decisionhealth Newsletters, Part B News - 2017 Issue 6 (June)
Dutifully document improvement activities during inaugural year of MIPS or risk payments
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Article Overview
This article covers documentation practices for the MIPS improvement activities category under the Quality Payment Program, with emphasis on CMS-suggested proof, record retention, and audit preparedness. It is aimed at practices, clinicians, and billing/compliance staff who need to understand how to organize evidence for improvement activity attestation and prepare for future reviews. The discussion includes broad guidance on using CMS resources, selecting activities that fit the practice, and setting up internal files and workflows for documentation management.
Why This Topic Matters
Improvement activity attestation can affect MIPS performance and future audit risk, so practices need to know what kinds of records CMS expects and how to store them. Strong documentation habits can help support attestations and reduce the chance of losing payment incentives later.
Article Sections
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Quality reporting
Introduces the MIPS improvement activities portion of quality reporting and the importance of documentation in relation to future audits and payment risk.
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Craft a documentation plan
Outlines general documentation planning steps, CMS guidance sources, and considerations for keeping evidence organized for improvement activities.
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Use this year to prepare for the future
Discusses how the early reporting year may signal more demanding documentation expectations and emphasizes creating an internal system for storing proof of attestation.
What You Will Learn
- How the MIPS improvement activities category fits into quality reporting
- Why CMS documentation guidance matters for audit readiness
- How practices can organize records to support improvement activity attestation
- What types of broad documentation sources may be involved in maintaining proof
- How early-year compliance habits can help prepare for future reporting requirements
Who Should Read This
- Physicians and eligible clinicians participating in MIPS
- Practice managers
- Billing and compliance staff
- Health care consultants
- Small practice administrators
Codes Discussed
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