MIPS (Merit-based Incentive Payment System) is a component of the healthcare payment method that directly influences your financial returns based on the quality, cost, and efficiency of patient care you provide. Understanding and accurately reporting in the MIPS framework is a regulatory requirement and a strategic move for better healthcare delivery. The importance of accurate MIPS reporting demands precision and…
With the 2024 deadline for the retirement of Web Interface (aka GPRO) approaching, one of the most frequently asked questions is “what exactly does CMS mean when they say ‘data completeness’, especially with regard to the quality category under the new APP program?” To understand the term “data completeness”, we first need to understand APP reporting requirements for ACOs. APP…
In the new year, it’s easy to feel overwhelmed with all the new standards and expectations for your practice. That’s why we’ve broken down the nitty-gritty basics you’ll need to thrive in this new year — both for your patients, and your practice. First, let’s get our vernacular handled so we’re on the same page. “Must Report” versus “Can Report”…
The MIPS Value Pathways (MVP) Program Originally presented as part of the 2020 Final Rule, the MIPS Value Pathways (MVP) program continues to receive significant attention as it evolves. MVPs will be officially launched in 2023 and require providers to report on a smaller set of measures. Theoretically, by limiting the volume of measures, CMS will be able to effect…
The 2022 Quality Payment Program Final Rule CMS released the 2022 Quality Payment Program (QPP) Final Rule. We will walk you through the details below, but you can also find additional resources on the 2022 Quality Payment Program website which provide useful visuals describing changes to the program compared to prior years. Summary In short, there were no surprises with…
MIPS Data Completeness Requirements With the 2022 MIPS reporting year approaching, a question frequently asked is “what exactly does CMS mean when they say data completeness, especially with regard to the quality category?” To understand data completeness we first need to understand MIPS reporting requirements. MIPS reporting requires data on 6 quality measures for the full performance year. This includes…