APMA News - November/December 2019 - 60
IT Consultant
By James R. Christina, DPM; Jeffrey D. Lehrman, DPM;
and Dyane E. Tower, DPM, MPH, MS
2019 Recap and Explanation of eCQM versus CQM
In this article, we recap the most pertinent information regarding the 2019 MIPS performance year (PY). We also discuss
the Quality category in more detail because there is confusion
regarding eCQMs, QRDA III files, QRs, and MIPS CQMs. (With
all those abbreviations, we understand why!)
*
2019 Recap
For the 2019 PY, eligible providers need at least 30 MIPS
points to avoid a negative adjustment to their 2021 Medicare
Part B payments. Failure to report anything at all will result in a
7-percent negative adjustment. Submitting some data (scores
between 7.51 and 29.99) can reduce the negative payment adjustment. (See "MIPS 2019: Payment Adjustment" below.)
Four Categories Make Up the MIPS Program
*
Quality
u Can report via multiple collection types (claims, registry, EHR)
Need six measures for maximum score (one must be an
Outcome or High Priority measure)
u Reporting period is 365 days
Improvement Activities (IA)
u Select high- and/or medium-weight activities (small practices of one to 15 providers will score double points for
each IA measure)
u Reporting period is at least 90 consecutive days
u You will likely want to max out this category
Promoting Interoperability (PI)
u You must use a 2015 Edition ONC-certified EHR to participate in this category
u Be sure to check out the hardship application to see if
you are qualified for an exception and, if you want to
apply, submit your application by December 31, 2019 at
https://cmsqualitysupport.service-now.com/exception_
application.do
n Note: Receiving an exception for the PI category will
reweight the 25 PI points to Quality. If you need to opt
out of more than one category, you can access hardship applications at www.apma.org/mips2019.
u Reporting period is at least 90 consecutive days
u
*
MIPS 2019: Payment Adjustment
Performance Threshold
1/4 of
Performance Threshold
60 APMA News November/December 2019
Additional
Performance Threshold
https://cmsqualitysupport.service-now.com/exception_application.do
https://cmsqualitysupport.service-now.com/exception_application.do
http://www.apma.org/mips2019
APMA News - November/December 2019
Table of Contents for the Digital Edition of APMA News - November/December 2019
Contents
APMA News - November/December 2019 - Cover1
APMA News - November/December 2019 - Cover2
APMA News - November/December 2019 - 3
APMA News - November/December 2019 - 4
APMA News - November/December 2019 - 5
APMA News - November/December 2019 - 6
APMA News - November/December 2019 - 7
APMA News - November/December 2019 - Contents
APMA News - November/December 2019 - 9
APMA News - November/December 2019 - 10
APMA News - November/December 2019 - 11
APMA News - November/December 2019 - 12
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APMA News - November/December 2019 - 90
APMA News - November/December 2019 - Cover3
APMA News - November/December 2019 - Cover4
APMA News - November/December 2019 - A1
APMA News - November/December 2019 - A2
APMA News - November/December 2019 - A3
APMA News - November/December 2019 - A4
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