About MIPS 2020
The Merit-Based Incentive Payment System (MIPS) provides financial incentives for providers that meet specific metrics associated with quality, promoting 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 2020, eligible providers can be subjected to a -9% penalty on their 2022 Medicare Part B payments or earn up to 9% 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 nine years of successful PQRS, meaningful use, and MIPS reporting; we have the tools, experts, and experience to help you with your MIPS reporting. Still have questions? See our FAQs.
Who Is Eligible to Report MIPS?
MIPS participation is mandatory for many clinicians that meet three low-volume thresholds. These minimums are (1) having more than 200 Medicare Part B patients, (2) having more than $90,000 in associated medical billing per year, and (3) covering more than 200 Medicaid professional services during the performance period.
Participants also need to be one of the following types of clinicians:
- Physician Assistants
- Nurse Practitioners
- Clinical Nurse Specialists
- Certified Registered Nurse Anesthetists
- Clinical Psychologists
- Physical Therapists
- Occupational Therapists
- Speech/Language Pathologists
- Nutrition Professionals
Why Use HCIS?
- There is a -9% maximum penalty applied to any eligible provider that does NOT submit or scores lower than 45 points
- Providers who use our consulting services score 22% higher than those providers that do not
- HCIS will identify reporting opportunities throughout the 268 available measures while typical EHRs only report on 50 quality measures
- Providers who score 45 or more may receive financial incentives up to +9%
Schedule a FREE 15-minute consultation!
If you have questions about MIPS 2020 reporting requirements or want to better understand your eligibility or reporting requirements, please make an appointment with our MIPS advisers.
What is the Process?
Choose the categories you will participate in. Get help from our expert advisers as needed.
Collect the required data from your practice’s medical records. Get help with data extraction.
Enter your data onto the NJII-HCIS MIPS portal. Track your progress with our continuous performance projection.
Confirm your data and submit via the portal. Our experts will validate your final submission before it is sent to CMS.
The quality cateogory replaces the Physician Quality Reporting System (PQRS) and clinicians report on six quality measures, either as individuals or in a group.
Promoting Interoperability (PI)
Previously called Advancing Care Information, the PI category replaces the Medicare EHR Incentive Program and promotes the use of technology to improve efficiency of care.
The Improvement Activities category was designed to promote engagement in clinical activities as well as improvement in the quality of care delivered.
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 care is calculated by CMS based on Medicare claims. MIPS clinicians are NOT required to submit any data to CMS for this category.