The Quality Payment Program (QPP) is a healthcare payment program to improve the quality of care from a volume to a value-based model. It promotes a culture where patients are prioritized and ensures their safety with technological innovation under a program named Merit-based Incentive Payment System (MIPS).
MIPS is based on a pay-for-performance pattern where medicare providers are compensated for their services. The better services you provide, the better you will be rewarded. It also depends on whether clinicians are eligible for MIPS or not.
Incentives, Reputation, – You Can Get Everything with Quality Reporting
MIPS reporting services program helps you to boost morale and get incentives for the best services provided to the patients.
Hands for Care Also Need a Helping Hand – CareMedix Will Be Your MIPS Partner
We are a trusted MIPS Qualified Registry known for delivering outcomes as per CMS requirements.
Experienced MIPS Consultant Services
We have years of experience in providing data-driven and the most reliable incentive payment solutions that will benefit your revenue cycle.
Streamlined and Accurate Workflow
We use a structured approach to collect data for the MIPS quality measure submission.
Proactive Approach For Timely Reporting
We analyze and report measures to make them fall into the consideration of CMS.
Dedicated and Reliable Client Support
We take care of every step in a way to make it flawless to get reporting done perfectly.
––– QPP Addresses Two Payment Methods
MIPS (Merit-Based Incentive Payment System)
MIPS is designed by streamlining already existing Medicare reporting programs like:
Medicare EHR Incentive Program (MU)
Physician Quality Reporting Program (PQRS)
Value-Based Payment Modifier (VM)
Over the years, CMS has progressed with the establishment of some eligibility and performance parameters necessary to enhance the standards of quality care and reward satisfaction.
APM (Advanced Alternative Payment Model)
APM is an alternative strategy for clinicians to register their medical practices and receive incentives for respective their performances. The parameters for measuring the performance are high-quality and cost-efficient services. It further depends on the following aspects:
Special Clinical Conditions
Care Episodes or Population
The clinicians participating in APM are also conditioned to MIPS reporting services. It includes demonstration programs such as Accountable Care Organizations (ACO), Bundled Payments Models, Medicare Shared Savings Program (MSSP), and Patient-Centered Medical Homes (PCMH).
Eligibility Criteria for MIPS Reporting Participation
For MIPS quality measures submission, the eligibility criteria are:
• You must have a bill of more than $90,000 per year for covered professional services under PFS.
• You must have provided medicare services to more than 200 Part B patients
• You must be offering Medicare services to more than 200 beneficiaries
• Qualifying APM participants
• Healthcare providers in their first enrollment year with Medicare Part B
• Healthcare providers with a minimum volume threshold of patients or payments.
Who Is Exempted From MIPS Participation?
The following clinician types are exempted from MIPS reporting.
Who Can Attest as the “Eligible Clinician”
The following clinicians are “Eligible” for MIPS reporting services.
01 Eligible clinicians participate as an individual or in a group
02
NPI/TIN is used for registration
03
Whatever submission method is chosen by you: clinicians receive their respective score
04
A score out of 100 points is given on their performance.
05
The final score decides the disposal of incentives
There’s Always a Way to Improve Your MIPS Score
Consult Caremedix: Your Partner to MIPS Reporting & Consulting Services
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You can also reach us directly for personalized assistance and prompt support with all your practice needs.
CareMedix is ready to take the challenges of your medical practice. Be it faulty medical billing, poor clinical quality reporting, or complex cash flow, our expert team analyzes your system to come up with a perfect solution.