decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 6 (June)
MIPS rule proposes changes to quality reporting starting in 2017
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Article Overview
This article summarizes CMS’s proposed Merit-based Incentive Payment System (MIPS) rule and how it would reshape Medicare quality reporting beginning in 2017. It is relevant for clinicians and billing/coding professionals who follow Medicare payment policy, quality reporting programs, and electronic health record compliance. The article covers the transition from existing reporting programs, reporting mechanisms, payer scope, timing of program changes, and related oversight expectations.
Why This Topic Matters
The proposal affects how eligible clinicians report quality data, how Medicare payment adjustments may be calculated, and how organizations prepare for broader reporting and health IT oversight requirements.
Article Sections
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MIPS proposal overview and reporting changes
Introduces the proposed MIPS framework and the major changes affecting quality reporting requirements for eligible clinicians. Summarizes the overall scope of the rule and its relationship to broader Medicare payment reform.
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Participation, reporting methods, and payer scope
Covers who would be included in the program, the available reporting channels, and the planned expansion beyond traditional Medicare over time. Also notes the status of older reporting programs during the transition period.
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EHR surveillance and interoperability oversight
Describes the rule’s focus on certified electronic health record technology, including surveillance cooperation and related oversight expectations. Addresses the broader compliance implications for health IT use.
What You Will Learn
- How the proposed MIPS rule changes quality reporting expectations
- Which clinician groups are affected by the proposal
- What reporting methods remain available under the proposed program
- How the transition from existing Medicare quality programs is described
- What health IT oversight topics are raised in the rule
Who Should Read This
- Physicians and other MIPS-eligible clinicians
- Medical coders and billing staff
- Practice administrators
- Compliance and health IT professionals
- Quality reporting staff
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