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Quality Payment Program Year 2: MIPS Highlights
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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: 597
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: 562
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: 1003
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: 562
Loc: Canaan CT
CMS/MeaningfulUse/MIPS nice title for the latest Greek Tragedy playing in our practices.

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#71988 - 11/21/17 04:42 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
Tomastoria Offline
Member

Registered: 03/28/11
Posts: 597
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 - 11/21/17 08:36 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: Tomastoria]
koby Offline
Member

Registered: 05/14/09
Posts: 562
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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#72006 - 11/24/17 01:44 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
Bert Offline
Admin

Registered: 09/27/03
Posts: 11219
Loc: Brewer, Maine
[font:Georgia][/font]

First off, I wish the post could all be in that font. I have never noticed this user who has been on here since 2010. Glancing at some of the posts, I can't tell if they have been helpful. Certainly, none have been inappropriate or have been reported to me.

This one seems out of nowhere, and I wonder why CMS wouldn't simply send this to those who participate in Medicare.

I certainly agree with the users above. Everything that the government has done has added little benefit to physicians and added tons of paperwork and useless time. I doubt that this will improve healthcare. And, more importantly, all of the alphabet soup that the government has crammed down our throats such as CCHIT, Meaningless Use, MACRA, MIPS, etc. have costs the EMRs money and costs the users of those EMRs a much longer wait for the EMR to be upgraded. EMR companies have no choice but to upgrade and change their EMRs, at the expensve of much money and wasted time, so that their EMRs can be certified for the garbage. If they don't, they can't sell them.

It wouldn't take many users asking to have you removed from the board to have you removed from the board. But, maybe users on here find your information useful.
_________________________
Bert
Pediatrics
Brewer, ME

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#72043 - 11/30/17 02:13 PM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
ryanjo Offline
Member

Registered: 11/02/06
Posts: 1997
Loc: Central Florida
Originally Posted By: bmdubu
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.


The Quality Payment Program Hardship Exception Application for 2017 (covering those of us affected by the hurricanes) is now online at: https://qpp.cms.gov/mips/advancing-care-information/hardship-exception

If you want to apply for the exception for 2017, it must be filed by 12/31/2017.
_________________________
John
Internal Medicine

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#72051 - 11/30/17 07:46 PM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
koby Offline
Member

Registered: 05/14/09
Posts: 562
Loc: Canaan CT
now I propose they consider adding the 'Grumpy Old Fart/Not My First Rodeo' exception

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#72055 - 12/02/17 03:09 AM Re: Quality Payment Program Year 2: MIPS Highlights [Re: bmdubu]
ryanjo Offline
Member

Registered: 11/02/06
Posts: 1997
Loc: Central Florida
Even better news in this CMS release. Physicians in MIPS who practice in the hurricane affected states (Texas, Florida, South Carolina & Georgia), the US Virgin Islands and Puerto Rico, plus areas of California affected by wildfires, are not going to receive negative payment adjustments in 2019, even if they don't submit MIPS data. If I'm reading this right, you don't even need to apply for it:

Quote:
Under this policy, if you’re affected by Hurricanes Harvey, Irma, or Maria or the Northern California Wildfires, we’ve tried to lessen your burden by not requiring you to submit an application to reweight the performance categories. We’ll be able to automatically identify you. If you’re an affected MIPS eligible clinician, you’ll automatically receive a neutral MIPS payment adjustment


(Incredibly, they failed to include koby's exception)
_________________________
John
Internal Medicine

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#72071 - 12/07/17 05:33 PM Re: Quality Payment Program Year 2: MIPS Highlights [Re: Tomastoria]
Boondoc Offline
Member

Registered: 01/13/10
Posts: 1003
Loc: Alaska
As long as patients want to see an independent doctor, I will be here, with our without CMS.
_________________________
Chris
Living the Dream in Alaska

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