How it Works
There are four performance categories that are part of the Merit-based Incentive Payment System (MIPS). Your performance across these categories will make up your final MIPS score of 0 to 100 points. This score will determine what your payment adjustment will be (negative, neutral, or positive). Your MIPS payment adjustment at the end of 2023 will be applied to payments for covered professional services starting January 1, 2025.
It's highly recommended to report for Quality, PI, and IA in 2023. Cost will be automatically calculated for you if eligible.
Quality
This performance category covers the quality of the care you deliver, based on performance measures created by CMS, as well as medical professionals and stakeholder groups. You pick the six measures of performance that best fit your practice. EZDERM tracks for multiple different measures allowing you to choose the measures you did best in.
Promoting Interoperability (PI)
Promoting Interoperability (PI) focuses on patient engagement and the electronic exchange of health information using certified electronic health record technology (CEHRT). This performance category replaced the Medicare EHR Incentive Program for EPs, commonly known as Meaningful Use. This is done by proactively sharing information with other clinicians or the patient in a comprehensive manner. This may include: sharing test results, visit summaries, and therapeutic plans with the patient and other facilities to coordinate care. EZDERM helps automate and track the different components of this category.
Improvement Activities
Improvement Activities include an inventory of activities that assess how you improve your care processes, enhance patient engagement in care, and increase access to care. The inventory allows you to choose the activities appropriate to your practice from categories such as enhancing care coordination, patient and clinician shared decision-making and expansion of practice access. If you decide to report for this category it will be done directly through Healthmonix.
Cost
The cost of the care you provide will be calculated by CMS based on your Medicare claims. MIPS uses cost measures to gauge the total cost of care during the year or during a hospital stay. If you decide to report for this category it will be done directly through Healthmonix. They also offer an analytics product that allows users to get insight into their cost score before the end of the year.
Reference: See attached for a deeper dive into each of the 4 categories!
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