Every new MIPS year brings changes to the list of available quality measures. Below is a list of all MIPS quality measures that were added, deleted, or changed for the 2023 performance year in the 2023 Final Rule. Click the link in the measure title to see the final rule description for new, changed, or deleted measures (tip: skip directly to the section titled “Rationale” for a summary of the measure changes and why they are being made).   9 New Quality Measures - As part of scoring changes made in the 2022 final rule, these 9 measures will have [...]

The 2021 final MIPS performance feedback was released last week, along with the corresponding payment adjustment information. If you are a MIPS-eligible clinician and have not reviewed your feedback yet, make sure to do so before October 21. October 21 is the deadline to submit a targeted review request if you believe anything in your results is incorrect. Check your eligibility here (no login required, just enter an NPI): https://qpp.cms.gov/participation-lookup Check your performance feedback by logging in here (HARP account required): https://qpp.cms.gov/ (New QPP portal users, check out my article here about how to create a HARP account and get [...]

MIPS Performance Feedback reports are released in the summer each year and show a provider or practice what payment adjustment to expect for the coming year. Once payments start to be processed for applicable dates of service, many providers want to confirm how these amounts are being applied, and may want to report on or track these payments throughout the year. There are three codes to look for on a Remittance Advice (RA) that indicate MIPS payment adjustments: CO-144 indicates a positive payment adjustment: The glossary shows "CO: Contractual obligations. The patient may not be billed for this amount." and [...]

One of the first steps in understanding your or your organization's requirements and participation in the Quality Payment Program is to connect to your organization through the QPP portal at qpp.cms.gov. This allows you to see significantly more information than is available through the public-facing eligibility tool - information which is critical to making an educated decision about if or how to participate in MIPS. At a high level, this requires two steps: creating a HARP account, and connecting to your practice on qpp.cms.gov. The process outlined below may seem long, but it only has to be completed once to [...]

The list of 2022 Improvement Activities has not been posted to the QPP Resource Library yet, but for those wanting to plan ahead and complete their Improvement Activity or Activities in the first 90 days of 2022, below are the changes to 2022 MIPS Improvement Activities from the Final Rule. Until the 2022 list is posted, reference the 2021 descriptions and required documentation in the data validation criteria available for download here, and compare it to the 2022 changes from the final rule below. For new and revised activities, click the link in the activity name to see the description [...]

Every new MIPS year brings changes to the list of available quality measures. Below is a list of all MIPS quality measures that were added, deleted, or changed for the 2022 performance year in the Final Rule. Click the link in the measure title to see the final rule description for new or changed measures (tip: skip to the section titled "Rationale" for a summary of the measure changes and why they are being made).   New Quality Measures - Also new for 2022 scoring, these measures will have a 7-point minimum score in their first year (2022) and a [...]

The final rule for the 2022 MIPS program was released yesterday, and it contains major changes to how MIPS will be scored next year. Providers who have been avoiding the payment cut by simply submitting whatever data their EHR happens to capture may find this is no longer sufficient, and providers who have been earning 100% scores and the maximum upward payment adjustment every year may find this is no longer attainable. Providers without an EHR can still avoid the cut and even earn an upward adjustment, but this becomes even more difficult in 2022. However, some additional policies have [...]

2018 may be over, but there are still opportunities to report 2018 MIPS performance data for activities that took place during the performance year. If you’re new to MIPS (or just want a refresher!), please refer to the article here for an overview and explanation of how the MIPS program and scoring works. For more details about the score necessary to avoid a payment cut for 2018 performance, see last month’s article here. Below are reporting mechanisms that are still available to MIPS-eligible clinicians and groups to report activities from 2018 and avoid a payment cut in 2020: Attestation or [...]

With less than a month left in the 2018 MIPS performance year, it may feel like it’s too late to start working on MIPS. However, there is still a lot providers and practices can do to meet the minimum threshold score and avoid a negative payment adjustment in 2020. If you’re new to MIPS (or just want a refresher!), please refer to the article here for an overview and explanation of how the MIPS program and scoring works. It’s important to remember that payment adjustments under the Merit-based Incentive Payment System (MIPS) are based on an aggregate score across four [...]