MIPS
- MIPS
Yes, the negative adjustment is scaled.
- MIPS
Here is a 2018 list of APMs: https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/Comprehensive-List-of-APMs.pdf
- MIPS
No, not for the 2018 performance period.
- MIPS
CMS will address this in their notice of proposed rule-making to be released summer 2018.
- MIPS
They are MIPS eligible clinicians but for the Promoting Interoperability performance category their performance score is automatically re-weighted to the quality performance category. The exception to this statement is if they report as part of a group, then their PI data would be included in the group submission.
- MIPS
You can log in at https://qpp.cms.gov/login to see the clinician's preliminary feedback for the 2017 performance year. Please note that the information displayed is not final. Final feedback will be available summer 2018.
- MIPS
No, 0-3.75 points would receive a -5% adjustment, the maximum adjustment. Anywhere from 3.76 to 14.99 is scaled from -5% to 0%.
- MIPS
Hospital-based clinicians are determined based on services performed in POS 21, 22, 23, and 19. With 75% or more of the services must be performed in those settings.
- MIPS
The name Advancing Care Information (ACI) has been changed to Promoting Interoperability (PI) but the measures for 2018 are unchanged. The IPPS proposal is for hospitals starting in 2019.
- MIPS
For 2018 MIPS eligible clinicians are required to report 12 months of data for Quality and Cost and at least 90 days for the Promoting Interoperability and Improvement Activities performance categories.
- MIPS
CMS will have proposals for the 2019 performance period in their notice of proposed rulemaking to be released in early summer.
- MIPS
Initial inclusion in Year 2 for MIPS is based on historical claims data from 9/1/16 to 8/31/17.
- MIPS
For the Promoting Interoperability (PI) performance category, there are 2 measure sets for 2018 (just like there were for 2017). You can choose which set you wish to submit and may submit a combination.
- MIPS
These will be available Summer 2018 at https://qpp.cms.gov/mips/advancing-care-information/hardship-exception.
- MIPS
Yes. Clinician's final performance and score will be available.
- MIPS
If a clinician is exempt, he/she may still voluntarily report, but he/she will not receive a payment adjustment positive or negative.
- MIPS
There will be a category called "small practice" on the hardship application on the Promoting Interoperability hardship form.
- MIPS
The Promoting Interoperability application will be available summer 2018.
- MIPS
Preliminary feedback is available now. However, final feedback and scores will be available summer 2018. You are required to use your EIDM credentials for access.
- MIPS
Virtual groups allow MIPS eligible clinicians to join forces without geographical boundaries to maximize their participation.
- MIPS
You sum the data across the CEHRT to submit.
- MIPS
Yes, if they are a physician or nurse practitioner. LCSW and therapists are not eligible clinician types at this time.
- MIPS
They apply on the QPP site when the application portal opens later in the summer 2018.
- MIPS
Voluntary reporters do not receive a payment adjustment neither positive nor negative. However, beware that you could be considered eligible as a group, if your group exceeds the low volume threshold. If clinicians do not exceed the low volume threshold, individually, you can participate voluntarily that way.
- MIPS
First, determine if you're an eligible clinician type. Then, use the MIPS participation look up tool to determine if you exceed the low volume threshold: https://qpp.cms.gov/participation-lookup.
- MIPS
Yes.
- MIPS
If the group is 100% hospital-based, then the PI category will be re-weighted to quality.
- MIPS
Yes, MIPS ECs in a MSSP Track 1 ACO will get full credit for the Improvement Activities (IA) category. More information on the 2018 IA points assigned to Shared Savings Program ACOs can be found in this guide: