Flush the old alphabet soup down the drain. MIPS is here and with it comes a new language aligned with the updated quality-reporting programs.
PQRS? Gone. EHR incentive meaningful use? Replaced. Value-based modifier? Modified indeed.
Instead of the distinct scoring models and incentive tie-ins that defined those programs, MIPS ushers in a cohesive scoring system that tallies all of your quality elements into what CMS calls a composite performance score (CPS).
That doesn’t mean the work you’ve done on those programs goes out the window. It simply means you’ll be required to perform similar functions and attest in similar ways – but you’ll call those tracks another name as you try to figure out your annual CPS.
For instance, the meaningful use program is now called “advancing clinical information.” PQRS and the value-based modifier have looser terms, while a new category – clinical practice improvement activities – rounds out the revamped quality quartet.
Starting Jan. 1, 2017, your Medicare quality-reporting structure includes four categories on which you’ll be assessed.
Composite of MIPS performance scores
|
Category
|
Replaces (if applicable)
|
% of total performance score
|
|
Quality
|
Physician quality reporting system (PQRS)
|
50%
|
|
Advancing clinical information
|
EHR incentive meaningful use
|
25%
|
|
Cost (or resource use)
|
Value-based modifier
|
10%
|
|
Clinical practice improvement activities
|
N/A
|
15%
|
Source: MIPS proposed rule
Stay tuned to Part B News and the Part B News blog for further updates.