decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 10 (October)
Quality payment program: As MIPS ‘one and done’ becomes ‘some and done,’ watch reporting details
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Article Overview
This article covers proposed Quality Payment Program/MIPS reporting changes for the 2018 performance year and why they matter for clinicians and groups preparing to avoid a later payment penalty. It gives a broad overview of score thresholds, reporting categories, data completeness, reporting methods, and related guidance from CMS, without serving as a substitute for the underlying rule.
Why This Topic Matters
Providers, coding and quality teams, and practice administrators need to understand how MIPS scoring and reporting expectations are changing so they can plan participation, track performance, and prepare for higher future requirements.
Article Sections
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MIPS scoring shift and payment-avoidance context
Explains the article’s focus on changing participation expectations under MIPS and the broader payment-program context. Describes why providers are being encouraged to look beyond minimal participation.
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Watch the details in the proposals
Summarizes proposed 2018 reporting details across MIPS categories, including scoring approaches, reporting methods, reporting periods, and bonus concepts. Highlights the CMS guidance discussed in the article.
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Don’t slack off
Discusses the article’s forward-looking message about preparing for future reporting requirements. Emphasizes the general need to keep evaluating performance and readiness over time.
What You Will Learn
- How MIPS participation expectations are changing for the 2018 performance year
- What general categories of reporting guidance CMS is proposing
- How reporting periods, benchmarks, and scoring concepts differ across MIPS categories
- Why future reporting requirements may become more demanding
Who Should Read This
- Physicians and other MIPS-eligible clinicians
- Practice administrators
- Quality reporting staff
- Coding and reimbursement professionals
- Healthcare compliance and operations teams
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