Let CareVitality’s team help you successfully participate in the
Merit-based
Incentive Payment System (MIPS).

Merit Based Incentive Payments System (MIPS)

Merit Based Incentive Payments System (MIPS)

The Merit Based Incentive Payments System (MIPS) combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-Based Payment Modifier) and the Medicare Electronic Health Record (EHR) incentive programs into one.

Performance Categories for 2018

50%

Quality

Replaces the Physician Quality Reporting System (PQRS).

15%

Improvement Activities

25%

Advancing Care Information

Replaces the Medicare EHR Incentive Program also known as Meaningful Use.

10%

Cost

Based on Adjudicated Medicare Claims.

How will this Quality Payment Program effect my Medicare Payments?

Your Medicare payment adjustments will depend both on how much data you submit and your quality results.

Methodology calculating overall performance in 2018

Performance Category

Maximum Points

% of overall MIPS Score (2018)

Quality

50 points

50%

Advancing Care Information

100 points

25%

Improvement Activities

40 points

15%

Cost

10 points

10%

Payment Adjustments

Depending on the track of the Quality Payment Program you choose and the data you submit by March 31, 2019 for your reporting period in 2018, your 2020 Medicare payments will be adjusted up, down, or not at all. The information provided below is only relevant for the 2020 payment year. CMS will provide additional information on payment adjustments for 2020 and beyond beginning next year.

Pick your pace in MIPS: If you choose the MIPS track of the Quality Payment Program, you have three options.

%

-5% Payment Adjustment

If you do not submit a minimum amount of 2018 data to Medicare to earn 15 points.

0

Avoid -5% payment adjustment

Submit a minimum amount of 2018 data to Medicare to earn 15 points.

+ %

Submit a Partial Year

Partial: If you submit 90 days of 2018 data to Medicare, you may earn a neutral or small positive payment adjustment.

+ %

Submit a Full Year

Full: If you submit a full year of 2018 data to Medicare, you may earn a moderate positive payment adjustment.

Contact Us Today to Learn How We Can Successfully Assist You in Participating in the Quality Payment Program (QPP)

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