FAQs

A MIPS Qualified Registry collects and reports Quality data on behalf of eligible clinicians (ECs). We are a MIPS Qualified Registry for the fourth time in 2020. Here you can see the list of approved registries of 2020. A Qualified Clinical Data Registry is different from a Qualified Registry because its reach is beyond the Quality Payment Program. A QCDR is a CMS-approved organization that collects clinical data other than MIPS measures on behalf of clinicians. So, it is a general version for data collection which includes submission of the National Quality Forum (NQF) measures, etc.
It is $220 per NPI and TIN combination annually. We cater to all specialties and submit on behalf of clinicians throughout the year in performance categories like Quality, Promoting Interoperability (PI), and Improvement Activities (IA). Also, groups and virtual groups are welcome to report through us. The total cost includes:
• Unlimited phone communication, chat, and email support
• Physician-friendly support staff
Whoever satisfy the low-volume threshold qualifies to submit MIPS measures in 2019. The low-volume threshold requirements for MIPS reporting 2019 and 2020 include:
• $90,000 or more in Part B allowed charges for covered professional services;
• Provide care to 200 or more Medicare patients;
• Provide 200 or more covered professional services under the Physician Fee Schedule (PFS).
In MIPS 2019, you must have a score of at least 30 points to avoid penalty. While, in MIPS 2020, eligible clinicians must go for a score of minimum 45 to avoid penalty.plu
Of the four performance categories such as Quality, Promoting Interoperability (PI), Improvement Activities (IA) and Cost, each holds a certain weight. Quality – 45%
PI – 25%
IA – 15%
Cost – 15%
For MIPS 2020, the categories hold the same weight as they did in 2019.
No, CMS doesn’t guarantee that these vendors will be able to successfully submit data on your behalf. However, CMS publishes the list of Qualified Clinical Data Registries (QCDRs) and Qualified Registries (QRs) each year which can submit data on behalf of clinicians.
Yes, there are exemptions for practices without an EHR. In case of a significant hardship, promoting interoperability (PI) category weighs 0% for the year 2019. The 25% of its weight shifts to the Quality category making it 70% of the total score. You are eligible for a hardship exemption if you:
• Don’t have proper Internet connection
• Suffer extraordinary or extreme circumstances
• Don’t have access to CEHRT
• Are part of a small practice comprising of 15 or fewer clinicians
• Discontinued EHR version
MIPS is one of the tracks of the Quality Payment Program (QPP). It is short for the Merit-based Incentive Payment System. Adjacent to APMs track, MIPS is composed of four performance categories – Quality, Promoting Interoperability (PI), Improvement Activities (IA), and Cost – for clinicians to be assessed in. Each category has a set of measures that your practice has to attest to, resulting in a MIPS final score. If your score is high enough, you are on your way to MIPS incentives and a solid reputation.
The program develops and matures year after year. Starting back in 2017, 2021 marks the fifth year of MIPS Quality reporting. The significant differences appear in their performance thresholds and category weights, to begin with. The minimum MIPS score required to avoid a penalty in 2020 is 45. However, the minimum expected score required to avoid a penalty in 2021 is 60. Category weights for MIPS 2020: • Quality: 45% • Promoting Interoperability: 25% • Improvement Activities: 15% • Cost: 15% Category weights for MIPS 2021: • Quality: 40% • Promoting Interoperability: 25% • Improvement Activities: 15% • Cost: 20%
When you want to move data from one location to another, one form to another, and one application to another, it is called data migration. Generally, when you want to move your files from one system to another, you need specialized data migration services. They keep data extraction in healthcare safe. In addition, by the use of EMR data migration best practices, QPP MIPS makes data migration to comply with the law.
NCQA’s official site carries the list of measures and technical details related to the CMS HEDIS program. Keep visiting the site for updates.
NCQA created Healthcare Effectiveness Data and Information Set NCQA determined Healthcare Effectiveness Data and Information Set (HEDIS) measures specifically for Special Needs Plans (SNPs). HEDIS is an elaborate set of standardized performance measures created to provide buyers and consumers the right knowledge against health plans and their performances.
With the assistance of health IT analysts, MIPS data submission becomes a walk in the park. You, as a healthcare professional, have a duty toward your patients. Thus, health IT companies like QPP MIPS should come in handy.
They share your administrative burden to an extent where incentives and other benefits come your way.
Clinicians should follow the steps below to submit MIPS data to CMS:
1. Go to the Quality Payment Program website
2. Sign in using your QPP access credentials
3. Submit your MIPS data for the performance period (2020 or 2021) yourself or review the data reported by QPP MIPS – a third-party intermediary – on your behalf
HEDIS supplements more than 90 measures over six domains of care:
• Effectiveness of Care.
• Access/Availability of Care.
• Experience of Care.
• Utilization and Risk-Adjusted Utilization.
• Health Plan Descriptive Information.
• Measures Collected Using Electronic Clinical Data Systems.