2019 Participation in the Merit-based Incentive Payment System - PowerPoint PPT Presentation

2019 Participation in the Merit-based Incentive Payment System (MIPS) April 1

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▲ ▲ Covered Medicare Billing Professional Patients AND AND >$90,000 Services >200 >200 6

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▲ 50% 35% 9

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billing clinicians 20

Data Completeness: A measure that indicates whether the information submitted contains the complete set of data items. Was the quality measure applied to at least 60% of applicable patients? 21

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2019 Cost Performance Category Fact Sheet: https://qpp-cm-prod- content.s3.amazonaws.com/uploads/351/2019%20Cost%20Performance %20Category%20Fact%20Sheet.pdf 27

Cost Category Resources:  2019 MIPS Summary of Cost Measures  2019 Cost Measure Information Forms  2019 Cost Measure Code Lists 28

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Note: Security Risk Analysis (SRA) is still a mandatory annual requirement but is no longer a “scoring” measure. No SRA = 0pts in PI category 37

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Calculate the contribution to the MIPS Final Score: 78 x .25 (category weight %) = 19.5 Final Performance Category Score = 19.5 points out of the total possible 25 points 39

2019 PI Reweighting Applications Due by 12/31/19 40

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