Merit Based Incentive Payments System (MIPS)
The Merit Based Incentive Payments System (MIPS) integrates parts of the Medicare Electronic Health Record (EHR), the Value Modifier (VM or Value-Based Payment Modifier), and the Physician Quality Reporting System (PQRS) incentive programs into one.
2017 MIPS Performance
- Quality 60%
- Advancing Care Information 25%
- Improvement Activities 15%
How will this Quality Payment Program Affect My Medicare Payments?
Your Medicare payment adjustments will depend both on how much data you submit and your quality results.
Methodology for Calculating Overall Performance in 2017
The table below shows the evaluation criteria for each performance category and describes the maximum points and that category’s percentage of the overall MIPS Composite Score for the 2017 Performance Year.
| Performance Category | Maximum Points | % of overall MIPS Score (2017) |
|---|---|---|
| Quality | 60-70 points depending on group size | 60% |
| Advancing Care Information | 100 points | 25% |
| Improvement Activities | 40 points | 15% |
| Cost | Maximum of 10 points on each applicable cost measure | 0% |
Pick Your Pace in MIPS
If you choose the MIPS path of the Quality Payment Program, you have three options.
- Not participating in the Quality Payment Program:
If you don’t send in any 2017 data, then you receive a negative 4% payment adjustment. - Test:
If you submit a minimum amount of 2017 data to Medicare (for example, one quality measure or one improvement activity at any point in 2017), you can avoid a downward payment adjustment. - Partial:
If you submit 90 days of 2017 data to Medicare, you may earn a neutral or positive payment adjustment and may even earn the max adjustment. - Full:
If you submit a full year of 2017 data to Medicare, you may earn a positive payment adjustment.
To Learn How We Can Help You More in Participating with the Quality Payment Program (QPP), You Can Reach Us Today Through the Form Below:
