2017 is the first Performance Year for MACRA. If you are an eligible clinician, participating in the MIPS track, what does mean for you? Here’s a quick overview of what you need to do this year to avoid a negative payment adjustment in 2019.
Choose Your Option
The first step is to decide which reporting option is best for your practice in this initial year. Here are your three options:
1. Test. This option allows you to choose a 20-patient sample for any day you treated patients in 2017 and report information on either 1 quality measure, 1 improvement activity or attest to all measures in
the Advancing Care Information category. The easiest way to decide what to report is to identify if you are already collecting data for one of these.
2. 90 Day Reporting. This option means you will collect all the data required by the MIPS track for 90 consecutive days. The data collected will include 6 Quality Measures, 2-4 Improvement Activities based on the size of your practice, and attest to all measures for the Advancing Care Information. You must begin collecting data no later than October 2nd, 2017, to achieve 90 consecutive days of data before the end of the performance year.
3. Full Year Reporting. This option means that you will collect all data required (as described above) by the MIPS track for the entire 2017 Performance Year.
To potentially earn a positive payment adjustment under MIPS, send in the required data as described above about the care you provided and how your practice used technology in 2017 by the deadline date
of March 31, 2018. You can start sending in your data on January 1, 2018. Your method of submission will be based on the option and measures you chose.
At some point in 2018, you will receive feedback from Medicare about your actual performance based on the information you sent in. This feedback will tell you how you scored, if you earned a positive payment adjustment for 2019, etc. Everyone who at least submits one measure will avoid a negative payment
adjustment. However, that is only true for the first performance year 2017. Minimum requirements for the performance year 2018 will be released soon.
If you chose the test option, you will not see a payment adjustment in 2019. Your payments will simply remain the same. If you chose the 90-day reporting or the full year reporting option, you may earn a positive payment adjustment for 2019 if you submit the 2017 data by the March 31st, 2018 deadline. Your positive payment adjustment will depend on how your performance rates when compared to other MIPS eligible clinicians. You will be informed of this when you receive your feedback from Medicare.
If you were notified by CMS that you were eligible for the APMs track in 2017, then your quality data will be sent through your Advanced APM. The data required will be identified by the Advanced APM entity. If you participated in an Advanced APM in 2017, then you may earn a 5% incentive payment in 2019.