MIPS 2019 is here. It may seem too soon, as some clinicians are still finishing their reporting for the MIPS 2018 performance year. However, the time has come. The Quality performance category requires clinicians to report a full year’s worth of data. So, the sooner providers start, the better.
To help you get going quickly, we’ve summarized the biggest changes to the MIPS 2019 Final Rule, as compared to 2018.
As this is the third year of MIPS, the requirements have increased, along with the potential penalties. The CMS is raising the stakes, so to speak. However, clinicians can still avoid negative payment adjustments without too heavy a burden. While the demands have technically doubled for 2019, providers still only need to score 30 out of 100 possible points to escape penalty. That’s certainly doable.
Note: If this is your first year participating in the MIPS program, you’ll find tons of other helpful content on our website that will help get you up to speed.
Check out our: Value-Based Care Page || MIPS Page || MIPS 2018 Overview || MIPS 2018 Participation Guide
*red text = item is new or adjusted for 2019
Providers must meet those minimums for two consecutive one year periods:
• October 2017 – September 2017, and
• October 2018 – September 2019
Providers must meet those minimums for two consecutive one year periods:
• September 2016 – August 2017, and
• September 2017 – August 2018
Bonuses: Small practices (of 15 or less clinicians) earn 6 bonus points IN THE QUALITY CATEGORY if they submit data for at least one Quality Measure.
Penalties: Providers need a final MIPS score of 30 to avoid a negative payment adjustment.
Bonuses: Small practices (of 15 or less clinicians) earn 5 bonus points if they submit data for at least one performance category.
Penalties: Providers need a final MIPS score of 15 to avoid a negative payment adjustment.
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