Merit-based Incentive Payment System (MIPS)

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Merit-based Incentive Payment System (MIPS)

  • Quality

  • PI

  • CPIA

  • Resource Use

45% Quality

25% Promoting Interoperability

replaces ACI

15% Clinical practice improvement activities

15% Resource Use

Need to speak to an expert?
Call us at (510) 201-0130
or email us at qpphelp@meditab.com.

Do you see more than 200 Medicare patients?
Do you bill Medicare more than $90,000?

If so, you will need to report for MACRA/MIPS, or you will start losing money.

Do you have an efficient EHR/PM solution that drives reporting success?

Our EHR & Practice Management system is prepared to handle the new framework of MACRA/MIPS so you can successfully transition towards value-based care. You can rely on our experts to help you turn MACRA into an opportunity for your success.

Provide more than 200 covered professional services under the PFA

If so, you will need to report for MACRA/MIPS or you will start losing money. A clinician may opt-in if they exceed two of the threshold criteria and thus being eligible for payment adjustments.

Contact one of our experts (510) 201-0130
or Schedule a live demo now.

Request Demo

Intelligent Medical Software (IMS)

Better clinical outcomes,
Healthier patients.

Year 2019 requires the use of 2015 Certified EHR

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

Quality Measures.

For the 2019 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

60% Data Completeness Threshold for 2019

  • 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 2 bonus measures) (10 points)

  • Query of Prescription Drug Monitoring Program (PDMP) (5 bonus points)
  • Verify Opioid Treatment Agreement (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.

Objective Measures Maximum Points Numerator / Denominator Performance Rate Score
E-Prescribing E-Prescribing 10 points 200/250 80% 10 x 0.8 = 8 points
Health Information Exchange Support Electronic Referrals Loop by Sending Health Information 20 points 135/185 73% 10 x 0.73 = 15 points
Support Electronic Referral Loops by Receiving and Incorporating Health Information 20 points
Provider to Patient Exchange Provide Patients Electronic Access to their Health Information 40 points 350/500 70% 40 x 0.70 = 28 points
Public Health and Clinical Data Exchang Immunization Registry Public Health Registry reporting 10 points Yes/Yes N/A 10 points
Total 78 points will equal 19 performance points

Improvement Activities (IA) Measures.

For the 2019 reporting, to satisfy the Test reporting option, ECs can choose to report one Improvement Activity. To satisfy the Partial and Full reporting options, ECs can either: attest to completing up to 4 activities for a minimum of 90 days (2 activities for rural or HPSA providers or groups < 15).

Review the available Improvement Activities here.

Cost Performance Category.

The Quality MIPS performance category will count for 15% of the total CPS for the 2019 performance period. The 2021 payment adjustment period will be based on your data submitted during the 2019 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 (510) 201-0130
or qpphelp@meditab.com

New to Meditab? Schedule a live demo now.

Request Demo

Performance Period

Performance Category Minimum Performance Period
Year (2019) Final
Quality 12-months
Cost 12-months
Improvement Activities 90-days
Promoting Interoperability 90-days

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, 2019 for your 90-day reporting.
  • Report between January 1 and December 31, 2019 for your 1 whole year reporting.
  • Performance data is due by March 31, 2020.

For clients, contact us at (510) 201-0130
or qpphelp@meditab.com

New to Meditab? Schedule a live demo now.

Request Demo

MIPS success made possible.
Select the MIPS package that works best for you.


  • Lite

    Report 1 category for 90 days.

  • Basic

    Report Quality for 90 days.

  • Standard

    Report for Quality and IA for whole year.

  • Plus

    Report all for whole year.

Lite Package (Avoid CMS Penalties) - minimal participation in MIPS.

  • Assist client in choosing 1 MIPS performance category - 1 Quality, 1 Improvement Activity or 5 PI measures.
  • Education/Training on how to report the chosen category.
  • Data validation for Quality measures only.
  • Data submission for the Quality.
  • Assist client in Attestation for Improvement Activities.
  • Assist client to achieve PI measures.

Basic Package (Report MIPS Quality) - Quality reporting for 2018.

  • 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.
  • Data submission for the Quality measures.

Standard Package (75% of MIPS Composite Score).

  • Assist client in choosing Quality measures applicable to their practice (at least 6).
  • Education/Training on how to report the chosen measures for Quality and activities for IA.
  • Data validation for Quality measures.
  • Data submission for the Quality measures.
  • Assisting in attestation for Improvement Activities.

Plus Package (Full MIPS Participation).

  • Assist client 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.

What Our Clients Say.

  • Dr. Aarti Kapur of Alamance Regional Medical Center

    "To PQRS 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. Becky Buelow of Allergy Care (Wisconsin)

    "Well, we're so glad to have your team, you're so easy to work with, we both enjoy working with you, and you're all very knowledgeable. Thank you for your help today."

  • Ranjan Patel, Administrator at Heartland Cardiology

    "The IMS team that has helped our practice the past few years with PQRS. We feel that this team assigned to our practice has been of such importance to us in getting all of the measures completed prior to the deadlines. They have helped us understand the measures for PQRS and pick and choose which measures are of importance to our practice in the reporting to Medicare. We surely would not have been able to complete this task of getting through PQRS with out all of their help."

  • Jatinder Dhaliwal, Office Manager of Gastroenterology Consultants of Polk County

    "You guys are all great as a team. I have known you for years now and never had a problem. Thank you so much for all your help and services."

For clients, contact us at (510) 201-0130
or qpphelp@meditab.com

New to Meditab? Schedule a live demo now.

Request Demo