MIPS Milestone: Last 90-Day Performance Period Starts Oct. 2

Well, October is upon us, which means Halloween is right around the corner and the baseball playoffs are about to start.

It also means that the final 90-day performance period of the new Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program framework has already begun — that happened Oct. 2, to be exact.

If you plan to participate in MIPS this year and haven't determined how you will participate, you better review your options now and create an action plan to avoid the 2019 MIPS penalty. 

According to the Centers for Medicare & Medicaid Services (CMS), you will avoid a 4-percent pay cut to your Medicare Part B payments in 2019 if you successfully submit data to MIPS under one of the following “pick your pace” options this year:

  • Submit data covering a full year from Jan. 1 to Dec. 31, 2017, or
  • Submit data covering at least a consecutive 90-day period in 2017, or
  • Submit a minimum amount of data covering 90 days or less in 2017.

So what does all that mean?

Well, in general, you'll submit 2017 MIPS performance data between Jan. 2 and March 31, 2018. But you have to figure out this year which measures to choose, which improvement activities to take part in, and which time frame to collect data (that's those three options above).

Here's some information based on data submission mechanisms that might help:

  • Medicare Part B Claims (individuals): If reporting for at least 90 consecutive days, start the process on Oct. 2 or as soon as possible. If reporting only one measure/one patient/no penalty, see guide.
  • Qualified Registry (individuals or groups of two or more): Check with your registry vendor of choice for details and specific deadline.
  • Qualified Clinical Data Registry (individuals or groups of two or more): Check with your QCDR vendor of choice for details and specific deadline.
  • Electronic Health Record (individuals or groups of two or more): Check with your EHR vendor for details and specific deadline.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (groups of two or more): Review the CMS guide and check with your CAHPS survey vendor of choice for details and specific deadline.
  • CMS Web Interface (groups of 25 or more): Review CMS guide for details and specific deadline.

If you need more help on how to master requirements for each MIPS performance category, check out this TMA article. For questions, contact the CMS Quality Payment Program Service Center at (866) 288-8292 or email at QPP[at]cms[dot]hhs[dot]gov

As always, visit the TMA MACRA Resource Center to stay up-to-date on the new Quality Payment Program. 

Action, Oct. 2, 2017

Last Updated On

October 12, 2017

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