Author Topic: Tell me more about MIPS?  (Read 4459 times)

johnpaul4691

  • Newbie
  • *
  • Posts: 1
Tell me more about MIPS?
« on: November 28, 2016, 09:09:23 AM »
Tell me more about MIPS?

johncogger

  • Newbie
  • *
  • Posts: 2
Re: Tell me more about MIPS?
« Reply #1 on: November 28, 2016, 09:36:54 AM »
Eligible clinicians will be evaluated based on 4 categories:

❂ Quality- based on the existing PQRS system

❂ Resource use: based on the Value based payment modifier model

❂ Advancing Care Information: which is similar to MU mandates

❂ Clinical practice improvement categories

Read more: https://goo.gl/DHRDIU
Get your FREE resource now. <a href="https://www.billingparadise.com/resources/">medical billing resource</a>
https://www.billingparadise.com

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Tell me more about MIPS?
« Reply #2 on: November 28, 2016, 10:05:05 AM »
This is the new method Medicare is using to determine the amount providers will be paid.  Providers will be assigned a composite score based on the four areas listed in the previous post and their reimbursement will be dependent on that score.  It doesn't start until 2019 but it will be based on claim information from 2017 (only one month away).
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Christy

  • Sr. Member
  • ****
  • Posts: 320
Re: Tell me more about MIPS?
« Reply #3 on: January 26, 2017, 06:02:29 PM »
ok, so for a LCSW who did not report PQRS in 2015:

This year she has a 2% fee reduction.

She sees only a handful of Medicare patients and definitely bills under $10,000 a year.

So is she MIPS exempt?  And if so, going forward how will her fee schedule be determined?

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Tell me more about MIPS?
« Reply #4 on: January 28, 2017, 06:31:30 PM »
At this time mental health providers are exempt from MIPS until 2019 reporting year.  According to the Final Rule:

In 2017 MIPS applies to Clinicians who bill Medicare Part B using the physician fee schedule, including:
•Physicians (including psychiatrists)
•Physician assistants
•Nurse practitioners
•Clinical nurse specialists
•Certified registered nurse anesthetists
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Medical Billing Forum

Re: Tell me more about MIPS?
« Reply #4 on: January 28, 2017, 06:31:30 PM »

BikhamHCare

  • Newbie
  • *
  • Posts: 9
    • Patient Registration and Follow up Service Provider- HealthCare system
Re: Tell me more about MIPS?
« Reply #5 on: March 26, 2018, 01:06:23 PM »
Its a Merit-based payment system is a new medical reimbursement framework.Its a part of consolidates different parts of existing payments programmes.

Physician Quality Reporting program
Value-based payments method modifier
Medicare Electronic Health Record (EHR) Incentive Program

Medical Billing Forum

Re: Tell me more about MIPS?
« Reply #5 on: March 26, 2018, 01:06:23 PM »