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MIPS Value Pathways (MVPs) Details

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Starting in the 2023 performance year, MIPS Value Pathways (MVPs) offer a fresh and voluntary reporting option to fulfill MIPS reporting requirements. The primary aim of the MVP reporting option is to streamline and connect measures and activities across the MIPS performance categories. This approach intends to simplify the process, reduce complexity, and alleviate the […]

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Subgroup Scoring

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To determine and rate quality and cost measures based on administrative claims data, CMS has established the following approach for calculating and scoring these measures at the TIN level within the affiliate group, rather than at the subgroup level. Foundational Layer: If a population health measure is chosen, subgroups will receive the corresponding group’s score, […]

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What’s Subgroups?

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A group of a collective that includes at least one clinician eligible for the Merit-based Incentive Payment System (MIPS), distinguished by a composite of the group’s Taxpayer Identification Number (TIN), the subgroup identifier, and the National Provider Identifier (NPI) of each qualified clinician.   Eligibility: The determination of eligibility for clinicians who wish to participate […]

MIPS

What is MIPS Value Pathways (MVPs)?

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The MIPS Value Pathways (MVPs) are a recently introduced reporting option for healthcare professionals that presents a focused set of measures and activities that are specific to a particular medical specialty or condition. By grouping these measures and activities together in a more meaningful way, MVPs enable a more comprehensive evaluation of the quality of […]

MIPS

What are the key MIPS changes for 2023?

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One of the main changes for MIPS reporting in 2023 is the option for clinicians to use MIPS Value Pathways (MVPs) to fulfill their reporting requirements. MVPs are designed to align and integrate measures and activities across the Quality, Cost, and Clinical Improvement categories of MIPS for different specialties or conditions. While MVPs will eventually […]

MIPS

Clinician Types eligible for MIPS 2023

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According to CMS, around 719,516 clinicians will meet the eligibility requirements for MIPS in 2023. These eligibility criteria will determine the MIPS payment adjustments for the year 2025. This number is lower than the approximately 809,593 eligible clinicians in 2022. In 2023, the types of clinicians eligible for MIPS will remain the same as in […]

MIPS

Clinician Types eligible for MIPS 2022

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You are only eligible to participate in MIPS if you are a MIPS eligible clinician type. If you’re not one of the clinician types listed below, you’re excluded from reporting and the MIPS 2022 payment adjustment. Physicians (including doctors of medicine, osteopathy, dental surgery, dental medicine, podiatric medicine, and optometry) Osteopathic practitioners Chiropractors Physician assistants […]

MIPS

2022 MIPS Eligibility

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MIPS Eligibility determination may change each Performance Year (PY) due to changing policy of QPP CMS. Practice/ Provider eligibility status is based on: National Provider Identifier (NPI) Associated Taxpayer Identification Numbers (TINs). When a Practice/ Provider has been reassigned their Medicare billing rights to a TIN, then their NPI becomes associated with that TIN. This […]

Promoting Interoperability

Promoting Interoperability Hardship Exception

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Certified electronic health record technology (CEHRT) is required for participation in the Promoting Interoperability performance category. Under the Merit-based Incentive Payment System (MIPS), you may qualify for a re-weighting of the Promoting Interoperability performance category (to 0%) if you meet certain criteria. MIPS eligible clinicians, groups, and virtual groups may submit a Promoting Interoperability Hardship […]