claims data submitted to CMS.
How Does MIPS Impact You?
The final score of the four performance categories will determine what your Medicare payment adjustment will be, with the top performers earning the highest positive adjustments. Eligible clinicians that have low overall final scores may receive a low, neutral or even a negative payment adjustment. Those eligible clinicians that opt not to participate at all will incur a negative adjustment from CMS.
As you can see, successful monitoring, documenting, and reporting in MIPS will financially impact the bottom line as well as the overall rating of your practice.
How Can We Help You?
As the healthcare industry transitions to value-based care, providers require a solution to help them with MIPS reporting, documentation, and to navigate the many new facets of the reimbursement environment. And this is where we can help you.
Eye Care Leaders’ myCare MIPS Assurance, is the most comprehensive MIPS solution on the market today. It provides a human resource solution to the problem of hiring or training an employee to manage the ever-changing terrain of the Quality Payment Program rules and regulations. Our MIPS Assurance specialists have expertise in MIPS regulations and the electronic workflows of your certified EHR technology, as well as in-depth knowledge of the eye care field. Our value proposition is to make these expert resources an extension of your team before, during and after the MIPS Performance year.
How myCare MIPS Assurance Works?
myCare MIPS Assurance guides you through the MIPS process so that you can maximize your MIPS Final Score and ultimately, your future Medicare Part B reimbursements.
Before the performance year, we will perform an in-depth review of the size, scope and other specifics of your clinic. We will also analyze your past performance and scoring to pinpoint areas of potential growth. Based on our findings we will create a customized MIPS performance and reporting strategy.
During the performance year, we will monitor all of your MIPS performance measures and help you optimize the workflows needed to maximize your Promoting Interoperability, Improvement Activity and Quality category scores. We will help you build and maintain a robust MIPS audit file; an essential tool in navigating the inevitable CMS audit process, as well as troubleshoot any issues related to MIPS performance.
After the performance year, we will assist you with attestations and registry reporting, verify the MIPS Final Score and payment adjustments awarded to your practice by CMS, and help you with any audits, appeals or targeted reviews.
By taking the administrative burden off your plate, we will put you back in control of your practice. Our experts will focus on regulations and documentation so that you can continue to focus on delivering quality care.
Frequently Asked Questions
What is an eligible clinician?
You are considered an eligible clinician for MIPS 2020 if you are a physician (MD, DO, DDS, DMD, DPM, OD), osteopathic practitioner, chiropractor, physician assistant, nurse practitioner, certified nurse anesthetist, physical therapist, occupational therapist, qualified speech-language pathologist, clinical psychologist, Qualified Audiologist, a Registered Dietitian or a Nutrition Professional. However, just a title doesn’t make you eligible for this program. You must also meet following requirements:
- Bill more than $90,000 annually for Medicare Part B covered professional services
- Provide care for over 200 Medicare Part B patients annually
- Provide 200 or more covered services to Part B Medicare patients.
If you do not meet all three requirements, you are considered a Low-Volume Threshold provider and are exempt from MIPS 2020.
- Even Low Volume Threshold providers may still be eligible to participate in the Quality Payment Program. You can check your participation status on the Quality Payment Program website by visiting: https://qpp.cms.gov/participation-lookup
How do I determine if I am an eligible clinician?
You can check your participation status on the Quality Payment Program website by visiting: https://qpp.cms.gov/participation-lookup
Can I still participate in MIPS even if I am exempt?
You may elect to Opt-In to MIPS if you meet the eligibility requirements for individual or group.
You can check your opt-in eligibility on the Quality Payment Program website by visiting: https://qpp.cms.gov/participation-lookup
What is the MIPS Performance Score?
The performance score is the aggregate of an eligible clinician’s scores in the four categories – Quality, Cost, Improvement Activities, and Promoting Interoperability. Your score will be compared to a yearly threshold set by CMS, which will determine either a neutral, positive, or negative payment adjustment for your practice depending on whether your score is above, equal to or below the threshold.
How can myCare MIPS Assurance help me complete my MIPS requirements?
Eye Care Leaders’ myCare MIPS Assurance, is the most comprehensive MIPS solution on the market today. It provides a human resource solution to the problem of hiring or training an employee to manage the ever-changing terrain of the Quality Payment Program rules and regulations. Our MIPS Assurance specialists have expertise in MIPS regulations and the electronic workflows of your certified EHR technology, as well as in-depth knowledge of the eye care field. Our value proposition is to make these expert resources an extension of your team before, during and after the MIPS Performance year.
Can I participate in MIPS without an EHR?
Yes, but you will not be eligible for any of the points under the Promoting Interoperability (PI) performance category. For 2020, PI constitutes 25% of the total score, and one of its key components is the effective use of EHR systems, so not using an EHR might make it difficult to score better than your peers.
How does MIPS Assurance differ from my current registry services?
In most cases, a registry will only provide support for issues related to your Quality measure calculations. They will not provide assistance for the Promoting Interoperability or Improvement Activity categories nor advise on how to maximize your score. MIPS Assurance provides customized consultations, working sessions and in-depth analysis of your overall MIPS performance. As a MIPS Assurance client, you will also receive MIPS attestation and audit assistance.
How do I sign up for MIPS Assurance?
Visit https://eyecareleaders.com/contact-us/ and complete the Product Enquiry form to be contacted by an Eye Care Leaders sales representative.