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Quality Payment Program (QPP) Support Center

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Six Ways to Boost Your MIPS Score in 2018

6/5/2018

Congratulations to everyone involved in the submission of 2017 MIPS reporting data! In 2018, the bar will be set higher for MIPS participation, but there are some easy ways to boost your score.
 
MIPS eligible clinicians will need to earn at least 15 points on their MIPS scores for the 2018 reporting period to avoid a negative payment adjustment in 2020. By contrast, last year clinicians only needed to earn 3 points to avoid a negative payment adjustment for 2019.

Based on your performance, you’ll get between 3 and 10 points on each quality measure you submit. To help you meet the new threshold, you have several new opportunities to earn extra MIPS points this year:
  1. Get 5 points just for being a small practice (15 or fewer eligible clinicians) if you submit data to at least one performance category.
  2. Earn up to 10 points for demonstrating performance improvement since 2017 on your Quality Measures.
  3. Earn an additional point for using only 2015 edition Certified Electronic Health Record Technology (CEHRT).
  4. Earn up to 5 points for treating and submitting data on complex patients.
    • These points will be calculated automatically from claims data based on your hierarchical condition risk score and percentage of dually eligible beneficiaries who receive both Medicare and Medicaid benefits.
    • Be sure to record your patients’ serious and chronic conditions in your claims to earn these points.
  5. Get extra points for end-to-end electronic reporting of your quality measures (up to 5 points in 2018)
  6. Earn up to 5 points for reporting on additional high-priority measures
Additional details on 2018 scoring are available here.

Please note that while the 2018 final rule for MIPS initially offered improvement scoring for the cost performance category, the Bipartisan Budget Act of 2018 delayed that option until Year 6 of the program.