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#71926 - 11/08/17 03:16 PM Quality Payment Program Year 2: MIPS Highlights
bmdubu Offline
Member

Registered: 08/27/10
Posts: 33
Loc: Tampa, FL
In the Quality Payment Program Year 2, here’s how we’ve adopted 2018 policies to further reduce your burden and give you more ways to participate successfully. We are keeping many of our transition year policies and making some minor changes including:
• Raising the performance threshold to 15 points in Year 2 (from 3 points in the transition year).
• Allowing the use of 2014 Edition and/or 2015 Certified Electronic Health Record Technology (CEHRT) in Year 2, and giving you a bonus for using only 2015 CEHRT.
• Giving up to 5 bonus points on your final score for treatment of complex patients.
• Automatically weighting the Quality, Advancing Care Information, and Improvement Activities performance categories at 0% of the final score for clinicians impacted by hurricanes Irma, Harvey and Maria and other natural disasters.
• Adding 5 bonus points to the final scores of small practices



More detail https://www.cms.gov/Medicare/Quality-Pay...-Fact-Sheet.pdf [font:Georgia]
[/font]
_________________________
Betty Wimbley, BSCS,MPM
EHR Healthcare Quality Specialist
Learn more about the CMS QIN-QIO Program
http://www.cms.gov/Medicare/Quality-Init...Orgs/index.html

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#71939 - 11/09/17 07:50 PM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
Tomastoria Offline
Member

Registered: 03/28/11
Posts: 594
Loc: Astoria OR
Thank you Ms. Wimbley.
When I look at any document relating to MIPS/MACRA/QPP --
I just go all wobbly in the knees, and I get a sinking feeling that makes me want to crawl into a hole.

I know you are trying to help.
And I am just trying to stay sane.
I have come to the conclusion that CMS and I are on different planets.
_________________________
Tom Duncan
Family Practice
Astoria OR

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#71940 - 11/09/17 07:54 PM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
koby Offline
Member

Registered: 05/14/09
Posts: 556
Loc: Canaan CT
Ditto Tom, to me it reads like a transcript of an actuary having clang associations.
I just say no.

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#71959 - 11/14/17 04:45 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
KenP Offline
Member

Registered: 01/13/05
Posts: 372
26 pages just for the overview!
_________________________
...KenP
Internist
Florida

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#71964 - 11/15/17 10:45 PM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
Boondoc Offline
Member

Registered: 01/13/10
Posts: 1000
Loc: Alaska
Ms. Wimbley:
I am one that played your game with the various stages of Meaningful Use. That program was an abject failure. I never heard CMS offering apologies for putting us through all that, or the massive waste of tax dollars that really did nothing "meaningful" for healthcare. Now CMS is trying to get us to play again with another complicated program. I just want to seem my patients and help them. Since you are with CMS, I have to ask: did they learn anything from the last time? If you do have any say, Please, please stop.
_________________________
Chris
Living the Dream in Alaska

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#71965 - 11/16/17 12:15 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
koby Offline
Member

Registered: 05/14/09
Posts: 556
Loc: Canaan CT
CMS/MeaningfulUse/MIPS nice title for the latest Greek Tragedy playing in our practices.

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#71988 - Yesterday at 04:42 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
Tomastoria Offline
Member

Registered: 03/28/11
Posts: 594
Loc: Astoria OR
No matter what any of its proponents say, Medicare still pays by procedures, and by how many patients you see.
Quantity.

The "quality" part is and adjustment to the "quantity" -- not the other way around.

Not participating might cost 10 - 15% off the top (before taxes)
Participating is very expensive in terms of additional staff, inability to see patients efficiently and untold frustration.

I believe the tradeoff for small offices remains is negative either way -- and is clearly designed to destroy independent practice.
_________________________
Tom Duncan
Family Practice
Astoria OR

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#71989 - Yesterday at 08:36 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: Tomastoria]
koby Offline
Member

Registered: 05/14/09
Posts: 556
Loc: Canaan CT
yup, my attempt is to try and add another patient or 2 a day to 'cover' the loss for not running the gauntlet

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