quality payment program

Merit-Based Incentive Payment System (MIPS) & QPP

Everything You Need to Secure Your Earnings
To maximize incentive payments and avoid losing money, your practice needs an EHR software with a QPP management solution and a dedicated team of attestation experts to help you out. The good news is, Meditab has both! Improve your MIPS score with us.

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Powerful MIPS Tools, Unparalleled QPP Support


Meditab’s Intelligent Medical Software (IMS) is prepared to handle the new MACRA/MIPS framework, so you can seamlessly and successfully transition towards value-based care.


Unlike other EHRs, IMS supports all MIPS measures, so there’s no limit to the goals you can set for your practice. With features designed specifically for the Quality Payment Program (QPP), IMS is a perfect partner to achieving better clinical outcomes and having healthier patients.

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QPP: Payment Management Software

MIPS Dashboard

With a straightforward and intuitive dashboard, tracking your performance in the Quality, Promoting Interoperability (PI), and Improvement Activities (IA) categories of MIPS is absolutely hassle-free.

quality payment program

MIPS Reports

Easily generate MIPS reports, check your compliance status and current scores, and even see the performance of each provider in your clinic, all from one comprehensive screen.

mips
mips

MIPS Reports

Easily generate MIPS reports, check your compliance status and current scores, and even see the performance of each provider in your clinic, all from one comprehensive screen.

MIPS Measures Setup

With IMS, you can specify which measures you want to meet for each MIPS category.

mips score

Our Team of MIPS & QPP Experts Has Your Back
Let Us Improve Your MIPS Score


IMS offers more than just a progress tracker and an incentive calculator. In addition to our powerful QPP-specific tools, a dedicated QPP specialist will also be assigned to assist you all throughout the reporting period. We’ve got you covered from start to finish, and here’s how our QPP team does it:

Notification

We’ll let you know once you are eligible to participate in QPPs such as MIPS.

IMS setup and customization

With our team’s expertise in IMS implementation, we will set up, map, and customize the software to automate your compliance process.


Support during auditing

Should CMS decide to audit your practice, our team offers full support in providing the necessary documents to validate your report.

Assistance with validation and submission

Our job doesn’t stop when you get high scores. We will take care of running your practice data by CMS for validation. Once validated, we will even submit it through the CMS portal on your behalf.


Training and feedback

Not only will we train you and your staff on how to use IMS, we will also run regular checks to see how you are doing. We will go over your progress and provide tips on how you can get a higher MIPS score.


Assistance in determining which measures to meet

We help you choose which MIPS measures best fit your practice based on your clinic workflow, so you can reach your goals without any disruptions to your day-to-day.

Ready to know more about how Meditab can help turn QPP

into an opportunity for your success


Contact Us Today

Your Guide to MIPS 2023

quality payment program

30% Quality

quality payment program

25% Promoting Interoperability

15% Clinical Practice Improvement Activities

30% Cost

MIPS 2023


MIPS Eligible Clinicians (ECs) must participate and submit their data to avoid a 9% payment penalty. Eligible clinicians, groups, and virtual groups that encountered extreme and uncontrollable circumstances may apply for an exception, including those still reeling from the impact of the pandemic.


The
Extreme and Uncontrollable Circumstances (EUC) Exception reweights your MIPS performance categories to as low as 0%.


Our team of attestation experts can help you apply for the EUC exception without the hassle. Learn more about the MIPS 2023 exceptions
here.



Quality Measures


The Quality performance category accounts for 30% of your final MIPS score for the 2023 performance year. Eligible clinicians must select six individual measures, one of which must be an outcome or a high-priority measure. You may also choose to submit data for a specialty measure set that best fits your practice.

  • If fewer than six measures apply, then you have to report on each applicable measure.
  • Eligible clinicians from small practices (15 or fewer ECs) who submit data on at least one quality measure may qualify for the Small Practice bonus and earn six points.
  • You can also receive up to 10 additional percentage points based on your improvement in the Quality performance category from the previous year.


The Centers for Medicare and Medicaid Services (CMS) continues to require a 70% data completeness threshold. Measures that fail to meet the data completeness criteria earn one point, while small practices will continue to receive three points.


