Sustaining 2017’s MIPS Success Through 2019

The performance of physicians is measured in several ways, and now they are being rewarded for tangible benchmarks.

The Centers for Medicare and Medicaid Services (CMS) is required by law to implement a quality payment incentive program, referred to as the Quality Payment Program (QPP), which rewards practice value and outcomes. As such, the Merit-based Incentive Payment System (MIPS) was designed to tie payments to quality and cost-efficient care, drive improvement in care processes and health outcomes, increase the use of healthcare information and reduce the cost of care. Program participants must report data collected during the calendar year, beginning January 1st and ending December 31st, with data graded in several areas. Data collected in one year must be reported by March 31st of the following year to be eligible for a payment increase and avoid a payment reduction for the next year.

Success of MIPS in 2017

Recently, the CMS published the Quality Payment Program Reporting Experiencereport. Exceeding CMS’s goal of 90% physician participation, the results found that 95% of 1,057,824 eligible clinicians avoided a negative payment adjustment through the 2017 MIPS, with 93% earning a positive payment adjustment. This data is overwhelmingly promising considering 2017 was the first year CMS ran the QPP, making reporting in MIPS’ inaugural performance year an unequivocal successful.

MIPS Reporting, MIPS, 2019 MIPS, What Is Mips, MIPS Reporting 2019

Why You Need to Report

It is essential that physicians continue to participate and report through 2019, as well as each year going forward. Making MIPS reporting habitual will benefit eligible physicians because as the years go by, both the incentives and penalties related to the process will only increase. The highest payment adjustment applied to participants in the 2019 payment year is 1.88%, according to Revcycle Intelligence. Although reporting may become increasingly difficult going forward, it is crucial that as many eligible participants report through MIPS in order to receive a more substantial payment adjustment. Further, reporting above the recommended threshold will pay immense dividends, not only this year but well into the future. CMS stated that in 2017, most participants did, in fact, report more than the minimum—a very positive sign.

How MIPS Works

To better understand how MIPS scores are calculated, the CMS grades physicians on four core performance categories:

  • Quality: This is measured by the quality of care provided to patients by the physician. He or she picks the six measures of performance that best fit their specific practice.
  • Promoting Interoperability: This area assesses the amount of comprehensive and relevant information shared by one clinic with another, including test results and/or summaries.
  • Improvement Activities: This category measures enhancements made to the type of care provided, internal processes or other internal operations throughout a calendar year that keeps a practice current with and or surpasses industry standards and innovations. Much like the quality score, clinics can choose the appropriate activities to report.
  • Cost: The total cost of a typical clinic visit is gauged here and will be calculated based on Medicare claims registered at each specific practice.

Physicians that meaningfully participated in the program, began reporting early in the year and remained motivated in reporting throughout the entire calendar year experienced measurable success

MIPS Reporting, MIPS, 2019 MIPS, What Is Mips, MIPS Reporting 2019

ChartLogic, Invested in Physician Success

At ChartLogic, our mission is to positively impact patient care by delivering award-winning healthcare IT solutions to providers of every size and budget. We offer an ambulatory EHR suite with access to practice management and revenue cycle management services with a system built on understanding workflow and preferences intuitively, facilitating faster note taking and much more. For 25 years, we have been driven by the desire to improve patient care, office efficiency, and profitability for the physician practice. We stay current with technology and legislation that affect our client practices, helping to educate them while encouraging participation in programs that can affect their success. ChartLogic is the physician practice’s true health care partner and we can help your practice become MIPS ready. To learn more about ChartLogic’s vast suite of products and services, you can view our solutions here.

Follow us on social media for the latest updates in B2B!



Next generation of security solutions
The Future of Security: Discovering the Next Generation of Security Solutions at ISC West
April 23, 2024

The recently concluded International Security Conference & Exposition West 2024 (ISC West) proved to be an indispensable platform for discovering the next generation of security solutions, providing attendees with invaluable insights into the future of the industry. At a recent episode of MarketScale’s roundtable show Experts Talk, Cathal Walsh, Vice President and Chief Security […]

Read More
Cyber Resilience: To Protect Corporate Assets, Businesses Must Invest in Cybersecurity Training
April 23, 2024

As cyberattacks occur at increasing frequency, cybersecurity has become a cornerstone of corporate security strategies across all sectors. With businesses increasingly reliant on digital infrastructures, the quality of a company’s cybersecurity training is no longer just an operational requirement — it is a strategic asset. The stakes are high, as a breach can lead […]

Read More
Forming Relationships with Industry Insiders Can Quell Sales Cycles and their Length of Time
April 23, 2024

New companies are facing more and more challenges in the security industry as sales cycles are experiencing lengthier times. One of those reasons is due to the complexity of the security industry itself, along with the unique and special business models every new company will come in with. But there is a solution to […]

Read More
Cyber-first approach
From Bollards to Bytes: Why Security Firms Need to Adopt a Cyber-First Approach
April 23, 2024

How can the security industry effectively navigate the shift from traditional physical security measures to adopting a cyber-first approach in its sales and integration strategies? The transition from physical to digital security solutions was a major theme at the International Security Conference & Exposition West 2024 held earlier this month. On a recent episode of […]

Read More