Benefits Of The For Medicare Payment System ( Mips )

911 Words Apr 20th, 2016 4 Pages
MIPS. It sounds like some kind of disease. And for many providers, it will likely cause as much pain. Starting in 2017, physicians will have to deal with the Merit-Based Incentive Payment System (MIPS).
MIPS is intended to measure the performance of Medicare Part B providers in four different performance areas (30% by VBM-measured resource use (claims data), 30% by VBM-measured quality (PQRS data), 25% by Meaningful Use (EHR data), and 15% by a newly introduced “clinical practice improvement” measure). Providers will then be given a score between 0 and 100. These scores will impact practices in a couple of different ways:
1) Negative scores will affect providers’ Medicare reimbursement
2) Scores will be made available to consumers online
Who Will MIPS Impact?
All eligible providers who submit claims to Medicare will be impacted by this new reimbursement model. MIPS scores with either result in a penalty or bonus payment. Beginning with the years 2019 and 2020, physicians, physician assistants, nurse practitioners, clinical nurse specialists, and nurse anesthetists will be considered MIPS eligible professionals.
Starting in the year 2021 and beyond, physical or occupational therapists, speech-language pathologists, audiologists, nurse midwives, clinical social workers, clinical psychologists, and dietitians or nutrition professionals will also become eligible.
Note that neither Medicaid nor Medicare MU incentives will be impacted in any way by MIPS.
Why Do Physicians Have…
Open Document