MIPS is fully operational now and of you are a clinicians
who have signed up for MIPS but don’t really know how can it affect you
financially, this post is just for you.
MIPS has two types of financial impacts:
· MIPS value-based payment adjustments (incentives
or penalties) based on the MIPS 100-point final score
· A minor, yearly inflationary adjustment to the
Part B fee schedule
The following table shows the maximum negative or positive percentage
Medicare Part B payment adjustment, clinicians can end up with.
Also if you are worried about the 2017 performance year
transition know that CMS has offered varying extents to clinicians to either
participate or be exempted from MIPS. The points below features a summary of
the options CMS has provided:
Reporting one measure
for 90 days (minimum): Reporting only one CPIA, ACI or Quality measure will
allow you enough MIPS points that are necessary to avoid a penalty. If things
are done accordingly, these can even win you a small incentive.
No participation:
Clinicians who are not exempt from MIPS and still they refrain from sending any
data in 2017 will get a negative 4% payment adjustment.
Reporting <1 measure
for 90 days (minimum): Providers reporting more than one measure in ACI,
CPIA and Quality can not only avoid penalty, but also boost their MIPS score.
This will lead them to win the highest possible incentive.
Participate in one of
Advanced APMs: Medical practices participating in an Advanced APM can be exempted
from MIPS. They can still earn a 5% Part B bonus.
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