BC Advantage - 2020 Issue 3
Risk Adjusted Coding: Improvement Activities and Promoting Interoperability Performance Measures of MIPS 2020
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Article Overview
This article summarizes 2020 Medicare Quality Payment Program guidance for MIPS, focusing on the improvement activities and promoting interoperability categories. It is aimed at clinicians, group practices, and coding/compliance professionals who need a high-level understanding of annual scoring, eligibility, submission, and measure-set updates. The discussion covers policy stability, threshold changes, category weighting, CEHRT-related requirements, hospital-based group criteria, and selected additions, removals, and revisions to improvement activities.
Why This Topic Matters
MIPS performance directly affects Medicare payment adjustments, so changes in scoring thresholds, eligibility, and measure requirements can influence compliance planning and reporting strategy for affected practices.
Article Sections
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MIPS scoring and payment adjustment overview
Introduces the MIPS program, its role in Medicare payment adjustments, and the broad scoring categories relevant to 2020.
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2020 policy stability and unchanged program rules
Summarizes the program areas where CMS did not announce changes for 2020, including eligibility, submission, and measurement policies.
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Improvement activities for 2020
Reviews the annual improvement activities inventory, category weighting, participation expectations, and group-level requirements.
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Promoting interoperability for 2020
Covers the interoperability category requirements, performance period, CEHRT expectations, and selected measure changes.
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Notable changes to improvement activities
Describes the areas where CMS expanded, modified, or removed improvement activity options for the year.
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Hospital-based group criteria and scoring
Explains the group and clinician context for hospital-based status and how scoring options are applied in that setting.
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Reporting period and related reminders
Summarizes timing and reporting reminders that affect how the updated requirements are tracked during the performance year.
What You Will Learn
- How MIPS 2020 scoring is structured at a high level
- Which major MIPS policy areas CMS kept unchanged for 2020
- What kinds of updates were made to improvement activities
- What kinds of updates were made to promoting interoperability
- How hospital-based group criteria are discussed in the article
- What reporting-period and submission topics are emphasized
Who Should Read This
- Eligible clinicians
- Medical group practices
- Coding and reimbursement professionals
- Compliance staff
- Quality reporting staff
Codes Discussed
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