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MIPS data submission, MIPS incentives, MIPS 2021 reporting, MIPS Quality Measures, MIPS Qualified registry

Get Started with QPP MIPS 2021 in 9 Easy Steps

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:

  • Quality
  • Promoting Interoperability (PI)
  • Improvement Activities (IA)
  • Cost

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.


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One comment

  1. The well-written content about MIPS 2021

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