Embarking on the MIPS reporting journey? Prepare yourself to maneuver through the complexities of reporting measures and more! If you have burning questions regarding MIPS 2023, you’ve come to the correct spot. Our comprehensive blog will provide you with the answers you need to conquer the MIPS reporting maze.
From submission deadlines to collecting data requirements, we’ve got you covered. Let’s dig in and solve the QPP MIPS reporting puzzle so you can get the most out of your incentives.
Your FAQs Answered | All You Need to Know About MIPS 2023
Clearing the confusion for clinicians who are participating in MIPS 2023. We have answered the queries below:
Q: What is the least I can do to evade penalties in MIPS 2023?
A: Well, CMS has clearly informed its participants to hit the performance threshold with adequate performance in MIPS. The performance threshold for 2023 is 75 points.
Now, the point is, how can you earn these 75 points in MIPS? The 2023 MIPS final rule reveals that it is hardly possible to get above 60 points in four reporting categories. Therefore, the providers have to score additional points by making effective strategies. They can use a variety of ways to secure a minimum 75 score by combining quality points with cost, PI, or IA points.
Q: What is the point distribution for quality measures in PY 2023?
A: The point distribution rules are very clear and simple. They are given as follows:
- Every clinician has to report six measures in MIPS 2023. So, CMS will give points ranging from 0 to 10, depending on performance. For instance, if a participant is unable to report certain measures, they will definitely get zero points.
- Among these six quality measures, there must be an outcome measure included for reporting for 12 months. However, in the case of outcome measures, you strictly report one other high-priority measure.
- CMS encourages its participants to use new measures for MIPS. Therefore, it has set 7–10 points for implementing new measures for the first year. However, if the clinician chooses the same measures in the second year, then they will get 5–10 points. So, if you want to elevate your MIPS score, you must go with the new measure sets.
- Failure to meet the data completeness requirement for a measure will result in zero-point scoring. However, the small practices have given us a little advantage here. They will still be able to get 3 points for the measures without meeting the data completeness threshold.
- There is a special clause for neurology providers. CMS has set a case minimum requirement of 20 cases for reporting neurology measures in MIPS 2023.
- Measures with benchmark data can award you with 3–10 points.
- Likewise, topped-out measure reporting will entail 0–7 points.
- CMS has already announced that it will give bonus points for reporting complex patient encounters. Anyhow, the bonus point will make up to 10% of the total available measure achievement points.
- Similarly, participation in MIPS promoting interoperability and improvement activities can also result in additional points.
Q: What does the term “topped-out measure” refer to in the MIPS reporting?
A: It is simply a quality measure that reaches its highest achievable performance rate. In other words, many MIPS participants have scored high (near to maximum performance level) consistently for that measure.
A topped-out measure becomes problematic for the MIPS program. Basically, such measures create difficulty in differentiating high-performing MIPS participants. The measures can no longer detect significant quality deviations. Additionally, it may lessen the program’s ability to motivate development.
CMS offers a unique approach to solving this problem. It either removes topped-out measures or modifies the way they are scored. Retiring a measure indicates it will no longer be utilized in the MIPS program. Whereas, to modify the scoring technique, CMS adjusts the benchmarks or performance standards. As a result, CMS will be able to distinguish high-performing physicians more clearly. So, every year, CMS publishes a list of benchmarking data and topped-out measures.
Q: What measures or benchmarks should I prioritize to ensure positive adjustments in 2024?
A: You must decide which measures are most important for your practice. Usually, each neurology practice has different reporting measures. You can receive up to 10 points per measure if you perform better. You must consider the new MIPS measures. They can help you score more points, as mentioned above.
Q: How can QPP MIPS help us in our MIPS reporting journey?
A: QPP MIPS is a qualified registry, one of the data collection types for MIPS and ACO reporting. Our MIPS consulting services bring peace of mind to all eligible clinicians. We simplify complex MIPS requirements for you and help you develop a strong reporting strategy. Along with this, we optimize your MIPS performance and point out neglected areas of performance. We help you maximize your MIPS incentives with advanced patient care and expert support.
Conclusion
MIPS reporting doesn’t have to be a difficult chore that takes up all of your precious time and resources. You may unleash the potential for enhanced performance and precise compliance by collaborating with a reputable MIPS 2023 reporting provider in USA. Allow our experts to manage the complexity of MIPS 2023 while you focus on what you do best. Why wait? Make the transition to a more seamless reporting experience to reap the benefits for your practice.
