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  • Jesse Arnoldson

MIPS: A Few Reminders for 2018


Believe it or not, our first reporting year of MIPS has already come to a close. Equally uncanny are the amount of changes happening to the program has we jump into 2018. Listed here are a few key things to keep in mind as we face a tougher yet still watered down version of the Merit-based Incentive Payment System.

  • Eligible clinicians will need to accumulate 15 points, instead of 3, to avoid a penalty all together in 2018

  • Groups will still report 90 days of data for both the ACI and Improvement Activities components, however, will need to report a full 12 months for the Quality section.

  • Data completeness for each Quality measure is now raised to 60% of all applicable patient encounters.

  • CMS is giving us a break when it comes to using an EHR that is certified t 2015 Edition CERHT by allowing 2014 Edition CERHT again like they did in 2017.

  • The Cost component is now in play taking into account two measurements; Total Cost of Care for Attributed Beneficiaries and Medicare Spending per Beneficiary. This will make up 10% of the total MIPS score (bringing Quality down to 50%) and is reported behind the scenes by CMS who will put together the data. Performance is compared to 2018 benchmark data which means we will not truly know our success or failure until it is all said and done.

With the adjustment rate ticking upwards to +-5%, it’s as important as ever that we update our practices’ MIPS strategies to include this new information. For a more in depth analysis, I’d recommend MGMA’s Member-Exclusive Analysis of MIPS, APMs and the new Physician Fee Schedule. For any help in adjusting or putting together your 2018 MIPS strategy feel free to reach out to me at Jesse@MedMan.com.