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The Basic Things to Know About MIPS

The Basic Things to Know About MIPS

MIPS or Merit-based Incentive Payment System enables clinicians to earn payment adjustments based on their performance, primarily on the quality of services and care that they render to their patients. This means that the better you perform your Medical Practices in Wisconsin, the higher the incentives you can earn.

Evaluation of Clinician’s Performance for MIPS

The CMS or Centers of Medicare and Medicaid Services will be the one to evaluate your performance. You will have to submit to the CMS various activity data that you will collect under 4 performance categories. These include:

  • Improvement Activities
  • Quality
  • Promotion of Interoperability via Certified EHR technology
  • Cost

Cost, although considered as the 4th performance category, is calculated based on the claims submitted. As such, it is not necessary for you to submit a separate cost information. A specialist of Medical consulting in Mequon, Wisconsin can help you understand the categories better.

Clinicians included in the 2019 Performance Period

The performance of certain clinicians from January to December 2019 will be evaluated and payment adjustments will be made by 2021. These clinicians are:

  • Physicians
  • Physician assistants
  • Clinical nurse specialists
  • Nurse practitioners
  • Certified registered nurse anesthetists
  • Registered dietitians and nutrition professionals
  • Clinical psychologists
  • Physical and occupational therapists and also speech-language pathologists
  • Qualified audiologists

Participation in the MIPS

If you are a clinician included in the above list, it is a requirement for you to participate in the MIPS provided that you meet all of the following:

  • You have exceeded the low volume threshold
  • You have enrolled in Medicare before January 1, 2019
  • You do not become a Qualifying APM Participant (QP) or Partial QP

If you wish to know more about MIPS, talk to Acuity Revenue Consulting. We have knowledgeable consultants who will help you navigate through this performance-based system. We also offer other consulting services for your facilities. Call now!

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