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MIPS 2020 Quality Payment Program

MIPS 2020 is now open for clinicians as part of MACRA’s Quality Payment Program (QPP). This year brings new opportunities for rewards, performance, and outcomes that will be going to benefit the clinicians and us as their business associates.

The information on this page is based on CMS. It aligns with the MIPS 2020 final rules and policies, it serves as a helpful guide for clinicians to make informed decisions in the future.

CMS MIPS 2020​ - How to Submit Your Data?

Follow the 5 steps below to submit your data efficiently:

01

EHR

02

Registry/QCDR

03

Claims

04

CMS Web Interface

45%

Quality

15%

Cost

15%

Improvement Activities

25%

Promoting Interoperability

2020 Category Weight Allocation

The announced weights for each performance category are the same as last year:

Eligibility Criteria for MIPS Reporting 2020

01

Bill Medicare at least $90,000

02

Care for 200 or more Medicare patients

03

Provide at least 200 covered services to Medicare patients

MIPS Reporting 2020

MIPS 2020 reporting is not as simple as it seems. It requires skilled professionals like us to handle it correctly. Each category under MACRA-MIPS has specific measures. Over 200 MIPS Quality measures focus on your performance in clinical activities and patient outcomes.

Submitting these accurately can help you get a better MIPS healthcare final score. The Improvement Activities category looks at how well you engage with patients, coordinate care, and ensure patient safety. There are more than 200 activities to choose from. Therefore, pick the ones that fit your practice or specialty best to optimize your MIPS healthcare performance.

The third category, Promoting Interoperability (formerly Meaningful Use), evaluates how well clinicians use the 2015 Certified Electronic Health Record Technology (CEHRT) through various measures. We help clinicians choose, understand and submit these measures to earn positive payment adjustments.

Lastly, the Cost category examines the quality of claims related to the care you provide. It assesses how effectively you deliver necessary care while keeping costs low.

MIPS CQMs

We’re discussing MIPS CQMs (Clinical Quality Measures), which used to be registry measures. A MIPS Qualified Registry helps you meet your MIPS-MACRA goals. In the end, both the registry and the provider work together to determine the final MIPS score. 

The rewards for quality reporting in MIPS come in the form of incentives and bonuses.

Categories of Eligible Clinicians

Physicians

Chiropractors

Physician Assistants

Occupational Therapists

Cardiology

Physical Therapists

Clinical Psychologists

Qualified Audiologists

Neurology

Certified Nurse Midwives

Qualified Speech-Language Pathologists

Osteopathic
Practitioners

Certified Registered Nurse Anesthetists

Registered Dietitians or Nutrition Professionals

Clinical Nurse
Specialists

5 Steps to Report MIPS 2020 Data

Prime Well Med Solutions makes MIPS data submission easy from the start. We handle the data submission for you, allowing you to focus more on your patients without worrying about compliance.

Step 1

You will get a call from one of our health IT analysts to learn about your clinical workflow and what your practice needs.

Step 2

We will pick the right measures for each performance category and share the reporting activity with the practice manager.

Step 3

The cost category responds automatically because we handle it for you by managing episode-based measures and claims sent to CMS.

Step 4

Learning on your own and helping clients understand more by giving feedback based on TIN-level QRUR reports.

Step 5

If there are any updates about MIPS reporting for 2020, we will let you know about the new rules and CMS MIPS submission requirements.

Take the First Step to Success with MIPS 2020 and Streamline Your Reporting Today!

Join us in maximizing your rewards and improving your performance under MACRA’s Quality Payment Program.

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