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 0 comments

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