Merit-Based Incentive Payment System (MIPS)
2019

Formerly known as PQRS, Meaningful Use, EHR Incentive Program, Value-Based Payment Modified

The Merit-Based Incentive Payment System (MIPS) provides financial incentives for providers who meet specific metrics associated with quality, interoperability, improvement activities and cost.

MIPS streamlines the previous Physician Quality Reporting System (PQRS), the EHR Incentive Program (Meaningful Use) and the Value-Based Payment Modifier activities into a single program.

We help eligible providers avoid penalties and maximize their potential earnings by optimizing their scores and meeting all their reporting requirements.  For 2019, eligible providers who don’t submit or don’t score well enough will be subject to a -7% penalty on their 2021 Medicare Part B payments and have the opportunity to earn up to +7% in financial incentives.

Our MIPS registry and consulting services are part of NJII’s for-profit-subsidiary, Healthcare Innovation Solutions (HCIS) which was launched in 2018.

The Centers for Medicare and Medicaid Services (CMS) has qualified HCIS as a certified registry.  After 7 years of successful PQRS, MU and MIPS reporting, NJII, and now HCIS, has the tools, experts and experience to help you with your MIPS reporting.

Get Started with NJII-HCIS today for 2019 MIPS Reporting.

Pricing and Services

Who is this program for?

  • Physicians, which includes doctors of medicine, doctors of osteopathy (including osteopathic practitioners), doctors of dental surgery, doctors of dental medicine, doctors of podiatric medicine, doctors of optometry, and chiropractors

  • Physician assistants (PAs)

  • Nurse practitioners (NPs)

  • Clinical nurse specialists

  • Certified registered nurse anesthetists

  • Any clinician group that includes one of the professionals listed above

  • Clinical Psychologists

  • Physical Therapists

  • Speech-Language Pathologists

  • Audiologists

  • Registered Dieticians or Nutrition Professionals

What is involved?

Quality

The quality component of the MIPS reporting program replaces the Physician Quality Reporting System (PQRS). Clinicians will be reporting in a similar fashion, on 6 quality measures, either as individuals or groups.

Promoting Interoperability (PI)

The PI category, previously called Advancing Care Information, replaces the Medicare EHR Incentive Program. It is designed to promote efficient care with the support of technology. It requires eligible clinicians to report on the required measures or claim to exclusions if applicable.

Improvement Activities

The Improvement Activities category was designed to promote engagement in clinical activities as well as improvement in the quality of care delivered. Eligible clinicians will choose a combination of various high and medium weighted activities in order to meet the requirements.

Cost

The cost category replaces the Value-Based Payment Modifier and is designed to gauge the total cost of care during the year or during a hospital stay.The cost of the care provided will be calculated by CMS based on Medicare claims. Eligible clinicians are NOT required to submit any data to CMS for this category.

Where are we in the process?

We are currently accepting new and renewing clients who want to submit their MIPS reporting through our CMS qualified registry or hire our MIPS experts to help them through the process.

Anyone who wants to work with us must sign-up or contact our team by March 16th, 2020 to meet the 2020 submission deadline.

Sign-Up

What is the process?

1. Register

Register with NJII-HCIS to begin the 2019 reporting process by receiving login credentials to the NJII-HCIS MIPS Dashboard.

2. Select Your Reporting Option

For each clinician, select your reporting option. Reporting requirements will vary for individual versus group reporting. For guidance in selecting measures for the different categories, visit ‘Measures by Specialty.’

3. Determine Your Goal

For the 2019 Performance Year determine which categories you would want to participate in and how that will affect your overall MIPS Final Score.  We can help you with this as part of our consulting services.

4. Collect Data

Once measures are selected, collect the required data from the practice’s medical records. NJII-HCIS can also assist with data extraction as a part of consulting services.

5. Enter Your Data

Enter your data onto the NJII-HCIS MIPS portal. Track your progress in our dashboard, which updates your performance projection as data is periodically added.

6. Submit Your Data

Confirm your data and submit onto the portal. A MIPS advisor will validate the submitted data before it is sent to CMS.

Why participate?

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  • There is a -7% penalty applied to any eligible provider who does NOT submit

  • Providers who use our consulting services score 22% higher than those providers who do not

  • Providers who score greater than or equal to 75 are eligible to earn a minimum incentive of .5% and a maximum of 7%

  • Providers who score lower than 30 may experience a penalty ranging from 0 to -7%

  • Based on your score and your total Medicare billings, CMS will make adjustments to your Medicare payments beginning in January 2021

How can I participate?

You can register now to submit through our CMS qualified registry or hire our MIPS experts to help you through the process.  For more detail on our services and pricing click here.

Get in touch with the team

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