Check out 2017 & 2018 Eagle MIPS Maximizer Results…
MIPS Maximizers: Eagle will maximize your results…
by Alex Dighero
Our clients typically have 1 of 2 goals when teaming up with Eagle Consulting Partners as their MIPS Maximizers. They want to achieve MIPS results to:
- Avoid the penalty (7% in 2019, 9% in 2020) or
- Maximize the incentive money — averaging $18k per practice in 2018 (see examples at right)
When clients wish to avoid the penalty (up to 7% of Medicare Reimbursement in 2019), we ensure minimal burden and low costs for the practice. We help these clients achieve composite scores of 15 or higher to avoid the MIPS penalty. All of our “avoid the penalty” clients achieved their goal.
Those clients who wish to maximize the incentive money we call “MIPS Maximizers”. Achieving a 90-100% MIPS score was no easy feat for any participant in 2017 or 2018. Our process was to first assist clients by carefully selecting 7-9 quality measures best suited to their workflows and specialties. All practice staff then learned the proper data collection techniques, whether it be through their EHR or a custom-tailored paper form for our non-electronic clients.
Troubleshooting, monitoring, and active coaching took place throughout the performance period to ensure we hit our goals. After that, we finished off 2018 with attestation support and evidence compilations over the past few weeks. We are pleased to report that all of our Maximizers achieved their goal MIPS results!
Note that we have learned it is very important to work on quality measure tracking — one of our categories that earn your practice incentive revenue — throughout the entire calendar year. Your EHR needs to track this for each month to help your Eagle MIPS consultant maximize your MIPS returns.
Eagle MIPS Maximizer Service Features:
- Detailed review of Practice’s current position
- Optimization of measures to ensure positive performance
- Monthly monitoring of progress
- Strategies to optimize incentives and avoid penalties
While 2019 will present new obstacles to MIPS participants, Eagle Consulting Partners is ready for the challenge. Eagle can provide support to all medical specialties.
Interested in becoming a MIPS Maximizer in 2019? Contact us today!
216.503.0333
Click Maximizer list for larger view
Click Maximizer list for larger view
Don’t wait: To maximize incentive payments, data must be collected each month of the year for submission to Medicare.
More Details About MIPS & MACRA
MIPS Impact
How Will MIPS Affect My Practice?
MACRA implementation began on January 1, 2017, with clinicians being scored on a 1 to 100-point scale. In order to avoid a penalty, eligible clinicians need to earn at least 30 points in 2019. Clinicians scoring below 30 can expect a penalty of 7%. That is a $70,000 penalty for the average practice billing $1 million in Medicare Part B. The MIPS program will become increasingly difficult with each year, eventually rising to a staggering 9 percent penalty by performance year 2020.
Eagle's MIPS Navigator Solution Details
Expert MIPS Support
We’ve got you covered
a) Initial Assessment: Goal Setting and Planning
b) Monthly Monitoring and Coaching
c) On-Call Support
d) PI Hardship Exception Submission (if appropriate)
e) Compile Book of Evidence
f) Attestation/Data Submission
g) Audit Support
h) HIPAA Compliance & so much more!
What is MIPS? What is MACRA?
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was the Congressional solution to the ending of the sustainable growth rate. Each day nearly 10,000 retirees and baby boomers join the rolls of Medicare. Ten years from now Medicare would be either broke or workers would be paying 50% more on the Medicare taxes, thus reducing pay and take home income. The problem was caused by several factors. The number of workers paying for each retirees benefits is falling and the cost of providing health care is ballooning. This legislation was passed with overwhelming bipartisan support and has left us with the Quality Payment Programs, implementing new payment methods for healthcare.
The MACRA’s principle creation, the Quality Payment Programs (QPP), is designed to change the structure of reimbursements for Medicare. QPP introduced the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). These two programs aim to change the way for which healthcare is paid. The underlying theme of both of these programs is paying for quality and value as opposed to each service rendered.
Eagle Consulting Partners are experts on MIPS and how it impacts practices. We work with practices to develop strategies to maximize their payment incentive while providing increasingly high quality, highly commutative care. Our services can help you succeed in MIPS and earn the maximum incentive.
