2. Review your numbers at least quarterly.
By reviewing the performance of their clinicians on a quarterly basis, practices can make course corrections throughout the year to ensure they are meeting necessary performance standards. Practices that notice early on that they are not meeting the standards they have selected through their reporting can either select other measures that they might be better suited for reporting or implement processes that allow them to improve their performance before the end of the year.
3. Select the appropriate measures.
Due to topped-out measures’ scoring limitations, successful practices should carefully consider and select measures that show improvement in performance. For example, Quality ID 236 (Controlling High Blood Pressure) is a high-priority measure practices can select and work with their patients to improve over time. Measures that continue to show meaningful improvement in performance by practices will likely have a longer time span in the MIPS program.
Additionally, practices do not need to look for the easiest measure to meet—or to achieve a “perfect” score as other practices could potentially be doing the same (which then creates a high benchmark that may demonstrate little variance and lead to further top outs). There are many non-topped-out measures where practices can earn the full 10 points without scoring a perfect or close-to-perfect performance.
4. Engage an expert quality reporting team.
One way practices can maximize their reimbursement without losing valuable time with patients is to work with a quality reporting engagement team. This team can assist with guidance on how to understand changing quality measurements, avoid costly missteps, and maintain peace of mind.
CMS will continue to select additional high-performing measures to top out in coming years, impacting a practice’s ability to maintain high MIPS scores above the performance threshold. Engaging an expert reporting engagement team will allow practices to address these changes head-on while remaining committed to providing quality care to patients.
Jackie Rogers is the manager of the Quality Reporting Engagement Group at data analysis provider IntrinsiQ Specialty Solutions, a part of AmerisourceBergen.