A comprehensive guide for maximizing MIPS reporting

Is your practice ready to tackle the upcoming MIPS reporting deadline head-on?

It's crucial to stay proactive and ensure compliance to optimize your MIPS performance. A key piece of information to be aware of is that the deadline has been shifted to 8 p.m. on April 1, 2024, a change from the previous March 31 deadline. 

To equip you with the necessary insights and strategies to navigate this intricate landscape successfully, let's take a closer look at the important reporting sections that constitute traditional MIPS. By gaining a comprehensive understanding of these components, your practice can better prepare to meet the reporting challenges and maximize your performance under the MIPS framework. 

1. Quality (30% of Final Score): The Quality category demands detailed reporting of data spanning from January 1, 2023, to December 31, 2023, across six measures. You should focus on including measures that truly reflect the quality of care you provide. Consider including at least one outcome or high-priority measure to make a significant impact. It's also important to ensure you're covering a substantial portion of your eligible patients—70% to be exact. To check on your progress and to ensure you're doing well, your scores are compared to benchmarks on the CMS QPP website. To make things easier, you can upload your data through the QPP portal using a QRDA III file.  
   
    
2. Promoting Interoperability (25% of Final Score): This section is primarily focused on ensuring your systems can properly communicate with each other. It requires you to capture data for at least 90 continuous days, showing that you're using technology effectively to improve patient care. That means reporting "yes" to certain measures or ensuring at least one patient meets performance standards. And keep in mind—you'll need an Electronic Health Record (EHR) that meets specific certification criteria, such as Intergy or Prime Suite, Greenway Health’s two EHR solutions. Be sure to check the Certified Health IT Product List (CHPL) website for the right CMS identification code. 
   
    
3. Improvement Activities (15% of Final Score): This section presents an opportunity for you to show that you're always striving to improve. Active engagement in improvement activities for a minimum of 90 consecutive days in calendar year 2023 is essential for this category. Full credit can be achieved by submitting one of several combinations, including two high-weighted activities, one high-weighted activity combined with two medium-weighted activities, or simply four medium-weighted activities. 
   
    
4. Cost (30% of Final Score): Unlike other sections, no data submission is required to be submitted for this domain. Instead, your performance is based on Medicare claims data. This goes to show how crucial it is to ensure your data is accurate and comprehensive throughout the reporting period. After all, your cost performance can have a significant impact on your final score. 

As the deadline looms closer, staying proactive is key. Keep an eye out for any updates or changes to MIPS requirements and adjust your strategies accordingly. Set reminders to check the official CMS QPP website regularly for the latest information. 

By taking a proactive approach and understanding the ins and outs of MIPS reporting, you can ensure compliance and ultimately improve patient care. So, gear up, stay informed, and get ready to make the most of the MIPS reporting deadline in 2024.