For the 2023 performance year, you must earn 85 points or higher to qualify for the Exceptional Performance Bonus and receive an additional sliding scale positive payment adjustment of up to 10%.


You can review the available Quality measures
here.


Promoting Interoperability (PI) Measures


To participate in the PI performance category, CMS now requires ECs to use EHR software that meets the 2015 Edition Cures Update certification criteria. You must submit data for the required measures in each of these four PI objectives for the same 90 continuous days (or more):



You can review the PI measures here.

Aside from submitting data for applicable measures, you are also required to provide your EHR’s CMS identification code from the Certified Health IT Product List (CHPL) and submit a “yes” to:

  • The Actions to Limit or Restrict Compatibility or Interoperability of CEHRT (previously named the Prevention of Information Blocking Attestation)
  • The Office of the National Coordinator for Health Information Technology (ONC) Direct Review Attestation
  • The Security Risk Analysis Measure
  • The Safety Assurance Factors for EHR Resilience (SAFER) Guides Measure (a “no” will also satisfy this measure)


CMS has also exempted several clinician types from reporting PI data, including those with special status designations that result in automatic reweighting.

  • Clinician type: clinical social workers, physical therapists, occupational therapists, qualified speech-language pathologists, qualified audiologists, clinical psychologists, and registered dieticians or nutrition professionals
  • Special status: ambulatory surgical center (ASC)-based, hospital-based, non-patient facing, and small practice


Meanwhile, nurse practitioners, physician assistants, certified registered nurse anesthetists, and clinical nurse specialists are now required to report PI data.


You may apply for a MIPS Promoting Interoperability Performance Category Hardship Exception to reweight your PI measures to 0%. Learn more about the PI exception
here.



Improve Activities (IA) Measures


These are the three ways you can satisfy the AI category for your 2023 MIPS reporting:

  1. Attest to completing up to 4 medium-weighted activities
  2. Attest to completing 2 high-weighted activities
  3. Attest to 1 high-weighted and 2 medium-weighted activities, all for a minimum of 90 continuous days.


High-weighted activities receive 20 points, while medium-weighted activities receive 10. Meanwhile, clinicians with special statuses may receive double points for each high-weighted or medium-weighted activity submitted, which includes small practices, HPSA providers, non-patient facing, and rural.


Practices that are certified patient-centered medical homes (PCMH) may earn the maximum Improvement Activity performance category.


For group reporting, 50% of the clinicians in the group need to attest in performing the same activity during the 90-day period.



Cost Performance Category


CMS has introduced a 1% improvement score that qualified participants can earn if they’ve improved their Cost performance category score from last year. The Cost MIPS performance category accounts for 30% of the total CPS for the 2023 performance year. 



Cost Measure Case Minimums


  • Case minimum of 20 for Total per Capita Cost measure and 35 for MSPB
  • Case minimum of 20 for acute inpatient medical condition episodes
  • Case minimum of 10 for procedural episodes


Merit-Based Incentive Payment System (MIPS)

Quality Measures

12 months performance period

Promoting Interoperability Measures

90 Days performance period

Improvement Activities

90 Days performance period

Cost Performance Category

12 months performance period

The size of your payment will depend on how much data you submit and your performance results. For more information, please visit https://qpp.cms.gov/


Reporting Deadlines

  • Report between January 1 and October 3, 2023, for your 90-day reporting.
  • Report between January 1 and December 1, 2023, for your one calendar year reporting.
  • Submission period is from January 1 to April 1, 2024.
  • Performance data is due on or before April 1, 2024.

MIPS success made possible.

Select the MIPS package that works best for you.

