Merit-Based Incentive Payment System (MIPS) & QPP
Everything You Need to Secure Your Earnings
To maximize incentive payments and avoid losing money, your practice needs an EHR software with a QPP management solution and a dedicated team of attestation experts to help you out. The good news is, Meditab has both! Improve your MIPS score with us.
Powerful MIPS Tools, Unparalleled QPP Support
Meditab’s Intelligent Medical Software (IMS) is prepared to handle the new MACRA/MIPS framework, so you can seamlessly and successfully transition towards value-based care.
Unlike other EHRs, IMS supports all MIPS measures, so there’s no limit to the goals you can set for your practice. With features designed specifically for the Quality Payment Program (QPP), IMS is a perfect partner to achieving better clinical outcomes and having healthier patients.
QPP: Payment Management Software
MIPS Dashboard
With a straightforward and intuitive dashboard, tracking your performance in the Quality, Promoting Interoperability (PI), and Improvement Activities (IA) categories of MIPS is absolutely hassle-free.
MIPS Measures Setup
With IMS, you can specify which measures you want to meet for each MIPS category.
Our Team of MIPS & QPP Experts Has Your Back
Let Us Improve Your MIPS Score
IMS offers more than just a progress tracker and an incentive calculator. In addition to our powerful QPP-specific tools, a dedicated QPP specialist will also be assigned to assist you all throughout the reporting period. We’ve got you covered from start to finish, and here’s how our QPP team does it:
Notification
We’ll let you know once you are eligible to participate in QPPs such as MIPS.
IMS setup and customization
With our team’s expertise in IMS implementation, we will set up, map, and customize the software to automate your compliance process.
Support during auditing
Should CMS decide to audit your practice, our team offers full support in providing the necessary documents to validate your report.
Assistance with validation and submission
Our job doesn’t stop when you get high scores. We will take care of running your practice data by CMS for validation. Once validated, we will even submit it through the CMS portal on your behalf.
Training and feedback
Not only will we train you and your staff on how to use IMS, we will also run regular checks to see how you are doing. We will go over your progress and provide tips on how you can get a higher MIPS score.
Assistance in determining which measures to meet
We help you choose which MIPS measures best fit your practice based on your clinic workflow, so you can reach your goals without any disruptions to your day-to-day.
Ready to know more about how Meditab can help turn QPP
into an opportunity for your success?
Your Guide to MIPS 2023
30% Quality
25% Promoting Interoperability
15% Clinical Practice Improvement Activities
30% Cost
MIPS 2023
MIPS Eligible Clinicians (ECs) must participate and submit their data to avoid a 9% payment penalty. Eligible clinicians, groups, and virtual groups that encountered extreme and uncontrollable circumstances may apply for an exception, including those still reeling from the impact of the pandemic.
The
Extreme and Uncontrollable Circumstances (EUC) Exception reweights your MIPS performance categories to as low as 0%.
Our team of attestation experts can help you apply for the EUC exception without the hassle. Learn more about the MIPS 2023 exceptions
Click Here.
Quality Measures
The Quality performance category accounts for 30% of your final MIPS score for the 2023 performance year. Eligible clinicians must select six individual measures, one of which must be an outcome or a high-priority measure. You may also choose to submit data for a specialty measure set that best fits your practice.
- If fewer than six measures apply, then you have to report on each applicable measure.
- Eligible clinicians from small practices (15 or fewer ECs) who submit data on at least one quality measure may qualify for the Small Practice bonus and earn six points.
- You can also receive up to 10 additional percentage points based on your improvement in the Quality performance category from the previous year.
The Centers for Medicare and Medicaid Services (CMS) continues to require a 70% data completeness threshold. Measures that fail to meet the data completeness criteria earn one point, while small practices will continue to receive three points.
For the 2023 performance year, you must earn 85 points or higher to qualify for the Exceptional Performance Bonus and receive an additional sliding scale positive payment adjustment of up to 10%.
You can review the available Quality measures
by clicking here.
Promoting Interoperability (PI) Measures
To participate in the PI performance category, CMS now requires ECs to use EHR software that meets the ONCHIT certification criteria. You must submit data for the required measures in each of these four PI objectives for the same 90 continuous days (or more):
You can review the PI measures here.
