EQUIP for MIPS

Participation in the Carolina eHealth Network health information exchange can help you EQUIP for MIPS in a number of ways.

Promoting Interoperability

► Learn more

Improvement Activities

► Learn more
Learn how Carolina eHealth Network can help you.

Carolina eHealth Network Director Russell Calicutt will be able to provide information and work with you.

Contact info:

864.216.2347
rcalicutt@scmedical.org

Are you ready for MIPS?

What?

There are four performance categories that make up your final MIPS score. Your 2019 final score determines your payment adjustment for 2021. These categories are: Quality, Promoting Interoperability, Improvement Activities, and Cost.

Why?

MIPS was designed to tie payments to quality and cost efficient care, drive improvement in care processes and health outcomes, increase the use of healthcare information, and reduce the cost of care.

When?

The MIPS Performance Year begins on January 1 and ends on December 31 each year. Program participants must report data collected during one calendar year by March 31 of the following calendar year. For example, program participants who collected data in 2018 must report their data by March 31, 2019 to be eligible for a payment increase and to avoid a payment reduction in 2020.

CONSIDER THIS

Based upon the Merit-based Incentive Payment System (MIPS), there is revenue to be gained or revenue at risk based upon how you perform. If, for example, you receive $200,000 in Medicare Reimbursement annually, the financial impact according to the MIPS schedule is as follows the first year:

Are you required to submit data to the Quality Payment Program also known as MIPS?
  • To find out if you are eligible, go to https://qpp.cms.gov/participation-lookup and type in your NPI number.
  • This tool will display MIPS eligibility based on a TIN and NPI combo. For physicians who work at multiple facilities with different TIN’s, it’s possible that those physicians could be required to submit MIPS data from multiple locations.
Why it’s important to learn about your MIPS eligibility
  • Your 2018 MIPS performance determines your 2020 Medicare payment adjustment of up to +/-5%
  • Your MIPS performance will be made publicly available via physician compare
What to do if you find out that you are eligible for the Quality Payment Program/MIPS
  • To avoid a -5% Medicare payment adjustment in 2020, you will need to submit your 2018 MIPS data to CMS by March 31, 2019 and receive a MIPS score of at least 15.
Download/Print the 2019 MIPS PDF