get 5x smarter about mips in five minutes 01 · the mips composite score determines penalties,...

NOT ELIGIBLE NOT ELIGIBLE NOT ELIGIBLE AM I ELIGIBLE? 02 04 IS THE GLASS HALF EMPTY OR HALF FULL? HOW WILL I BE SCORED? 03 YOUR MIPS COMPOSITE SCORE BY THE NUMBERS 05 The Merit-based Incentive Payment System (MIPS) governs how clinicians will be reimbursed for Medicare Part B fee-for-service revenue moving forward. New in 2019, opt-in available for practices that meet at least one criterion. Clinicians submit patient care data under four categories: Cost Improvement Activities Promoting Interoperability 15% 15% 25% <30 points up to 7% 30 points no penalty 31-69 points some incentive payments 70-100 points up to 7% incentive payments + bonuses Do you bill more than $90K in Part B Medicare a year? 2 YES NO NOT ELIGIBLE NOT ELIGIBLE Let’s find out! Do you qualify for the Advanced Alternative Payment model track? YES NO 1 Do you provide care for more than 200 Medicare patients AND cover at least 200 professional services a year? 3 YES NO Do you have the experience of participating in Medicare before 2019? 5 YES NO WHAT’S MIPS? 01 Get 5x Smarter About MIPS in Five Minutes Promoting Interoperability (PI) Previously Advancing Care Information (ACI) or the EHR Incentive Program (Meaningful Use) Promotes patient engagement and electronic exchange of health information Improvement Activities (IA) Newly-established category Rewards clinicians for patient-centered activities that improve health outcomes Cost Previously Value-Based Payment Modifier Measures the resources used to care for patients and the Medicare payments per episode of care You qualify for MIPS! Quality 45% The MIPS composite score determines penalties, incentives and eligibility for bonuses. The score is calculated on a scale from 0 to 100, based on the data received. The four categories are weighted at different percentages. Your score is determined by your participation in the MIPS program categories. A registry partner can help you select the appropriate measures to capture the most data. PROMOTING INTEROPERABILITY Submit required base measures Submit 90 days of 2019 data Choose from performance measures to reach 100 points IMPROVEMENT ACTIVITIES Submit four IA measures to reach 40 points Some specified groups may report two IA measures Submit 90 days of 2019 data COST Medicare spending per beneficiary and total per capita cost measures will be calculated by CMS based on Medicare claims QUALITY Submit six Quality measures Submit one Outcome measure Submit 365 days of 2019 data A Clear Path to Quality Improvement: MIPS 2019 and Beyond DOWNLOAD THE E-BOOK Quality Previously Physician Quality Reporting System (PQRS) Evaluates clinicians on self-reported patient outcomes © 2019 Premier. All rights reserved. 4 YES NO • physical therapist • occupational therapist • speech language therapist • clinical social worker • clinical psychologist Do you have the job title of: • physician • physician assistant • nurse practitioner • clinical nurse specialist • certified registered nurse anesthetist

Upload: others

Post on 20-Mar-2020

3 views

Category:

Documents

0 download

Report

Download

Embed Size (px):

TRANSCRIPT

Page 1: Get 5x Smarter About MIPS in Five Minutes 01 · The MIPS composite score determines penalties, incentives and eligibility for bonuses. The score is calculated on a scale from 0 to

NOT ELIGIBLE

AM I ELIGIBLE?02

04IS THE GLASS HALF EMPTY OR HALF FULL?

HOW WILL I BE SCORED?03

YOUR MIPS COMPOSITE SCORE BY THE NUMBERS05

The Merit-based Incentive Payment System (MIPS) governs how clinicians will be reimbursed for Medicare Part B fee-for-service revenue moving forward.

New in 2019, opt-in available for practices that meet at least one criterion.

Clinicians submit patient care data under four categories:

CostImprovementActivities

Promoting Interoperability

15%15%

25%

<30 pointsup to 7%

30 pointsno penalty

31-69 pointssome incentive

payments

70-100 pointsup to 7% incentive

payments + bonuses

Do you bill more than $90K in Part B Medicare a year?

YESNO NOT ELIGIBLE

NOT ELIGIBLE

Let’s find out!

Do you qualify for the Advanced Alternative Payment model track?

YESNO

Do you provide care for more than 200 Medicare patients AND cover at least 200 professional services a year?

YESNO

Do you have the experience of participating in Medicare before 2019?

YESNO

WHAT’S MIPS? 01 Get 5x Smarter About MIPS in Five Minutes

Promoting Interoperability (PI)Previously Advancing Care Information (ACI) or the EHR Incentive Program (Meaningful Use) Promotes patient engagement and electronic exchange of health information

Improvement Activities (IA)Newly-established category Rewards clinicians for patient-centered activities that improve health outcomes

CostPreviously Value-Based Payment Modifier Measures the resources used to care for patients and the Medicare payments per episode of care

You qualify for MIPS!

Quality45%

The MIPS composite score determines penalties, incentives and eligibility for bonuses. The score is calculated on a scale from 0 to 100, based on the data received. The four categories are weighted at different percentages.

Your score is determined by your participation in the MIPS program categories. A registry partner can help you select the appropriate measures to capture the most data.

PROMOTING INTEROPERABILITYSubmit required base measuresSubmit 90 days of 2019 dataChoose from performance measures to reach 100 points

IMPROVEMENT ACTIVITIESSubmit four IA measures to reach 40 pointsSome specified groups may report two IA measuresSubmit 90 days of 2019 data

COSTMedicare spending per beneficiary and total per capita cost measures will be calculated by CMS based on Medicare claims

QUALITYSubmit six Quality measuresSubmit one Outcome measureSubmit 365 days of 2019 data

A Clear Path to Quality Improvement: MIPS 2019 and Beyond

DOWNLOAD THE E-BOOK

QualityPreviously Physician Quality Reporting System (PQRS)Evaluates clinicians on self-reported patient outcomes

YESNO

• physical therapist• occupational therapist• speech language therapist• clinical social worker• clinical psychologist

Do you have the job title of:

• physician• physician assistant• nurse practitioner• clinical nurse specialist• certified registered nurse anesthetist

Effective Teacher Retention Bonuses 2016... · Effective Teacher Retention Bonuses Springer, M.G., Swain, W.A., Rodriguez, L.A. (2016). Effective teacher retention bonuses: Evidence