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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. Next year CMS is upping the minimum score requirements and plans to post your 2018 MIPS performance to Physician Compare. Below is a slideshow highlighting the major changes that came out of the ruling.

We've also provided the links to the CMS final 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 
This is a big year for Quality. Medisolv can help you along the way. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs.
 
We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. Especially if you use an EHR vendor right now, you’ll notice a huge difference.

  • We help troubleshoot technical and clinical issues to improve your measures.
  • We keep you on track for your submission deadlines and ensure you don’t miss critical dates
  • We help you select and set up measures that make sense based on your hospital’s situation.
  • You receive one consultant that you can call anytime with questions or concerns.

    Contact us today.

Here are some resources that will help you get started:

 

 

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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