Plus Package

All Categories

(365 Days)

  • Assist clients in choosing Quality measures applicable to their practice (at least 6).
  • Education/Training on how to achieve all categories.
  • Attestation for IA.
  • Attestation for PI.
  • Data submission for Quality.
Purchase

Standard Package Quality and IA

(365 days)

  • Assist client in choosing Quality measures applicable to their practice (at least 6)
  • Education/Training on how to report the chosen measures
  • Data validation for Quality measures
  • Attestation for IA
  • Data submission for the Quality measures
Purchase

Standard Package Quality and PI

(365 days)

  • Assist client in choosing Quality measures applicable to their practice (at least 6)
  • Education/Training on how to report chosen measures
  • Attestation for PI
  • Data submission for Quality
Purchase

Standard Package PI and IA

(90 - 365 days)

  • Assist client in setup of PI and IA measures applicable to their practice
  • Education/Training on how to report the chosen measures
  • Attestation for IA
  • Attestation for PI
Purchase

QPP: Payment Management Software

MIPS Dashboard

With a straightforward and well designed dashboard like ours, tracking your performance in the Quality, Advancing Care Information, and Improvement Activities categories of MIPS is absolutely hassle-free.


MIPS Reports

Easily generate MIPS reports, check your compliance status, check your current scores, and even see the performance of each provider in your clinic. The best part is you will do all of these on just one screen.


MIPS Measures Setup

With IMS, you will indicate how many measures (and specify which ones) you want to meet for each MIPS category.


We have the team.

We offer more than just a progress tracker and an incentive calculator. In addition to our powerful QPP-specific tools, we have a dedicated QPP specialist assigned to assist you all throughout the reporting period. 


We've got you covered from start to finish, and here's how our QPP team does it:


Notification.

We'll notify to let you know once you are eligible to participate in QPPs such as MIPS.


Assistance in determining which measures to meet.

We help you choose which MIPS measures you will best follow based on your current clinic workflow. With our team, you will have the best chance of reaching your goals while avoiding clinic flow disruptions.


IMS setup and customization.

With our team's expertise in IMS implementation, we will set up, map, and customize the software to automate your compliance process.


Training and feedback.

Not only will we train you and your staff on how to use IMS, we will also run regular checkings to see how you are doing. We will go over your progress and provide tips on how you will get higher scores.


Assistance with validation and submission.

Our job doesn't stop when you get high scores. We will take care of running your practice data by CMS for validation. Once validated, we will even submit them through the CMS portal on your behalf.


Support during auditing.

Should CMS decide to audit your practice? Our team offers full support in providing the necessary documents to validate your report.


To know more about how Meditab can help turn MACRA into an opportunity for success,

call one of our experts at 1-844-4 Meditab, email qpphelp@meditab.com 

Merit-based Incentive Payment System (MIPS)

←VIEW BIGGER


45% Quality

25% Promoting Interoperability

15% Clinical practice improvement activities

15% Resource Use


MIPS eligible clinicians are required to participate and submit their data to avoid -9% of payment adjustment.


2020 Performance Flexibility

Due to the impact of the COVID-19 pandemic, clinicians can file for exceptions and use the Extreme and Uncontrollable Circumstances policy to allow clinicians, groups, and virtual groups to submit application requisitions of one or more MIPS performance categories.


QPP Exceptions


Quality Measures.

For the 2020 performance year, the Quality Performance Category will be worth 45% of your final score. Eligible Clinicians (ECs) must select 6 individual measures of which 1 must be an outcome measure or a high priority measure.

  • If less than 6 measures apply, then ECs will report on each applicable measure. Eligible Clinicians may also select a specialty specific of measures
  • Small practice bonus of 6 points for MIPS eligible clinicians in small practices who submit data on at least 1 quality measure. A small practice is defined as 15 or fewer eligible clinicians
  • You can also receive up to 10 additional percentage points based on your improvement in the Quality performance category from the previous year.

2020 performance year requires a 70% data completeness threshold

  • Measures that do not meet the data completeness criteria earn 1 point. Small practices continue to receive 3 points
  • Updated the definition of high priority measures to include opioid related measures.

Review the available Quality measures here.


Promoting Interoperability (PI) Measures.

CMS has eliminated the base and performance scoring previously use and went to a New performance-based scoring with four objectives and a maximum of 100 category points.


