MIPS Overview: Eligible Clinicians and groups will report under four performance categories:
Points will be determined for each category and summated, resulting in and a Composite Performance Score (CPS) for each provider or group. The CPS will range from 0-100 points, and ECs that are above a certain "average" performance level will receive and upward payment adjustment on Medicare reimbursement in 2019. Those that are below the median CPS will receive a negative adjustment. The CPS for each individual or group will be published on a public Medicare website.
To learn more about APMs and how to prepare, please visit our APMs dedicated information pages and resources.
This website serves as a resource for information on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) including the Merit-based Payment Incentive System (MIPS) and the advanced Ambulatory Payment Models (APMs). The MACRA legislation received strong bipartisan support in congress, and eliminated the sustainable growth rate adjustment. However, it gave rise to what Medicare is now referring to as the Quality Payment Program (QPP).
The two major components of the QPP are the MIPS and advanced APM programs. Both go into effect on January 1, 2017. The Final Rule that addresses the QPP was published on October 14, 2016. CMS has provided four pathways for engaging with MACRA in 2017, which they are referring to as a "transitional" year. All Medicare eligible clinicians (ECs) will initially be in the MIPS program, although a subset of ECs many qualify for an advanced APM. For this reason a detailed understanding of the MIPS program is recommended for all ECs.
This website contains information, documents and links to government and private sector knowledge resources. It also includes recommendations for how to prepare and then perform well under MIPS and APMs.
To learn more about MIPS and how to prepare, please visit our MIPS dedicated information pages and resources.
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