MIPS

2024 is winding down and we should be getting ready to report our 2024 performance to CMS. A common question that keeps popping up is: “Am I required to report MIPS for 2024?”

The MIPS automatic EUC policy doesn’t apply to MIPS eligible clinicians participating in MIPS as a group, subgroup, virtual group, or Alternative Payment Model (APM) Entity. However, groups, virtual groups, and APM Entities can request reweighting through the EUC Exception application. Subgroups will inherit any reweighting approved for their affiliated group; they can’t request reweighting independent of their affiliated group’s status.

Any bonus or penalty for your 2023 reporting period will be reflected in your 2024 Medicare Payments. CMS has released the scores and and payments for 2025 payment year.

In about 2 months you need to report your quality metrics to CMS for the 2024 performance year. That means you only have 2 months left to make sure you meet the quality measures and optimize your score.

The year is 75% complete so now is CRUNCH time for many providers participating in the MIPS program for 2024. Many of the measures you report on are ‘Once Per Reporting Period’.   That means you only need to meet the measure on one visit for each patient during 2024. Even if you failed to meet measures prior to today, by making sure you meet the quality measure the next time the patient walks in the door, you get credit for that measure.

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.