With New Year comes the fourth year for MIPS data submission. We have almost a year for its reporting deadline. However, the sooner we start strategizing for it, the better MIPS incentives we can target.
MIPS Contributes in the Healthcare Industry in Terms of:
- Promoting Interoperability (PI)
- Improvement Activities (IA)
Based on the MIPS submitted data to CMS, the authority evaluates your performance and rewards points upon which you receive incentives and bonuses.
MIPS 2021 Performance Category Score
Whether individual clinicians, groups, or virtual groups, eligible clinicians must report data in three categories except for Cost. The total points you receive will decide if you have surpassed the performance threshold or not.
Here is a step-by-step MIPS 2021 reporting guide to how to succeed in the data submission process.
Step 1: Determine If You Qualify for MIPS Data Submission
During this stage, determine if you’re eligible for MIPS 2021 data submission. Now is the high time to get started on this process.
CMS determines your eligibility status based on the NPI (National Provider Identifier) by:
- Clinician Type
- The volume of healthcare services to Medicare patients
- Medicare enrollment date
Step 2: Identify What Data will You Require?
For Individual Clinicians: Collect data for an individual clinician.
For Group Participation: Collect data for all clinicians in the group.
For Virtual Group Participation: Collect data for all clinicians in the virtual group.
Step 3: Determine the Reporting Method
CMS offers three options for MIPS eligible participants:
- Individual Clinicians
- Group Participation
- Virtual Group Participation
Step 4: Select MIPS Quality Measures & Perform Activities
Quality: Clinicians must select 6 measures collected over the 12-month performance period
Promoting Interoperability: Clinicians must collect data using CEHRT for the selected measures in continuous 90 days
Improvement Activities: Clinicians must select between 2 and 4 activities, performing for continuous 90 days
Cost: No need to submit data in this category
Step 5: Verify Your Eligibility
Your MIPS Qualified Registry can verify your participation status via the QPP participation tool to verify if you’re still eligible for the program.
Step 6: Go for MIPS Data Submission
This step will be implemented in early 2022. The third-party intermediaries as Qualified Registries will help cater to the administrative load, and you can timely submit data as per the CMS requirements.
Step 7: Feedback Time
Once you are done with MIPS 2021 data submission, you can review your preliminary feedback. By July 2022, you can also review your payment adjustments.
Step 8: Preview Your MIPS Data
By the end of the year 2022 or early 2023, your submitted MIPS 2021 data will be available for public review. You can preview your information.
Step 9: Review the Implications of Your Payment Adjustments
Here you can review your claims to check your payment adjustments, MIPS incentives, and bonuses.