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 2017

60%

Quality

Replaces the Physician Quality Reporting System (PQRS).

15%

Improvement Activities

New category

25%

Advancing Care Information

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

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 2017

Performance Category

Maximum Points

% of overall MIPS Score (2017)

Quality

60-70 points depending on group size

60%

Advancing Care Information

100 points

25%

Improvement Activities

40 points

15%

Cost

Maximum of 10 points on each applicable cost measure

0%

Payment Adjustments

Depending on the track of the Quality Payment Program you choose and the data you submit by March 31, 2018 for your reporting period in 2017, your 2019 Medicare payments will be adjusted up, down, or not at all. The information provided below is only relevant for the 2019 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.

%

Don’t Participate

Not participating in the Quality Payment Program: If you don’t send in any 2017 data, then you receive a negative 4% payment adjustment.

0

Submit Something

Test: If you submit a minimum amount of 2017 data to Medicare (for example, one quality measure or one improvement activity), you can avoid a downward payment adjustment.

+ %

Submit a Partial Year

Partial: If you submit 90 days of 2017 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 2017 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)