Your MIPS Action Plan: Step 4 – Selecting a Reporting Period
September 20, 2017
Written by Amber Rogers
Selecting your reporting period is a very important factor in determining if you will receive a positive payment adjustment or avoid a negative adjustment in 2019. Key takeaways to do NOW are:
- Complete your security risk analysis (SRA) and risk management plan. http://www.mpqhf.org/corporate/health-and-technology-services/resources/hipaa-pass-resources/
- Run your Advancing Care Information and Electronic Clinical Quality Measure reports monthly to look for trends.
- To improve your quality scores, check out our resource and talk to our experts on eCQI. http://www.mpqhf.org/corporate/health-and-technology-services/hts-services/eclinical-quality-improvement/
|Reporting Period||Likely Adjustment||Factors to consider|
|Submit no data||Negative 4% payment adjustment||If you plan on closing your practice by 2019 and NOT moving to another location, this may be the easiest selection for you.
Remember, the penalty does follow you even if you change practice location.
|Submit One Patient, One Measure||No penalty||This may be the best option for you if you do not have an EHR and have not consistently been reporting your G codes on your 1500 billing form. See this resource from AMA – https://www.ama-assn.org/qpp-reporting|
|Submit at least 90 days of data from three categories||No penalty and potentially earn a positive payment adjustment||This is a great option for practices that have an EHR and have had previous experience with the PQRS program.
There is no need to submit data on a specific quarter. You may select any 90 day period that gives you the best scores.
Within this option, submit data on at least 50% of your patient population that falls into each quality measure. Must be able to report a minimum of 20 patients to receive the highest points available.
|Submit a full calendar year from all three categories||No penalty and will be more likely to earn a positive payment adjustment||Selecting a full year of data may result in a higher score as you are more likely to include healthier patients in the data. You will have more measures to choose from because you are more likely to have greater than 20 patients in the denominator.|
Have more questions? Need help?
Complete our on-line readiness assessment! It will only take a few minutes to provide us with information to create a customized action plan for you and your practice to be successful in MIPS in 2017 and beyond.
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