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[Slideshow]: MIPS 2021 Changes from the Final Rule

CMS released the 2021 Physician Fee Schedule (PFS) final rule which contained the revised MIPS requirements. CMS has released its vision for how their new MIPS Value Pathways (MVP) program may look in 2021. I’ve summarized the gist of the program below the slideshow.

We've also provided the links to the CMS proposed rule documents below.

Here’s a slideshow that highlights the key changes to the program that may affect you or your clinicians.

 

As a reminder, CMS plans to transition to the MIPS Value Pathways (MVPs) program in 2022. We will provide more education on the specifics as CMS releases the details. In the meantime, I wanted to give a quick overview of the concept.

The idea is that clinicians will report on fewer measures and activities based on specialty and/or outcome.

Here’s an example of how this would look. In the current model specialists like an Endocrinologist would choose measures to report for MIPS from the same set of measures as every other clinician in the program.

In the new MVP framework, Endocrinologists report on a set of measures and activities that are relevant to them, for instance diabetes prevention and treatment. So, their MIPS Value Pathway would look like this for reporting to MIPS.

MIPS-Pathway

The goal is for clinicians to report less burdensome and more relevant data and for CMS to provide more data through administrative claims and enhanced performance feedback that is meaningful to clinicians and patients.

CMS is still finalizing the program and will release more details this year.

These changes are not all encompassing of the final rule, but remember that when you partner with a MIPS vendor like Medisolv, our clinical experts work closely with you—every step of the way—to help you gain a better understanding of the changes to MIPS and guide you through a successful MIPS submission year after year.

Find out more about our MIPS solution.

 


Medisolv MIPS Package

Medisolv Can Help

Medisolv’s quality reporting software, ENCOR, is designed to meet your MIPS reporting needs. Our solution spans both the ambulatory and inpatient settings and includes consulting and submission services.

Learn how we can help you successfully submit to the Quality Payment Program. Contact one of our MIPS professionals >>

 

 

Denise Scott, M.M. RN-BC, CMHP

Denise Scott, Director of Ambulatory Services, brings over 30 years in healthcare and over 15 years in HIT implementation, optimization, quality measurement and improvement in the ambulatory physician environment to Medisolv. Prior to joining Medisolv, Denise was a Director of Quality, Informatics and Clinical Integration for two large medical groups in Massachusetts and the former Manager, HIT Services at Masspro where she led a variety of HIT related projects. Denise is a subject matter expert on workflow redesign and Meaningful Use, and is board certified in Nursing Informatics.

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