CMS has released the 2019 Proposed Rule for the MIPS program. Let’s talk about some of the highlights below.
Opt-In Option
Starting in Year 3, clinicians or groups can opt to participate in MIPS if they meet or exceed one or two of the low-volume threshold criteria. This option is not available if the clinician or group meets all of the low-volume threshold criteria.
Low-Volume Threshold Criteria for Year 3
- Dollar Amount ($90,000)
- Number of Beneficiaries (200)
- Number of Covered Professional Services (200)
Reduce Burden and Offer Flexibility
- Moving clinicians to a smaller set of objectives and measures with scoring based on performance for the PI category.
- Changes to the MIPS Promoting Interoperability (formerly ACI) category to support greater electronic health record interoperability and patient access while aligning with new hospital regulations.
- Allowing the use of bonus points for certain activities or practice size.
- Facility based scorning option
CMS has put together a great overview sheet to cover additional questions!