How to Succeed With MIPS

Claimpower clients who have opted to use our EMR, and to submit their MIPS data through us, can rest easy knowing that they will not receive a penalty. Some may even be eligible for a bonus!

However, you may still feel confused by this admittedly, very confusing program. Here are five keys to succeeding with MIPs in 2018:

1) Keep doing your Clinical Quality Measures (CQMs). This button should be green for as many patients as possible. We are constantly improving our systems to make processes like this faster and easier for you. Please send Rohan any suggestions you may have. CMS has confirmed that for 2018, you will need to submit a full year’s worth of data for CQMs. Every patient you see will impact your score.


chart cqm


2) Continue to use ePrescribe, Give Access to the Patient Portal, Provide Patient Specific Education, audit patients’ medication list, allergy list, and current problem list. These activities count towards the Advancing Care Information (ACI) category of MIPs. Note: when you are reconciling medications, you must push this button to attest that you have reconciled all medications.


3) Count your referrals. If you refer less than 100 patients, you will be eligible for a low-volume exception. If you are on track to do more than 100 referrals throughout the year, you must sign up for a secure email address with EMRDirect. Otherwise, you will lose all of your ACI points, which make up 25 out of your 100 potential MIPs 2018 points.


4) Do Tobacco, Alcohol, and Depression screenings if they make sense for your practice. If you prescribe narcotics, make sure you consult the Prescription Drug Monitoring Program before doing so. In next week’s blog post, we will share more information about consulting the Prescription Drug Monitoring website. These activities make up the Improvement Activities (IA) section of your MIPs 2018 score.



5) Be aware that your overall cost of caring for Medicare patients will be factored into your MIPs 2018 points. This data will be collected through claims, so there is nothing additional your office needs to do here.

Is your office tackling the MIPS process with an extremely efficient workflow? Have any advice for other offices trying to figure out their system? Let us know in the comments.

If you’d like to figure out how to make this process more efficient for your office, please reach out to Rohan to schedule a meeting.