What is MIPS and why do I Care?

30 April 2017

On October 14, 2016, CMS finalized MACRA’s new Medicare Quality Payment Program (QPP) rules. Here are the highlights:

Physicians / healthcare providers can choose to report to MIPS for a full 90-day period or, ideally, the full year, and maximize the MIPS eligible clinician’s chances to qualify for a positive payment adjustment.

Physicians / healthcare providers can choose to report MIPS for at least a full 90-day period and report:

  • more than one quality measure
  • more than one improvement activity
  • more than the required measures in the advancing care information performance category and avoid a negative MIPS payment adjustment and possibly receive a positive MIPS payment adjustment.

Clinicians can choose to report one measure in the quality performance category; one activity in the improvement activities performance category; or report the required measures of the advancing care information performance category and avoid a negative MIPS payment adjustment. If your physician/ healthcare provider choose not report even one measure or activity, they will be paid a lower fee for seeing Medicare and Medicaid patients. For physicians / healthcare providers that opt-out of the program, many may discontinue providing online access to their patient’s health records.

As the leading U.S. healthcare technology company in providing the link between patients and their health records, ViewMyHealthRecords.com recommends you speak to your physician/ healthcare provider to ensure they will continue providing online access to your health records.