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Preliminary MIPS scores have been released by the Centers for Medicare and Medicaid Services. While this information is useful, it is important to note that these are not your final scores for MIPS performance year 2017. Final scores are slated to be available summer 2018, though past trends have proved early fall may be a more realistic expectation.

Your feedback can change at any time, and your final scores could change based on any of the following factors:

  • All-Cause Readmission Measure for the Quality Category
  • Claims Measures
  • CAHPS from MIPS Survey results
  • Hardship Application status
  • Improvement Study Participation and Results
  • Any benchmark updates for Quality measures that have met minimum threshold criteria

For example, a small practice (15 or fewer clinicians) may see a preliminary score of 7.5 out of 15 points for the Improvement Activities category. This is because small practices are scored on a different scale in a few areas of MIPS. While a larger practice needs 2 high-weighted or 4 medium-weighted activities for a total of 40 points, small practices are only required to report on 1 high-weighted or 2 medium-weighted activities for a total of 20 points. By submitting 20 points worth of improvement activities out of 40 possible, CMS automatically generates a preliminary score of 7.5, or in other words, half of the possible points. As this is contingent on a manual CMS review, a small practice can expect to see this adjusted to full credit in their final scores later this year.

Both your preliminary and final scores are available through the CMS Quality Payment Program website. To sign in, you will need your Enterprise Identity management (EIDM) credentials. If you don’t have an EIDM account set up already, we advise you to get started now; the process can be tedious! Refer to the EIDM Guide here or your Eagle consultant for more assistance.

Reference: https://qpp.cms.gov/user/submissions/

About Alex Dighero



 

Alex is a consultant and account manager for MIPS-related matters, including pathology sales support, MIPS services sales, and delivery of MIPS services. She is a certified compliance technician with the American Association of Healthcare Administrative Management. She has an MBA in health care administration from Cleveland State University.

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