By Sarah Reiter and Scott Rice, MD, PHD, MBA, MS
Healthcare is transitioning from a volume to value-based care model. CMS is driving this transition with the Merit Based Incentive Payment System (MIPS) program, which ultimately links a clinician’s Medicare reimbursements with how many points they earn. CMS sets the requirements of the MIPS program based on the MACRA law, and for the 2022 reporting period, failure to comply or earn enough MIPS points results in an automatic 9% penalty on annual Medicare Part B claims. This equates to a reimbursement reduction of $90,000 for every $1 million billed to Medicare. Starting in the 2022 Reporting Period, 1 out of every 2 clinicians will be penalized.
It can be challenging to know what to do to earn MIPS points, optimize your score, and protect your reimbursements given there are many nuances and commonly misunderstood aspects about the MIPS program. However, one of the things you can control is the MIPS reporting partner and corresponding reporting method you choose. Given the complexity in earning MIPS points, it’s critical to select the right partner and methodology, as all reporting options are not the same.
Your Doctor In Touch CCM program is coordinating with Health eFilings, a CEHRT and national leader in automated MIPS reporting, and the most comprehensive and effective choice, with a 100% success rate. They use a cloud-based, ONC-certified software that fully automates the process and does all the work without requiring IT resources, administrative support or workflow changes. Health eFilings will save you significant time, be a turnkey process and maximize reimbursement by earning you the most MIPS points. These benefits are enhanced when working with our quality Next Gen CCM program. With what’s at stake this year and beyond, you can’t afford to make mistakes with MIPS.
To find out how you can set your practice up for success with MIPS and Next Gen CCM, contact Richard Grosso at richard.g@ynit.us.
Sarah Reiter is SVP Strategic Partnerships with Health eFilings. Dr. Scott Rice is CMO at Your Doctor In Touch.
