MIPS 2023 has new challenges for its participants. They must be equipped with modern solutions and reliable consulting services for safe passage.

The Mips Program has a systematic framework for eligible clinicians. The PFS final rules inform the participants about the new MIPS Reporting requirements. Afterward, those who keep following the right track achieve their target goal of achieving a higher score. So, likewise, for MIPS 2022, CMS has forwarded the PFS final rule for MIPS 2023. CMS has informed clinicians about the new changes from time to time. Therefore, they have already prepared them for MIPS participation in PY 2023. So, CMS has done the latest update to the PFS final rule for the MIPS program in November 2023. All healthcare professionals immediately responded to the changes.

Here in this blog, we will have a quick overview of MIPS-related measures you must consider. This will eventually help you stay compliant throughout the performance year.

Finalized Changes in MIPS 2023

MIPS Performance Threshold

The biggest news about the MIPS program in PY 2023 is its performance threshold. Hitting the minimum performance threshold of 75 points is crucial for clinicians. Otherwise, they will not get any sort of incentives. Rather, CMS will charge them penalties for their poor performance as per their MIPS score.

Exceptional Performance Bonus Exemption

Now, you must note that the MIPS exceptional performance bonus has been excluded after MIPS 2022. CMS has already mentioned its exemption from the MIPS program in the final rule for PY 2022. Therefore, be ready now! The new rule for current reporting is going to influence you a lot.

MIPS Performance Categories

Now, let’s count on the performance categories of MIPS that collectively construct your final score. The MIPS 2023 will also have the same 4 categories. Moreover, there is no such change in every category’s weight.

● Quality: 30%

● Cost: 30%

● Promoting Interoperability (PI): 25%

● Improvement Activities (IA): 15%

The small practices, however, have some relaxation in the MIPS program. They just have to deal with Quality at 40%, Cost at 30%, and Improvement Activities at 30%. Currently, there is no weight category for small practices in Promoting Interoperability (PI).

MIPS Data Collection Types

The government is very eager to obtain quality data for MIPS 2023 as well. It wants to guarantee the safety and integrity of the healthcare system. Therefore, you must collect data for your reporting from January 1 through December 31, 2023. Also, CMS has finalized five collection types for reporting MIPS quality measures:

● Qualified Clinical Data Registry (QCDR) Measures

● Electronic Clinical Quality Measures (eCQMs)

● MIPS Clinical Quality Measures (CQMs)

● Medicare Part B Claims Measures

● The CAHPS for MIPS Survey

Understanding CMS Quality Measures for 2023

A report from Medisolve highlighted three key CMS theme modifications to be aware of:

Transition to eCQMs or CQMs for ACOs

CMS has declared that the CMS Web interface will not be available for MIPS 2023. However, it has opened the portal for MSSP ACOs this year. Therefore, ACOs will have to start submitting reports utilizing eCQMs or CQMs. The transfer from the CMS web reporting interface will not be subject to an extension. Thus, you will have to head to CQMs or the electronic eCQMs by 2025.

Specialty Type Subgroup Reporting via MVPs

You can soon expect subgroup reporting by specialty type. This will be accomplished via the MIPS Value Pathways, or MVPs, a new reporting system. So, from 2023 PY, CMS will require actions from specialists. One thing you must keep in mind is that subgroup reporting is currently optional. We can interpret this as CMS giving providers enough time to properly prepare for MVPs. So, once the new framework is implemented after 2026, MVP reporting will be required.

Potential Retirement of Traditional MIPS in 2027

Traditional MIPS appears to be on its way out. The planned discontinuation of traditional MIPS in 2027 has not yet been officially announced by CMS. If this happens, you’ll have to work with an APM entity like an ACO. Thereby, you will submit your reports using the APP or APM Performance Pathway framework. However, you have MVPs as well. Thereby, you may plan to use the subgroup reporting methodology.

Our Guidance for Your MIPS 2023 Reporting

The team of experts at QPP MIPS has viewed the MIPS PFS final rule. Also, we have updated information regarding every aspect of the MIPS program. Therefore, we advise you to rely on our MIPS consulting services. We will assist your practices in performing well throughout the year.

Conclusion

With the new CMS updates, there are several things to be aware of. You must ensure that your team is providing the CMS with accurate information regarding quality measures. Ideally, you will also ensure that:

● You are using the most recent versions of critical software.

● Your computer systems and network are capable of handling all of the qualified information you are gathering.

You may manage your practice more effectively this year by staying up-to-date on CMS quality measures. It might be difficult to carve out much time from your hectic schedule. So, to stay up to date on news and advancements affecting your area when you are preoccupied with the urgent duties at hand, catch us the right way. We will help you with MIPS 2023 reporting and provide useful information for MIPS healthcare.