Reimbursement: Got MIPS? Use This New CMS Tool To Ease Your Larger Practices Into MACRA

Why This Topic Matters

It helps larger practices understand an alternative CMS reporting workflow for MIPS and what general planning steps are involved before the reporting period begins.

Article Sections

1. Eligibility and reporting overview

   Introduces the CMS Web Interface option and the type of larger practices it is intended to support. It also frames the article around MIPS reporting under MACRA.

2. Can You Take Advantage of This?

   Walks through the general criteria used to determine whether a group may use the CMS Web Interface. The section also references basic practice and clinician eligibility considerations.

3. Step 1: Qualification

   Discusses the initial business and patient-volume screening used to determine whether a practice may proceed with this reporting pathway.

4. Step 2: Single TIN

   Covers the practice-structure requirements associated with reporting through a single organizational identifier. It also notes the types of clinicians recognized for this process.

5. Step 3: Register

   Explains the registration window and the need to notify CMS before using the Web Interface. It also mentions a special exception for certain organizations.

6. Step 4: Sample of Beneficiaries for Reporting

   Describes the general beneficiary-sampling concept used in the reporting workflow and when full-population reporting may be required.

7. Step 5: Quality Measures

   Points readers to CMS and QPP guidance for understanding the measure-reporting component of the process. It emphasizes review of official program resources.

8. Step 6: Watch Your Progress Closely

   Notes that practices should monitor whether they can complete reporting through the selected pathway and be prepared to consider other CMS options if needed.

9. Step 7: Successful Submission

   Summarizes the general forms of data submission and the program elements involved in completing the reporting process. It also references the timing of the submission period.

10. Tip: CAHPS for MIPS survey measures

    Mentions an optional survey-related component that may be elected alongside the main reporting process. The section frames it as a supplemental item within the broader MIPS workflow.