Your Ultimate Guide to MIPS, 2018 Edition

CMS has a way of giving you 1000 puzzle pieces, without giving the clear big picture. This book helps put all the pieces together. Finally! A decoded, organized, easy-to-read, concise, and detailed reference and teaching tool for MIPS with everything you need to be successful for all physician practices! A must read for practice managers, administrators, executives, or clinicians navigating MIPS, Health IT Consultants and anyone interested in the details of the CMS, Merit Based Incentive Payment System (MIPS). This practical, action-oriented book by Joy Rios, MBA, CHTS-PW (in print or eBook) is a comprehensive guide to all MIPS program categories. This book will help stakeholders navigate the MIPS program and its nuances in easy to understand terms to help achieve MIPS program success. In the current landscape, it is up to the practice employee to do the research and understand the program. Rather than aggregating all of the information that is available online, let Joy Rios and this book do it for you using this guide will take the pressure off you and your staff members! You will enjoy a sense of empowerment in being able to take the information in the book and apply it directly to your practice to have more meaningful conversations with EHR vendors, billers/coders, etc. Healthcare is moving from a pay-for-service model to a pay-for-performance model. Many in fact, arguably most healthcare professionals do not understand how this will happen. Your Ultimate Guide to MIPS, 2018 Edition gives you a full spectrum of content. Table of Contents Chapter 1: Welcoming a New Healthcare Paradigm Getting to Know MACRA Making the Transition Chapter 2: MIPS Overview Eligibility Reporting Options Changes to Scoring by Year MIPS APMs Lessons Learned from the Field Chapter 3: Getting to 100 Quality Where Measures Come From Measure Selection Strategy Submission Methods Available CMS-Calculated Population-Based Measures Benchmarking Providers Topped Out Measures Quality Performance Category Scoring Bonus Score Improvement Scoring Calculation of Final Quality Performance Score Scoring Example When Clinicians Don t Have Enough Measures to Report Publicly Reported Quality Measures Keys to Success Resources Lessons Learned from the Field Advancing Care Information (ACI) EHR Certification Edition Option 1 2014 Edition EHR Option 2 2015 Edition Option 3 2014/2015 Combo Edition Understanding ACI Scoring Base Score Performance Score Bonus Points Composite Score 2014 Edition Scoring Example Table 3-20 2014 Edition certified EHR technology Scoring Example Keys to Success Resources Lessons Learned from the Field Cost Attribution for MSPB Measure Total Per Capita Cost for All Attributed Beneficiaries A Little More About Primary Care Services A Little More About Attribution Scoring Get to Know Your QRUR Episode-Based Cost Measures Coming in Future Years Hierarchical Condition Categories (HCC) and Risk Adjustment Factor s (RAF) Role Keys to Success Resources Lessons Learned from the Field Improvement Activities List of Improvement Activities Score Keys to Success Resources Lessons Learned from the Field Calculating the Composite Performance Score Chapter 4: Reporting Your Data Enterprise Identity Data Management Account Quality A Little More About QRDA-3 Submissions Resources Chapter 5: Public Reporting Glossary of Terms