The four Objectives are:


1. e-Prescribing (with 1 bonus measures) (10 points)

  • Query of Prescription Drug Monitoring Program (PDMP) (5 bonus points)

2. Health Information Exchange which has two parts. (40 points total)

  • Support Electronic Referral Loops by sending Health Information (20 points)
  • Support Electronic Referral Loops by receiving ad incorporating Health Information (20 points)

3. Provider to Patient Exchange (40 points)

  • Provide Patients Electronic Access to their Health Information (40 points)

4. Public Health and Clinical Data Exchange (10 points)

  • Immunization Registry Reporting
  • Electronic Case Reporting
  • Public Health Registry Reporting
  • Clinical Data Registry Reporting
  • Syndromic Surveillance Reporting

Review the Promoting Interoperability measures here.


Improvement Activities (IA) Measures.

For the 2020 reporting, to satisfy this category, ECs can either: attest to completing up to 4 medium-weighted activities or attest to 2 high-weighted activities or attest to 1 high-weighted and 2 medium-weighted activities for a minimum of 90 days. High weighted-activities receive 20 points and medium-weighted activities receive 10 points.


Clinicians with special statuses will receive double points for each high-weighted or medium-weighted activity submitted. They include:

  • Small practice
  • HPSA providers
  • Non-patient Facing
  • Rural

Practices that are certified patient-centered medical home (PCMH) will earn the maximum Improvement Activity performance category.


For group reporting, 50% of the clinicians in the group need to attest in performing the same activity during the 90-day period.


CMS also added a new high-weighted activity, COVID-19 Clinical Trials.


Review the available Improvement Activities here.


Cost Performance Category.

The Quality MIPS performance category will count for 15% of the total CPS for the 2020 performance period. The 2022 payment adjustment period will be based on your data submitted during the 2020 reporting period.


Cost Measure Case Minimums

  • Case minimum of 20 for Total per Capita Cost measure and 35 for MSPB
  • Case minimum of 20 for acute inpatient medical condition episodes
  • Case minimum of 10 for procedural episodes

For clients, contact us at 1-844-4-Meditab

or qpphelp@meditab.com

MIPS Reporting

The size of your payment will depend both on how much data you submit and your performance results.


For more information, please visit this website: https://qpp.cms.gov/


Reporting Deadlines

  • Report between January 1 and October 3, 2020 for your 90-day reporting.
  • Report between January 1 and December 31, 2020 for your 1 whole year reporting.
  • Submission Period January 1 to March 31, 2021
  • Performance data is due by March 31, 2021.

MIPS success made possible.

Select the MIPS package that works best for you.



Plus Package

All Categories 1 Year

  • Assist clients in choosing Quality measures applicable to their practice (at least 6).
  • Education/Training on how to achieve all categories.
  • Attestation for IA.
  • Attestation for PI.
  • Data submission for Quality.

Standard Package Quality and IA

Reporting for 2020 (365 days)

  • Assist client in choosing Quality measures applicable to their practice (at least 6)
  • Education/Training on how to report the chosen measures
  • Data validation for Quality measures
  • Attestation for IA
  • Data submission for the Quality measures

Standard Package Quality and PI

Reporting for 2020 (365 days)

  • Assist client in choosing Quality measures applicable to their practice (at least 6)
  • Education/Training on how to report chosen measures
  • Attestation for PI
  • Data submission for Quality

Standard Package PI and IA

Reporting for 2020 (90 - 365 days)

  • Assist client in setup of PI and IA measures applicable to their practice
  • Education/Training on how to report the chosen measures
  • Attestation for IA
  • Attestation for PI

What Our Clients Have to Say

“To the QPP team, I really appreciate you helping me in getting the right measures. Thank you so much, you’ve been incredibly helpful and I do appreciate it.”

Dr. Aarti Kapur,

Aarti Kapur MD PA

“Working with the IMS team on MIPS has made the entire process so much easier. They take the stress out of a process that could otherwise be extremely stressful.”

Janice Gonzalez, Practice Administrator

 Hollywood Ophthalmology Associates (HOA)

For clients, contact us

at 1-844-4-Meditab
or 
qpphelp@meditab.com

New to Meditab? Schedule a live demo now.

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