Merit-Based Incentive Payment System (MIPS)

MIPS/MACRA Education and Implementation Guide

The Merit-Based Incentive Payment System

The Merit-Based Incentive Payment System (MIPS) is one of two tracks in the Quality Payment Program, a new program under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The Quality Payment Program aims to simplify quality reporting and change the way clinicians receive Medicare payments.

Effective January 1, 2017, MIPS streamlined previous activities into one:

Quality

Previously Physician Quality Reporting System (PQRS)

Promoting Interoperability

Previously EHR Incentive Program (Meaningful Use)

Cost

Previously Value-Based Payment Modifier (Started in 2018)

Improvement Activities

This category which promotes engagement in clinical activities (Started in 2017)

Step-by-Step MIPS Action Plan

1. Register

Register with NJII-HCIS to begin the 2019 reporting process by receiving login credentials to the NJII-HCIS MIPS Dashboard. CLICK HERE TO REGISTER

2. Select Your Reporting Option

For each clinician, select your reporting option. Reporting requirements will vary for individual versus group reporting. For guidance in selecting measures for the different categories, visit ‘Measures by Specialty.’

3. Determine Your Goal

For the 2019 Performance Year determine which categories you would want to participate in and how that will affect your overall MIPS Final Score.

4. Collect Data

Once measures are selected, collect the required data from the practice’s medical records. NJII-HCIS can assist with data extraction, as a part of consulting services.

5. Enter Your Data

Enter your data onto the NJII-HCIS MIPS portal. Track your progress in our dashboard, which updates your performance projection as data is periodically added.

6. Submit Your Data

Confirm your data and submit onto the portal. A MIPS advisor will validate the submitted data before it is sent to CMS.

Recommended Measures By Specialty

ALLERGY & IMMUNOLOGY

ANESTHESIOLOGY

CARDIOLOGY

CARDIOTHORACIC SURGERY

CARDIOVASCULAR DISEASE

CERTIFIED NURSE MIDWIVES

COLON/RECTAL SURGERY

DERMATOLOGY

DIAGNOSTIC RADIOLOGY

DIETICIAN AND NUTRITION

ELECTRO-PHYSIOLOGY CARDIAC SPECIALIST

INTERVENTIONAL RADIOLOGY

MENTAL/BEHAVIORAL HEALTH

NEPHROLOGY

NEUROLOGY

NEUROSURGERY

OBSTETRICS/ GYNECOLOGY

ONCOLOGY

OPTHOLMOLOGY/ OPTOMETRY

PHYSICAL OCCUPATIONAL THERAPY

URGENT CARE/EMERGENCY MEDICINE

UROLOGY

VASCULAR SURGERY

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