MIPS 2020 Documentation
Index
- Sections
- Who has to Report for MIPS for 2020?
- > $ 90,000 AND > 200 Part B Beneficiaries
- Performance Categories
- Quality
- Promoting Interoperability
- Improvement Activities
- Cost
- Reporting Period by Category
- Penalty for not reporting
- Points required to avoid a negative adjustment
- Quality Measures
- The quality category is the highest scoring category - 45% of your total score
- Bonus Points in Quality Measures
- Bonus for Small practices (15 or fewer clinicians)
Who has to Report for MIPS for 2020?
Physicians, Physician Assistants, Nurse Practitioners, Clinical Psychologists who meet the eligibility status. Check your eligibility status here: https://qpp.cms.gov/participation-lookup
Eligible status is based on clinician type and:
> $ 90,000 AND > 200 Part B Beneficiaries
Bill more than $ 90,000 in Medicare Part B
Render services to more than 200 Part B patients
Covered professional services AND > Provide 200 or more covered professional services to Part B patients
Performance Categories
Quality |
Promoting Interoperability |
Improvement Activities |
Cost |
|
45% |
25% |
15% |
15% CMS Calculates cost |
Reporting Period by Category
Quality |
Promoting Interoperability |
Improvement Activities |
Cost |
|
365 days |
90 days |
90 days |
Calculated by CMS |
Penalty for not reporting
-9% Medicare reductions in 2022
Maximum negative payment adjustment for not reporting any data for 2020 performance year
11.26 – 44.99 points reported – Negative payment adjustment (greater than -9 % and less than 0%).
Points required to avoid a negative adjustment
45 points (Increase from 2019)
Exceptional performance bonus: 85
Quality Measures
The quality category is the highest scoring category - 45% of your total score
Data Completeness – 70 % - Percentage of denominator-eligible services where a quality numerator has been reported. Applies to eCQMs, MIPS CQMS
Small practices will continue to receive 3 points for measures in Quality performance category that don’t meet data completeness requirements.
You must report on Quality Measures for 365 days (the whole year).
Bonus Points in Quality Measures
- 1 point for each additional high priority measure
- 1 point for each measure submitted using end-to-end reporting (eCQMs qualify for the additional point)
- As much as 10 points calculated on improvements to quality scoring over previous year
Bonus for Small practices (15 or fewer clinicians)
- If you are in a small practice and submit at least one quality measure, you will also receive 6 bonus points in the Quality performance category.
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