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MIPS 2021 Finalized Rules - Core Points Explained
Due to the global pandemic and nationwide Public Health Emergency from COVID-19, CMS is highly focused on the Quality Payment Program 2021 (QPP). Consequently, the Merit-based Incentive Payment System (MIPS 2021) aims to keep things as simple as possible for eligible clinicians.
MACRA MIPS is one component while the Advanced APM is another. The government is further developing the MIPS Value Pathways framework (MVPs) to build on MIPS 2020. It aims to refine its key principles and share more details. It’s more like a fresh approach. While working with CMS, the stakeholders may look forward to a full introduction.
Reporting in the Advanced APM track for 2021 is simpler. As a Qualified Registry that has helped for over five years, we are all set to support physicians and clinicians and make MIPS reporting 2021 easier for them.
The submission processes are mostly the same for 2021. However, APM entities this year, will not be checked for low-volume thresholds. This identifies that a clinician in a MIPS APM must be eligible either individually or as a part of a group. In case you’re short on time, Prime Well Med Solutions understands the MIPS 2021 requirements. We are here to help you simplify these requirements smoothly.
Eligibility Criteria for MIPS Reporting 2021
01
Charge over $90,000 each year for covered medical services
02
Provide more than 200 covered services under the PFS
03
Treat more than 200 Medicare Part B patients
CMS Web Interface
Qualified Registry
Qualified Clinical Data
Registry (QCDR)
Medicare Part B Claims
CAHPS for MIPS Reporting
5 Steps to Report MIPS Data in 2021
The MIPS reporting 2021 procedure is almost the same as it was in 2020. You can submit the MIPS data with the same process as in 2021. Follow these 5 steps to report MISP 2021 measured seamlessly.
5 Submission Methods for MIPS 2021
It’s important to mention the 5 types of MIPS data collection that you can use with the submission methods given above. A collection type is how data is gathered from different clinicians who participate.
01
Electronic Clinical Quality Measures (eCQMs)
03
Qualified Clinical Data Registry (QCDR) Measures
04
Medicare Part B Claims
05
The CAHPS for MIPS Survey
Exclusive MIPS 2021 Bonuses for Physical Therapists
MIPS reporting 2021 introduces a new compliance score for physical therapy that is beneficial for clinicians at all levels. Physical Therapists, Occupational Therapists, and Speech-Language Pathologists should make sure they meet the MIPS Healthcare requirements to stay on track.
There are sometimes changes and updates to the program, therefore, it is important to keep checking the MIPS 2021 requirements. Prime Well Med Solutions helps you keep track of the MIPS Quality Measures.
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Understanding Healthcare Compliance for 2021
MIPS 2021
The performance requirement goes up from 45 to 60 points as set in the 2020 Quality Payment Program (QPP) Final Rule.
- The Quality category is now worth 40% (a 5% decrease).
- The Cost category is now worth 20% (a 5% increase).
- The Promoting Interoperability (PI) category stays the same at 25%.
- The Improvement Activities (IA) category also remains the same at 15%.
Advanced APM 2021
As part of the QPP 2021, the Advanced APM track moves us further into the program. Here’s what to know about it:
- The performance requirement increases to 60 points.
- The Quality category makes up 50% of the total MIPS score.
- The Cost category is 0% of the total score.
- The Promoting Interoperability category is 30% of the total score.
- The Improvement Activities category is 20% of the total score.
STAY AHEAD WITH MIPS 2021 QUALITY PAYMENT PROGRAM!
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