MIPS

The Centers for Medicare & Medicaid Services (CMS) added new 2022 Quality Payment Program (QPP) performance information for doctors, clinicians, groups, virtual groups, and Accountable Care Organizations (ACOs) to clinician and group profile pages on the Medicare.gov compare tool and in the Provider Data Catalog (PDC).

CHECK YOUR FEEDBACK REPORTS NOW! You have until October 11, 2024 to request a targeted review. Now Available: 2023 MIPS Performance Feedback, 2023 MIPS Final Score, and 2025 MIPS Payment Adjustment Information

Part of the MIPS program is improvement activities. There are two weights of improvement activities High and Medium. High weight activities are worth 20 points and Medium Weight activities are worth 10 points. There is a special bonus for small practices, the value of the improvement activities is doubled for small practices. For a small practice High weight activities are worth 40 points and Medium Weight activities are worth 20 points. A small practice is practice with 15 individual NPI numbers in the same Tax ID.

One of the aspects to score on Promoting Interoperability is Numerators and Denominators. There are five components to Numerators and Denominators: E-prescribing, Provide Patients Electronic Access to Their Health Information, Support Electronic Referral Loops by Receiving and Reconciling Health Information, Support Electronic Referral Loops by Sending Health Information and Bidirectional Health Exchange.

For promoting interoperability, you need to report to at least two registries. There are five different types of registries that you can report to: Clinical data registry, Immunization Registry Reporting, Syndromic Surveillance Reporting, Electronic Case Reporting and Public Health Registry Reporting.

For promoting interoperability, you have to attest to several items. There is ONC-ACB Surveillance Attestation, ONC Direct Review Attestation, Prevention of Information Blocking Attestation, Security Risk Analysis, and High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER Guides)

Percentage of patients with a who have a hallux valgus (bunion) deformity causing pain that receive an intervention and have clinically significant reduction in pain as a result of that intervention

Measure 317 is to have the office screen for high blood pressure. If the blood pressure is considered to be high, there must be a follow-up and documentation of the follow-up.

For Traditional MIPS you must submit 6 quality measures. You can earn up to 10 points for each quality measure. This means your maximum score for quality in the MIPS program is 60 points. Many providers automatically assume that if they have a performance of 95% on a MIPS quality measure, they will earn 9.5 out of a possible 10 points for that measure. That assumption is not always true.

REGCLR1 measures the improvement in pain level of patients with a diagnosis of Heel Pain after an intervention. To meet the measure, the pain must have decreased significantly. As a podiatrist, this is a great measure to report on. It is podiatry specific and easy to score well.