Presence Health

MIPS combines the following incentive programs into one: Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-Based Payment Modifier), and the Medicare Electronic Health Record (EHR). Eligible professionals (EPs) will be measured and paid based on:

  1. Quality
  2. Resource use (Cost)
  3. Clinical practice improvement (Improvement Activities)
  4. Meaningful use of certified EHR technology (Advancing Care Information)

If participating in MIPS, the goal is to show proof of high-quality, efficient, and technology advanced care. It is a detailed process that requires teamwork and collaboration. Our team at Presence Health Partners will work with you to collect and provide information on each category that is up to CMS standards. MIPS participants receive a payment adjustment based on performance in four categories: 

Quality:

  • Assesses the value of care to ensure patients get the right care at the right time
  • Replaces Physician Quality Reporting System (PQRS)

Cost:

  • Helps create efficiencies in Medicare spending
  • Replaces Value-Based Modifier
  • Calculated from submitted claims

Improvement Activities:

  • Supports care coordination, patient engagement, patient safety, population management, and health equity
  • New performance category

Advancing Care Information:

  • Supports the secure exchange of health information and the use of certified EHR technology
  • Replaces Medicare EHR Incentive Program for Eligible Professionals, also known as meaningful use

Presence Health is committed to supporting providers through the reporting process for each measure and collecting the appropriate payment adjustment.

What are the Performance Category Weights?

Weights assigned to each category based on a 1 to 100 point scale

Transition-Year-Weights.jpg

 

Click here to view a detailed handout with more information about provider reporting requirements.