Merit-based Incentive Payment System Fourth Quarter Updates

By Randi Kudner, Senior Quality Improvement Manager
It’s difficult to keep track of all the administrative deadlines within a radiation oncology practice.  This is especially true for those practices reporting to Medicare’s Merit-based Incentive Payment System (MIPS). As we near the end of the second year of the MIPS program, there are several requirements to consider and a few items to check off the end-of-year “to do” list.
2018 Requirements
In 2018, physicians or practices must achieve 15 points to avoid the 5 percent penalty in 2020.  Small practices ( less than 16 eligible clinicians) can achieve this by choosing two medium-weight Improvement Activities, or one high-weight activity. Large practices (16 or more eligible clinicians) need four medium-weight or two high-weight activities.
In 2017, the Cost performance category was not included in MIPS; however, it was scored.  ASTRO recommends that all practices review their 2017 Feedback Report in the Quality Payment Program Portal to see whether a Cost score was provided.  If a practice received a score in 2017, it is likely they will also meet the required thresholds for 2018, when the category will be 10 percent of the final MIPS score. 
MIPS Checklist All practices can learn more on the ASTRO website or contact ASTRO directly.
Posted: December 5, 2018 | with 2 comments

Randi Kudner
I am so glad you commented and shared this article. The BuzzFeed article is correct that EHR vendors are operating differently in regards to MIPS. There is a new rule in the 2019 program year that requires all practices to use 2015 certified EHR technology. For radiation oncology, this means ARIA v15.5, MOSAIQ v2.7 only. There are multiple accepted versions of EPIC and Cerner products. Practices not using one of these versions will need to upgrade or claim a hardship for the Promoting Interoperability performance category for 2019. They are not available yet, but more information can be found here:
Also, I know that oncology information systems vary on reporting data to CMS on behalf of the practice. Because of this, ASTRO recommends using the QOPI Reporting Registry as a data collection and reporting tool. It pulls measure relevant data directly to ARIA, MOSAIQ, and other systems and sends it to CMS on your behalf.
As far as managing the overall MIPS program, contact ASTRO at I will be happy to set up a call with you and answer any questions you have.

Thanks again for reaching out.
6/18/2019 12:01:10 PM

This article says that not every vendor deals with MIPS, so what are we supposed to do? Can anyone kindly help us?
6/17/2019 6:27:21 AM

 Security code

We have recently updated our privacy policy and terms of use.
By using this site, you agree to ASTRO’s Privacy Policy and Terms of Use.
We use cookies to provide, secure and improve our services to you. To learn more, click here.