Thursday, July 12, 2018 | Cherie Kelly-Aduli
Over the past week I have received calls and emails from physicians regarding the 2017 CMS MIPS Feedback Reports released on 6/29/2018. Below is a list of their top questions and my answers. Most of the practices I provide MIPS consulting services to that scored a perfect 100 MIPS total score were pretty disappointed with the 2.02% positive payment adjustment they received. It took a lot of time and money to implement MIPS in our clinics. We thought, at the minimum, we would have seen a positive 4% payment adjustment on our Feedback report. Based on the incentive received this year, many are starting to rethink how much effort they will be putting into MIPS in 2018. In some cases, when I add the cost of MIPS and compare it to the incentive earned, it looks like money might actually be lost. With that in mind, avoiding the penalty looks good right about now.
1.) Who receives MIPS Performance Feedback?
2.) When will I receive my MIPS Performance Feedback?
3.) What is included in the 2017 CMS MIPS Feedback Report?
4.) What are examples of possible inaccuracies in the Feedback Reports?
5.) Some of the data on my Feedback Report is incorrect. What should I do next?
6.) What is a targeted review?
7.) How do I request a targeted review of my MIPS results?
8.) What is the deadline for a targeted review?
9.) My 2017 MIPS total score was 100. Does that mean I will automatically receive a 4% positive payment adjustment in 2019?
10.) Where can I go to find more information?
Illustration: Lee Sauer
Cherie Kelly-Aduli is the CEO of QPP Consulting Group in Mandeville, Louisiana, and a MedAxiom consultant. She has over 16 years of experience in healthcare operations, population health and accountable care. Prior to opening her own firm, Cherie was the Director of Clinical Operations and subsequently Director of Population Health and Accountable Care for the Louisiana Heart Hospital and Medical Group located in Lacombe, Louisiana.
Throughout her career Cherie has been highly successful in efficient practice management, practice adoption of electronic health records, and assisting providers with exceeding standards for patient satisfaction. As payors and patients have transitioned to "pay for value," Cherie has been instrumental in leading private practices and hospital systems to achieve high quality outcomes under the Meaningful Use, PQRS and Value Based Modifier programs; she is now assisting groups with their adoption of the Merit Based Incentive Payment system under MACRA.
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