Using MIPS Reporting in Participation of the QPP
The Merit-based Incentive Payment System (MIPS) is a path to participate in the CMS Quality Payment Program (QPP), which streamlines programs including Meaningful Use, the Physician Quality Reporting System and Value-Based Modifier into a single score. QPP uses four components to derive the MIPS Final Score: Quality, Advancing Care Information/Promoting Interoperability, Improvement Activities and Cost. For more information on MIPS, click here. The ACQUIRE Registry is your “one-stop shop” to report on all categories of MIPS.
The ACQUIRE Registry is a Qualified Clinical Data Registry (QCDR). A QCDR is a CMS-approved entity that collects clinical data from MIPS clinicians and submits it to CMS on their behalf for MIPS reporting. Because ACQUIRE is QCDR, users can report on FPMRS-focused measures not accessible outside of the registry. Individuals and groups may report via ACQUIRE. Those using ACQUIRE to report must report at least 60 percent of ALL the patients to which the measure(s) apply. In addition to the data warehousing and participation agreements, clinicians choosing to report MIPS through ACQUIRE will be required to complete and return a data consent release form.
Cost
There is a $199 annual fee for reporting through ACQUIRE. Click here to purchase. For more information, contact acquire@augs.org.
View ACQUIRE Qualified Clinical Data Registry Measures for 2019 Reporting.
What is new for 2018? Check out these quick fact articles and the 2017 vs 2018 comparison chart below.
QPP Topic
|
2017
|
2018
|
Payment Adjustment
|
-4% to +4%
|
-5% to +5%
|
Performance Threshold
|
3 points
|
15 points
|
Complex Patient Bonus
|
N/A
|
Up to 5 points
|
Hardship Exemption
|
Automatic
|
Must apply
|
|
|
|
Quality
|
|
|
Score Weight
|
60%
|
50%
|
Performance Period
|
Minimum 90 days
|
Minimum 12 months
|
Data Completeness
|
50%
|
60%
|
Measures that Don't Meet Completeness
|
3 points
|
1 point*
|
Topped Out Measures (AUGS20 and AUGS21)
|
Up to 10 points
|
Up to 7 points
|
Improvement Bonus
|
N/A
|
Up to 10 percentage points
|
|
|
|
Cost
|
|
|
Score Weight
|
0%
|
10%
|
Performance Period
|
N/A
|
12 months
|
Applicable Measures
|
N/A
|
Medicare Spending per Beneficiary and Total per Capita Cost
|
Submission
|
N/A
|
Automatic
|
|
|
|
Improvement Activities
|
|
|
Score Weight
|
15%
|
15%
|
Performance Period
|
Minimum 90 days
|
Minimum 90 days
|
Number of Activities Available
|
92
|
112
|
Number of Activities to Score 100%
|
4
|
4*
|
|
|
|
Advancing Care Info
|
|
|
Score Weight
|
25%
|
25%
|
Performance Period
|
Minimum 90 days
|
Minimum 90 days
|
CEHRT Edition
|
2014 or 2015
|
Bonus for 2015 Only
|
Bonuses
|
N/A
|
-Additional IA Activities
-Reporting to any single public health agency or clinical data registry
|
|
|
|
Small Practices
|
|
|
Size Limit
|
<$30,000 claims and <100 Part B beneficiaries
|
<$90,000 claims and <200 Part B beneficiaries
|
Bonus
|
N/A
|
5 points
|
Virtual Groups
|
N/A
|
Available later in the year
|
Quality
|
|
|
Measures that Don't Meet Completeness
|
3 points
|
3 points
|
Improvement Activities
|
|
|
Number of Activities to Score 100%
|
2
|
2
|
Advancing Care Info/Promoting Interoperability
|
|
|
Exception
|
N/A
|
New hardship exception
|
*Exceptions apply for small practices
Download the MIPS reporting user manual for detailed instructions on how to use the module.