How to Boost your MIPS 2023 Performance Score?

Every provider has complete awareness of the Quality Payment Program. The MIPS under the framework of QPP promotes the value-based care model for all new and old providers. So, the program awards the performance score after evaluating the reported data. Afterward, the participant either gets an incentive or a penalty. It all depends on the MIPS performance score. For MIPS 203, CMS has implemented a rigid structure. The new reporting rules have been made to give MIPS participants a tough time scoring higher. Therefore, clinicians have to strive hard to stay safe from penalties this time.

This blog primarily highlights different tips and strategies. They will all help the providers elevate their MIPS 2023 performance score.

Scoring High in MIPS Reporting

MIPS 2023 asks providers to submit their reporting data within the timeframe. Also, the participants have to get more than 75 points for positive payment adjustments. 75 points will be considered neutral. So, we can simply say that the MIPS performance score has an impact on Medicare revenues. Apart from this, it also establishes your reputation as a provider delivering exceptional care.

Tips to Boost MIPS 2023 Performance Score

Let’s explore some effective strategies to boost MIPS 2023 performance:

Group Reporting Can Benefit

Fortunately, group reporting is an option for you if you are part of a group or virtual group. There is one unsaid benefit of reporting as a group. As the term ‘group’ symbolizes aggregation’, the same happens with the reporting data. CMS combines the contributions of every group participant. The fate of the group in MIPS 2023 will be the fate of its members. All this results in a higher probability of getting a good MIPS score, as they can achieve a performance threshold with combined effort.

Turn to High-Scoring Measures Preferably

Prioritizing measures with a better chance of attaining performance benchmarks is critical. Therefore, it’s wise practice to pick the best measures that yield high scores. So, right now, we have two priorities for selecting measures for MIPS 2023:

• One, find measures that fit your practice’s strengths.
• Second, concentrate on those with higher point values.

For PY 2023, CMS has made several scoring changes as well. They will impact the number of points you can earn for the Quality measures as well. So, this time, CMS will reward 1 to 10 points to MIPS clinicians. Here, fulfilling both the case minimum and data completeness requirements is a must. This entails:

• The MIPS participant has reported at least 20 patients (case minimum); and
• At least 70% of eligible encounters for all insurances are reported for the entire 12-month reporting period (data completeness).
• Large practices failing to meet these requirements will earn 0 points, while small practices will continue to earn 3 points.

Some MIPS measures do not have an established benchmark. Thereby, CMS will attempt to establish a benchmark retroactively for them under certain conditions:

• If there is insufficient performance data from the prior MIPS reporting year to establish a reliable benchmark for a measure,
• If the measure specifications have undergone significant changes.

However, this benchmark establishment will be done after the 2023 submission period concludes. Measures with no benchmark will earn zero points until they are submitted. It’s significant to note that the first two reporting performance periods for new measures do not fall under this. Furthermore, it does not apply to administrative claims measures as well.

“Topped-out” measures are those that have hit their performance rate ceiling. Score limits apply to these measures. These measures necessitate a flawless performance rate to receive the maximum number of points. Moreover, the maximum value for several topped-out measurements is 7. A quality standard is subject to a cap of 7 points when it has been “topped out” for two years.

Choose New Quality Measures in MIPS 2023

A minimum of 7 points will be awarded to new measures in their initial performance year. Even if they can’t be measured against a national standard, the rule still applies. In the second performance year, these measures will score a minimum of 5 points.

Technology Optimization for Seamless Care Coordination

MIPS relies on care coordination. By developing effective procedures and tools for healthcare professionals to communicate with one another, clinicians may raise their scores. That’s why they use the features of approved EHR systems that help with MIPS reporting and performance improvement. This might entail the following:

• Ensure accurate and complete documentation.
• Putting clinical decision-support technologies into practice.
• Using e-prescribing features.
• encouraging patient participation via patient portals or encrypted communications.

Conclusion

Remember, MIPS is a performance-based program. Consistent effort, ongoing evaluation, and continuous improvement are key to achieving higher scores. Therefore, we must have a clear understanding of all four categories of MIPS 2023. P3 Care, being a MIPS-qualified registry, provides dedicated MIPS consulting services. Now, providers can easily get through the MIPS with our assistance without any hassle. Count on us without delay if you want to make a striking strategy for MIPS 2023 participation.