Merit-Based Incentive System (MIPS)

The Merit-Based Incentive Payment System (MIPS) is one of the two Quality Payment Program (QPP) value-based payment pathways. The first performance year is 2017, with a corresponding payment year of 2019. During 2017, MIPS will be based on performance in three categories:

  • Quality
  • Advancing Clinical Information (n/a for hospital-based providers in 2017)
  • Clinical Practice Improvement Activities

Beginning in the second performance year of 2018, a fourth category of Cost will be added to the MIPS requirements.

MIPS replaces the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-based Payment Modifier), and the Electronic Health Record (EHR) Meaningful Use incentive programs. The PQRS and VM programs are now wrapped into the Quality category, while the EHR Meaningful Use is replaced by the Advancing Clinical Information category, and the Clinical Practice Improvement Activities is a new category altogether.

MIPS does allow for some exceptions from the program, so evaluating whether or not your provider group qualifies for an exemption should be one of the very first steps taken.

The MIPS model is intended to provide flexibility to physicians while reducing the reporting burden across organizations. Because the program is budget neutral and very few groups of providers are expected to receive a penalty in the first year, the potential maximum base incentive amounts are expected to be less than the 4% authorized through MACRA. Cost-effective solutions such as DocsInk, are critical to minimizing provider and group expenses, allowing them to garner the most value from potential payment incentives earned.

Download DocsInk’s Guide to MACRA MIPS & AAPMs

MIPS, PQRS, MU & VM Payment Adjustment Timeline

MIPS, PQRS, MU & VM Payment Adjustment Timeline

Future MIPS Reporting Weights

Future MIPS Reporting Weights

Meet the Required MIPS Composite Performance Scores (CPS) for 2017 using:

DocsInk's Mobile Charge Capture Platform allows providers to meet the required Quality measures, instantly eliminating the possibility of receiving a negative payment adjustment and providing the points needed in the Quality category to qualify for the maximum positive payment adjustment for the performance year of 2017.

DocsInk's Care Coordination Platform allows providers to meet two Clinical Practice Improvement Activities (CPIA) measures, instantly eliminating the possiblity of receiving a negative payment adjustment and providing half the points needed (20 points) in the CPIA category to qualify for the maximum positive payment adjustment for the performance year of 2017.

DocsInk simply interfaces with your certified EHR (CEHRT), providers may use to meet the required Advancing Care Information (ACI) measures.

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Download DocsInk’s Guide to MACRA

Complete the form below and download DocsInk’s Guide to MACRA for a comprehensive, although simplified, overview of the following:

  • Eligibility for participation in MIPS Reporting for 2017
  • MIPS, PQRS, MU & VM Payment Adjustment Timeline
  • Specific Reporting Requirements and Options for Hospital-Based Providers in 2017
  • Specific Reporting Requirements and Options for Non-Patient Facing Providers in 2017
  • Example of MIPS Composite Performance Score (CPS) Calculations for 2017
  • MIPS Reporting Basics for 2017
  • MIPS Performance Thresholds and Payment Adjustments
  • MIPS Budget Neutrality Factory
  • Quality Category Reporting Requirements for 2017
  • Quality Category Specialty Measure Set for Hospitalist Groups for 2017
  • Quality Category Reporting Methods for 2017
  • Clinical Practice Improvement Activity (CPIA) Category Reporting Requirements for 2017
  • Clinical Practice Improvement Activity (CPIA) Category Measures for 2017
  • Clinical Practice Improvement Activity (CPIA) Category Reporting Methods for 2017
  • Advancing Care Information (ACI) Category Reporting Requirements for 2017
  • Advancing Care Information (ACI) Category Versions for 2017
  • Advancing Care Information (ACI) Category Reporting Methods for 2017