How are you going to report your MIPS performance data to Medicare?

By Moshe Starkman, nThrive Senior Value-Based Reimbursement Consultant | Posted: 07/17/2017

Under MACRA’s* Quality Payment program, MIPS**-eligible clinicians can submit their 2017 MIPS data beginning January 1, 2018 through March 31, 2018. This means there’s no time to waste – the earlier you prepare, the better. The last thing you want is to discover critical impediments to data submission in the short few weeks leading up to the MIPS reporting deadline. Preparing for MACRA’s Quality Payment program isn’t a simple task.

MIPS eligible clinicians across the country must decide which MIPS data submission method best suits their practice or group. Indeed, there are a lot of factors that must be considered ahead of time to ensure a successful submission. One of the most important being, who will be responsible for submitting your data to Medicare? That may seem like a simple question to answer, but in our July MACRA educational webinar we illustrate why it may be more complicated than it seems.

Under MIPS, eligible clinicians will submit data for three of the four performance categories: Quality, Improvement Activities and Advancing Care Information. Only the Cost category does not require a separate data submission as the Centers for Medicare and Medicaid Services (CMS) will source and calculate performance from the administrative claims data, which they’ve already submitted for payment reimbursement.

For the three data submission performance categories mentioned above, clinicians can choose from multiple methods for submitting data.

The MIPS submission methods include:

    • Administrative claims
    • Electronic Health Record (EHR)
    • Qualified Clinical Data Registries (QCDR)
    • Qualified Registry (such as nThrive's MIPS Data Submission Registry)
    • Attestation
    • CAHPS for MIPS Reporting Survey Vendor
    • CMS Web Interface

However, there are certain restrictions to these submission methods that are important to understand. One of these restrictions requires that you use one submission method for a single performance category.

It is important to consider many possible MIPS reporting scenarios to ensure you are choosing the best reporting method. All have benefits and limitations depending on your organization. Carefully consider your practice or group logistics when submitting data. Making the right submission-method decision for MIPS could be the difference between receiving a negative or positive payment adjustment from Medicare.

Establishing a MIPS reporting method can be a difficult process as it requires preparation, resource implementation and forward thinking to incorporate the future plans of your organization. Let us help you think through these intricacies in our MACRA educational webinar. nThrive Senior Consultant Moshe Starkman discusses what you need to know when choosing the best MIPS data submission method for your practice or group.

Take the time to get educated and plan practical steps to move forward with confidence.

*Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

**Merit-based Incentive Payment System (MIPS)