Aside from submitting data for applicable measures, you are also required to provide your EHR’s CMS identification code from the Certified Health IT Product List (CHPL) and submit a “yes” to:
- The Actions to Limit or Restrict Compatibility or Interoperability of CEHRT (previously named the Prevention of Information Blocking Attestation)
- The Office of the National Coordinator for Health Information Technology (ONC) Direct Review Attestation
- The Security Risk Analysis Measure
- The Safety Assurance Factors for EHR Resilience (SAFER) Guides Measure (a “no” will also satisfy this measure)
CMS has also exempted several clinician types from reporting PI data, including those with special status designations that result in automatic reweighting.
- Clinician type: clinical social workers, physical therapists, occupational therapists, qualified speech-language pathologists, qualified audiologists, clinical psychologists, and registered dieticians or nutrition professionals
- Special status: ambulatory surgical center (ASC)-based, hospital-based, non-patient facing, and small practice
Meanwhile, nurse practitioners, physician assistants, certified registered nurse anesthetists, and clinical nurse specialists are now required to report PI data.
You may apply for a MIPS Promoting Interoperability Performance Category Hardship Exception to reweight your PI measures to 0%. Learn more about the PI exception
by clicking here.
Improve Activities (IA) Measures
These are the three ways you can satisfy the AI category for your 2023 MIPS reporting:
- Attest to completing up to 4 medium-weighted activities
- Attest to completing 2 high-weighted activities
- Attest to 1 high-weighted and 2 medium-weighted activities, all for a minimum of 90 continuous days.
High-weighted activities receive 20 points, while medium-weighted activities receive 10. Meanwhile, clinicians with special statuses may receive double points for each high-weighted or medium-weighted activity submitted, which includes small practices, HPSA providers, non-patient facing, and rural.
Practices that are certified patient-centered medical homes (PCMH) may earn the maximum Improvement Activity performance category.
For group reporting, 50% of the clinicians in the group need to attest in performing the same activity during the 90-day period.
Cost Performance Category
CMS has introduced a 1% improvement score that qualified participants can earn if they’ve improved their Cost performance category score from last year. The Cost MIPS performance category accounts for 30% of the total CPS for the 2023 performance year.
Cost Measure Case Minimums
- Case minimum of 20 for Total per Capita Cost measure and 35 for MSPB
- Case minimum of 20 for acute inpatient medical condition episodes
- Case minimum of 10 for procedural episodes
Merit-Based Incentive Payment System (MIPS)
Quality Measures
12 months performance period
Promoting Interoperability Measures
90 Days performance period
Improvement Activities
90 Days performance period
Cost Performance Category
12 months performance period
The size of your payment will depend on how much data you submit and your performance results. For more information, please visit https://qpp.cms.gov/
Reporting Deadlines
- Report between January 1 and October 3, 2023, for your 90-day reporting.
- Report between January 1 and December 1, 2023, for your one calendar year reporting.
- Submission period is from January 1 to April 1, 2024.
- Performance data is due on or before April 1, 2024.
MIPS success made possible.
Select the MIPS package that works best for you.
Plus Package
All Categories
(365 Days)
- Assist clients in choosing Quality measures applicable to their practice (at least 6).
- Education/Training on how to achieve all categories.
- Attestation for IA.
- Attestation for PI.
- Data submission for Quality.
Standard Package Quality and IA
(365 days)
- Assist client in choosing Quality measures applicable to their practice (at least 6)
- Education/Training on how to report the chosen measures
- Data validation for Quality measures
- Attestation for IA
- Data submission for the Quality measures
Standard Package Quality and PI
(365 days)
- Assist client in choosing Quality measures applicable to their practice (at least 6)
- Education/Training on how to report chosen measures
- Attestation for PI
- Data submission for Quality
Standard Package PI and IA
(90 - 365 days)
- Assist client in setup of PI and IA measures applicable to their practice
- Education/Training on how to report the chosen measures
- Attestation for IA
- Attestation for PI
What Our Clients Have to Say
“To the QPP team, I really appreciate you helping me in getting the right measures. Thank you so much, you’ve been incredibly helpful and I do appreciate it.”
Dr. Aarti Kapur,
Aarti Kapur MD PA
“Working with the IMS team on MIPS has made the entire process so much easier. They take the stress out of a process that could otherwise be extremely stressful.”
Janice Gonzalez, Practice Administrator
Hollywood Ophthalmology Associates (HOA)
For clients, contact us
at 1-844-4-Meditab
or qpphelp@meditab.com
New to Meditab? Schedule a live demo now.
Meditab is an EMR software company and practice management system. We offer leading multispecialty EHR software solutions designed by providers to meet the unique needs of your practice.
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