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MIPS Reporting

Using MIPS Reporting in Participation of the QPP

The Merit-based Incentive Payment System (MIPS) is a path to participate in the CMS Quality Payment Program (QPP), which streamlines programs including Meaningful Use, the Physician Quality Reporting System and Value-Based Modifier into a single score. QPP uses four components to derive the MIPS Final Score: Quality, Advancing Care Information/Promoting Interoperability, Improvement Activities and Cost. For more information on MIPS, click here. The AQUIRE Registry is your “one-stop shop” to report on all categories of MIPS.

The AQUIRE Registry is a Qualified Clinical Data Registry (QCDR). A QCDR is a CMS-approved entity that collects clinical data from MIPS clinicians and submits it to CMS on their behalf for MIPS reporting. Because AQUIRE is QCDR, users can report on FPMRS-focused measures not accessible outside of the registry. Individuals and groups may report via AQUIRE. Those using AQUIRE to report must report at least 60 percent of ALL the patients to which the measure(s) apply. In addition to the data warehousing and participation agreements, clinicians choosing to report MIPS through AQUIRE will be required to complete and return a data consent release form.

Cost

There is a $199 annual fee for reporting through AQUIRE. Click here to purchase. For more information, contact aquire@augs.org.

View AQUIRE Qualified Clinical Data Registry Measures for 2018 Reporting.

 

What is new for 2018? Check out these quick fact articles and the 2017 vs 2018 comparison chart below.

 

 

QPP Topic

2017

2018

Payment Adjustment

-4% to +4%

-5% to +5%

Performance Threshold

3 points

15 points

Complex Patient Bonus

N/A

Up to 5 points

Hardship Exemption

Automatic

Must apply

     

Quality

 

 

Score Weight

60%

50%

Performance Period

Minimum 90 days

Minimum 12 months

Data Completeness

50%

60%

Measures that Don't Meet Completeness

3 points

1 point*

Topped Out Measures (AUGS20 and AUGS21)

Up to 10 points

Up to 7 points

Improvement Bonus

N/A

Up to 10 percentage points

     

Cost

 

 

Score Weight

0%

10%

Performance Period

N/A

12 months

Applicable Measures

N/A

Medicare Spending per Beneficiary and Total per Capita Cost

Submission

N/A

Automatic

     

Improvement Activities

 

 

Score Weight

15%

15%

Performance Period

Minimum 90 days

Minimum 90 days

Number of Activities Available

92

112

Number of Activities to Score 100%

4

4*

     

Advancing Care Info

 

 

Score Weight

25%

25%

Performance Period

Minimum 90 days

Minimum 90 days

CEHRT Edition

2014 or 2015

Bonus for 2015 Only

Bonuses

N/A

-Additional IA Activities
-Reporting to any single public health agency or clinical data registry

     

Small Practices

 

 

Size Limit

<$30,000 claims and <100 Part B beneficiaries

<$90,000 claims and <200 Part B beneficiaries

Bonus

N/A

5 points

Virtual Groups

N/A

Available later in the year

Quality

   

Measures that Don't Meet Completeness

3 points

3 points

Improvement Activities

   

Number of Activities to Score 100%

2

2

Advancing Care Info/Promoting Interoperability

   

Exception

N/A

New hardship exception

*Exceptions apply for small practices

 

Download the MIPS reporting user manual for detailed instructions on how to use the module. 

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